中国女性医护人员接种人乳头瘤病毒疫苗支付意愿分析  被引量:2

Willingness to pay for human papillomavirus vaccines among Chinese female health care workers

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作  者:陆昕悦 邵小平 黄巍峰[2] 周炜钰 陆一涵[1] LU Xin-yue;SHAO Xiao-ping;HUANG Wei-feng(Department of Epidemiology,Ministry of Education Key Laboratory of Public Health Safety,School of Public Health,Fudan University,Shanghai 200032,China;不详)

机构地区:[1]复旦大学公共卫生学院流行病学教研室、公共卫生安全教育部重点实验室,上海200032 [2]上海交通大学附属第六人民医院重症医学科

出  处:《中国公共卫生》2023年第3期279-284,共6页Chinese Journal of Public Health

摘  要:目的分析中国女性医护人员对人乳头瘤病毒(HPV)疫苗的支付意愿及其影响因素,为改进HPV疫苗接种策略提供依据。方法于2021年11-12月,采用在线问卷调查中国内地31个省(自治区、直辖市)18~45岁女性医护人员的HPV疫苗接种现状、认知水平、保护动机理论(PMT)各维度得分,同时调查HPV疫苗支付意愿的额度范围,并建立结构方程模型,分析影响因素。结果本研究共收集15969份有效问卷,平均年龄为(30.6±6.2)岁。43.4%调查对象支付意愿为<1600元,33.2%为1601~3200元,23.4%为3201~5000元。18~26岁、汉族、硕士及以上、未婚/离婚/丧偶、尚无职称、三级医院工作、每月平均收入>8000元、已接种/已预约HPV疫苗的调查对象支付意愿更高。PMT各维度与认知水平得分与HPV疫苗接种现状、支付意愿均存在关联性(P<0.001)。结构方程模型结果显示,PMT感知易感性(β=0.046)、感知严重性(β=0.012)、反应效能(β=0.027)、自我效能(β=0.155)、认知水平(β=0.151)和疫苗接种行为(β=0.154)正向影响着HPV疫苗支付意愿;PMT反应代价对支付意愿则有负向影响(β=-0.183)。结论中国女性医护人员对于HPV疫苗的支付意愿相对较高;HPV疫苗价格、预约/接种的便捷性、疫苗安全性是该人群支付意愿的主要影响因素。Objective To investigate the willingness to pay(WTP)for human papillomavirus(HPV)vaccine and its influencing factors among Chinese female health care workers for improving HPV vaccination strategies in China.Methods An online survey was conducted among 18-45 years old female health care workers from 310 hospitals in 31 provincial level administrative divisions across China during November-December 2021.A self-designed questionnaire was used to collect information on demographics,HPV vaccination status,HPV-related knowledge,protective motivation theory(PMT)-based HPV vaccination-related cognition and attitude,and the amount of WTP for HPV vaccination.Structural equation model was adopted to analyze influencing factors of WTP.Results Of the 15969 valid respondents aged 30.6±6.2 years,43.4%,33.2%,and 23.4%reported the highest amount(CNY)of WTP for HPV vaccine ranging 0-1600,1601–3200,and 3201-5000,respectively;higher amount of WTP was reported by the respondents aged 18-26 years,being Han ethnic,unmarried/divorced/widowed,having the education of master degree or above,without professional title,with a monthly income more than 8000 CNY,working in a tertiary hospital,and already receiving HPV vaccination or having an appointment for the vaccination.The scores for multidimensional PMT-based cognition and attitude about HPV vaccination were significantly correlated with HPV vaccine acceptance and the WTP for HPV vaccine(P<0.001 for all).The structural equation model analysis showed that perceived susceptibility(β=0.046),perceived severity(β=0.012),response efficacy(β=0.027),self-efficacy(β=0.155),HPV-related knowledge(β=0.151)and vaccination behavior(β=0.154)were positively associated with the WTP for HPV vaccination;whereas response cost was negatively associated with the WTP for HPV vaccination(β=-0.183).Conclusion Chinese female health care workers have a relatively higher WTP for HPV vaccination.Price of HPV vaccine,convenience of vaccination/appointment services,and safety of vaccines remain the main infl

关 键 词:女性医护人员 人乳头瘤病毒疫苗 支付意愿 保护动机理论 接种行为 

分 类 号:R186[医药卫生—流行病学]

 

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