Comparative Analysis of Preferences and Willingness to Pay for COVID‐19 Vaccine Among Individuals With and Without Chronic Diseases: A Discrete Choice Experiment Approach
ABSTRACT Background and Aims The rapid development and deployment of COVID‐19 vaccines have been pivotal in the global battle against the pandemic. However, vaccine acceptance remains a critical determinant of their effectiveness. While numerous studies have explored factors influencing vaccine acce...
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Wiley
2025-07-01
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| Online Access: | https://doi.org/10.1002/hsr2.71066 |
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| author | Afroza Begum Md. Azhar Uddin Syed M. Ahsan Md. Ahsanul Islam |
| author_facet | Afroza Begum Md. Azhar Uddin Syed M. Ahsan Md. Ahsanul Islam |
| author_sort | Afroza Begum |
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| description | ABSTRACT Background and Aims The rapid development and deployment of COVID‐19 vaccines have been pivotal in the global battle against the pandemic. However, vaccine acceptance remains a critical determinant of their effectiveness. While numerous studies have explored factors influencing vaccine acceptance, there is a notable dearth of research regarding preferences and willingness to pay (WTP) among individuals with chronic diseases (ChD) who are at heightened risk of severe COVID‐19 outcomes. This study addresses this gap by investigating COVID‐19 vaccine preferences and WTP among individuals with and without chronic diseases. Methods Employing a discrete choice experiment (DCE) approach, we interviewed 843 participants to assess their preference for COVID‐19 vaccine attributes such as origin, efficacy level, protection duration, and provider. We used a mixed logit model to analyze DCE data and estimated WTP by taking the negative ratio of preference and price parameters. Furthermore, we performed a stratified analysis according to the household head's ChD status. Results As expected, vaccines with higher efficacy and longer protection are most preferred. Interestingly, our research shows a preference for European and American vaccines over Chinese vaccines. Additionally, this study reveals a preference for private facilities over government facilities for vaccinations among vaccine seekers. Patients with ChD exhibit higher WTP than those without such conditions, demonstrating the group's urgency in becoming vaccinated. Conclusion Vaccine procurement and administration decisions by health authorities should be evidence‐based and reflect public preferences regarding acceptance and WTP. Health authorities should prioritize both high efficacy and long‐lasting protection in vaccine procurement, ensuring that neither is compromised. This approach addresses the top concerns of both groups—vaccine effectiveness for the ChD group and extended immunity for the NChD group. This study also informs policy decisions regarding vaccine origin and suggests incorporating private facilities as vaccine administration points to reduce pressure on government facilities. |
| format | Article |
| id | doaj-art-6c242a529e3c4f6b970e7a6464ee3347 |
| institution | Kabale University |
| issn | 2398-8835 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj-art-6c242a529e3c4f6b970e7a6464ee33472025-08-20T03:39:32ZengWileyHealth Science Reports2398-88352025-07-0187n/an/a10.1002/hsr2.71066Comparative Analysis of Preferences and Willingness to Pay for COVID‐19 Vaccine Among Individuals With and Without Chronic Diseases: A Discrete Choice Experiment ApproachAfroza Begum0Md. Azhar Uddin1Syed M. Ahsan2Md. Ahsanul Islam3Department of Statistics University of Chittagong Chittagong BangladeshInstitute of Health Economics University of Dhaka Dhaka BangladeshDepartment of Economics Concordia University Montreal Quebec CanadaDepartment of Statistics University of Chittagong Chittagong BangladeshABSTRACT Background and Aims The rapid development and deployment of COVID‐19 vaccines have been pivotal in the global battle against the pandemic. However, vaccine acceptance remains a critical determinant of their effectiveness. While numerous studies have explored factors influencing vaccine acceptance, there is a notable dearth of research regarding preferences and willingness to pay (WTP) among individuals with chronic diseases (ChD) who are at heightened risk of severe COVID‐19 outcomes. This study addresses this gap by investigating COVID‐19 vaccine preferences and WTP among individuals with and without chronic diseases. Methods Employing a discrete choice experiment (DCE) approach, we interviewed 843 participants to assess their preference for COVID‐19 vaccine attributes such as origin, efficacy level, protection duration, and provider. We used a mixed logit model to analyze DCE data and estimated WTP by taking the negative ratio of preference and price parameters. Furthermore, we performed a stratified analysis according to the household head's ChD status. Results As expected, vaccines with higher efficacy and longer protection are most preferred. Interestingly, our research shows a preference for European and American vaccines over Chinese vaccines. Additionally, this study reveals a preference for private facilities over government facilities for vaccinations among vaccine seekers. Patients with ChD exhibit higher WTP than those without such conditions, demonstrating the group's urgency in becoming vaccinated. Conclusion Vaccine procurement and administration decisions by health authorities should be evidence‐based and reflect public preferences regarding acceptance and WTP. Health authorities should prioritize both high efficacy and long‐lasting protection in vaccine procurement, ensuring that neither is compromised. This approach addresses the top concerns of both groups—vaccine effectiveness for the ChD group and extended immunity for the NChD group. This study also informs policy decisions regarding vaccine origin and suggests incorporating private facilities as vaccine administration points to reduce pressure on government facilities.https://doi.org/10.1002/hsr2.71066Bangladeshchronic diseasesCOVID‐19 vaccinediscrete choice experimentwillingness to pay |
| spellingShingle | Afroza Begum Md. Azhar Uddin Syed M. Ahsan Md. Ahsanul Islam Comparative Analysis of Preferences and Willingness to Pay for COVID‐19 Vaccine Among Individuals With and Without Chronic Diseases: A Discrete Choice Experiment Approach Health Science Reports Bangladesh chronic diseases COVID‐19 vaccine discrete choice experiment willingness to pay |
| title | Comparative Analysis of Preferences and Willingness to Pay for COVID‐19 Vaccine Among Individuals With and Without Chronic Diseases: A Discrete Choice Experiment Approach |
| title_full | Comparative Analysis of Preferences and Willingness to Pay for COVID‐19 Vaccine Among Individuals With and Without Chronic Diseases: A Discrete Choice Experiment Approach |
| title_fullStr | Comparative Analysis of Preferences and Willingness to Pay for COVID‐19 Vaccine Among Individuals With and Without Chronic Diseases: A Discrete Choice Experiment Approach |
| title_full_unstemmed | Comparative Analysis of Preferences and Willingness to Pay for COVID‐19 Vaccine Among Individuals With and Without Chronic Diseases: A Discrete Choice Experiment Approach |
| title_short | Comparative Analysis of Preferences and Willingness to Pay for COVID‐19 Vaccine Among Individuals With and Without Chronic Diseases: A Discrete Choice Experiment Approach |
| title_sort | comparative analysis of preferences and willingness to pay for covid 19 vaccine among individuals with and without chronic diseases a discrete choice experiment approach |
| topic | Bangladesh chronic diseases COVID‐19 vaccine discrete choice experiment willingness to pay |
| url | https://doi.org/10.1002/hsr2.71066 |
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