Chinese mothers’ intention to vaccinate daughters against human papillomavirus (HPV), and their vaccine preferences: a study in Fujian Province

Lin, Yulan; Su, Zhitai; Chen, Fulian; Zhao, Qinjian; Zimet, Gregory D.; Alias, Haridah; He, Shuqiong; Hu, Zhijian; Wong, Li Ping

doi:10.1080/21645515.2020.1756152

Cited by 22 publications

(7 citation statements)

References 42 publications

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“…Similarly, a study in 2020 found that Chinese parents of primary school students were also willing to pay more for 9-valent HPV vaccines, rather than 4-valent or 2-valent [ 9 ]. However, the WTP for imported HPV vaccines was higher than that for domestic vaccines (1260 CNY vs. 1120 CNY) in our study, which was similar to previous findings that imported HPV vaccines were highly preferable in China [ 34 ]. Furthermore, our study included an assumed 9-valent domestic vaccine in the analysis, in addition to four actual vaccines.…”

Section: Discussionsupporting

confidence: 90%

Willingness to pay for HPV vaccine among female health care workers in a Chinese nationwide survey

Wagner

et al. 2022

BMC Health Serv Res

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Background Payment methods for human papillomavirus (HPV) vaccine could substantially influence vaccination behavior. In China, HPV vaccination uptake remains currently low. This study aims to determine willingness to pay (WTP) for HPV vaccines among Chinese female health care workers under different payment scenarios. Methods This is a nationwide online survey recruiting female health care workers aged 18–45 years from 31 provinces throughout China. We collected the respondents’ vaccination status of HPV vaccines and their sociodemographics. Two WTPs were defined and estimated in the study. A general WTP for HPV vaccination was determined using the contingent valuation method with double dichotomous choice bidding. A WTP out-of-pocket was estimated for each HPV vaccine under two scenarios, including partial coverage by governmental subsidy or partial incorporation in basic medical insurance. Accordingly, a multivariable linear regression model was employed to determine the association between sociodemographis and general WTP. Then the maximum WTP out-of-pocket was compared among the respondents’ attitude shift towards HPV vaccination, payment scenarios, and levels of vaccine attributes, using non-parametric Kruskal-Wallis test. Results A total of 15,969 respondents were included in the study. The median general WTP was 2000 CNY (interquartile range, 1000–3200 CNY), positively associated with younger age, unmarried status, higher monthly income, fewer children, more positive vaccination behavior, working in tertiary hospital, higher local GDP and HDI (each P < 0.05). Moreover, the median WTP out-of-pocket was 1250 CNY (540–2000 CNY). It was significantly higher for vaccines partly covered by governmental subsidy (median, 1250 CNY; interquartile range, 560–2000 CNY), imported vaccines (1260 CNY; 630–1960 CNY), and 9-valent vaccines (1400 CNY; 750–2240 CNY) (each P < 0.001). Additionally, majority of respondents did not change their attitude towards HPV vaccination between two payment scenarios; those remaining with more expensive HPV vaccines (51.1%) had higher WTP out-of-pocket (1400 CNY; 560–2250 CNY) than those with cheaper vaccines (39.0%) (1120 CNY; 490–1960 CNY) (P < 0.001). Conclusion Chinese female health care workers have high WTP for HPV vaccines. A direct public funding for HPV vaccination is more preferable. Our findings may facilitate the adjustment of HPV vaccination strategy and payment mechanism in China.

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Section: Discussionsupporting

confidence: 90%

Willingness to pay for HPV vaccine among female health care workers in a Chinese nationwide survey

Wagner

et al. 2022

BMC Health Serv Res

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“…These findings were similar to the previous studies conducted in Taiwan, Poland and Argentina which reported [19][20][21]. When viewed intention rate of mother regarding the HPV vaccine, the results were shown that intention rate in this study was ultimately high [12] which might be correlated with the campaign that enhanced the HPV vaccine vaccination in St. Vincent and the Grenadines and which was corresponded to other studies such as in China, 83.3% of mothers had intention to have their daughter be vaccinated with the HPV vaccine [33] while in Poland 85.1% of parents approved HPV vaccine vaccination [20] in the same way of Argentina which 90% of mothers approved this vaccine [34]. Moreover, in the existing studies mothers usually had the major role of the HPV administration to their daughter [35,36].…”

Section: Discussionsupporting

confidence: 80%

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2023

EIJ

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Since the integration of the HPV vaccine in the National Immunization Programme in 2017, little is known regarding Vincentian mothers' health beliefs, attitudes and intentions. Human Papillomavirus (HPV) infection can cause cervical cancer however, this can be prevented with the HPV vaccine which is given to girls in grade 6. The study aimed to evaluate mother's health beliefs, attitudes and intentions towards HPV vaccine administration to their daughter and factors involved with these intentions in Indigenous Communities in St. Vincent and the Grenadines. An online-based community cross-sectional survey was conducted in the six main villages in the Indigenous Community from April to May 2020. The structured and pilot-tested questionnaire was distributed to 342 mothers who had a daughter age 7-11 years old who were not vaccinated with the HPV vaccine and the youngest daughter if the mother has more than one daughter in the age group. Bivariate and multiple logistic regression analyses were used for data analysis to investigate factors associated with mothers' intention. For health beliefs and attitudes, descriptive analysis was performed.Majority of the respondent had positive attitudes towards the HPV vaccine and for health beliefs there was a high susceptibility, severity and benefit towards HPV and the HPV vaccine among the mothers included there was a high (95.6%) maternal intention for their daughter to received the HPV vaccine, with 9 out of every 10 mothers agreeing to have their daughter be vaccinated in the future. The factors influencing the intention of vaccinating were the source of information-health professionals (AOR= Jayasvasti I, et al. The Predictors Influencing the Mothers Health Beliefs and Intentions Towards the Determination of their Daughter to be Vaccinated with the Human Papillomavirus Vaccine in the Indigenous Communities,

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“…The finding of parental intention to vaccinate daughters against HPV infection has been published. 26 This paper reports the finding of male participants’ willingness to support their spouse/partner’s HPV vaccination uptake.…”

Section: Methodsmentioning

confidence: 97%

The influence of men on HPV vaccination of their spouse/partner in China

Lin

Cai

et al. 2022

Human Vaccines & Immunotherapeutics

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Men involvement in HPV vaccine advocacy is important in a patriarchal society. This study aimed to investigate the influence of men on HPV vaccination of adult women. An online cross-sectional survey was undertaken between June and August 2019. Participants were fathers of children enrolled in schools in Fujian Province. A total of 1953 participants responded to our survey. Just over 60% reported they would definitely or likely support their spouse/partner to receive HPV vaccine. Physician recommendation (adjusted odds ratio [aOR] = 5.68, 95%CI = 3.89–6.86) and spouse/partner communication about HPV vaccination (aOR = 5.30, 95%CI = 3.72–7.55) were significant covariates associated with higher willingness to support women’s HPV vaccination. Perceiving HPV vaccination as only for women who have had multiple sex partners and HPV vaccination as a sensitive topic were significantly associated with lower willingness to support HPV vaccination. Over two-thirds (67.3%) reported joint HPV vaccination decision-making and 2.8% reported that it was entirely the man’s decision. The role of men in HPV vaccine acceptance and hesitancy among adult women is evident in China and warrants educational interventions to target men to enhance women’s HPV vaccination uptake.

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Chinese mothers’ intention to vaccinate daughters against human papillomavirus (HPV), and their vaccine preferences: a study in Fujian Province

Cited by 22 publications

References 42 publications

Willingness to pay for HPV vaccine among female health care workers in a Chinese nationwide survey

Willingness to pay for HPV vaccine among female health care workers in a Chinese nationwide survey

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The influence of men on HPV vaccination of their spouse/partner in China

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