The main decision-making competence for willingness-to-pay towards COVID-19 vaccination: a family-based study in Taizhou, China

Abstract

Purpose This research aimed to explore individuals’ willingness to pay (WTP) and studied the role of family decision makers in WTP for COVID-19 vaccines. Methods A self-administered online questionnaire evaluating the willingness of community residents to pay for booster vaccination of COVID-19 vaccine was conducted among families in a community in Taizhou, China. The logistic regression model was performed to identify the factors associated with WTP for the COVID-19 vaccines, and all data were analysed by R software, version 4.1.0. Results 44.2% and 43.7% of 824 community residents were willing to pay for the first two doses and the booster dose of the COVID-19 vaccine, respectively. Decision-makers were more willing to pay for both the first two doses and the boost dose of the COVID-19 vaccines, with OR (95%CI) being 1.75 (1.25–2.47) and 1.89 (1.34–2.67), respectively. Besides, participants’ WTP for COVID-19 vaccines were also associated with their occupation and monthly household income. Conclusion This study found that family decision-makers were more willing to pay for both the first two doses and the booster dose of COVID-19 vaccines in Taizhou, China. To improve the WTP for COVID-19 vaccines, public policy programs need to conduct a comprehensive cost-benefit analysis and focus on the role of family decision makers in vaccination. Key Messages A study evaluating the willingness of community residents to pay for booster vaccination of COVID-19 vaccine was conducted among families in a community in Taizhou, China. Family decision-makers were more willing to pay for both the first two doses and the booster dose of COVID-19 vaccines. To improve the WTP for COVID-19 vaccines, public policy programs need to conduct a comprehensive cost-benefit analysis and focus on the role of family decision-makers in vaccination.

COVID-19 vaccine hesitancy between family decision-makers and non-decision-makers among college teachers

“…This is the first study to have examined the influence of the decision-making competence on vaccine hesitancy among college teachers; we found that the proportion of vaccine hesitancy among primary decision-makers was significantly lower than that among non-decision-makers (34.8% vs. 60.3%). This result is in line with our previous findings that the family decision-makers were more willing to pay for COVID-19 vaccines in a community of Taizhou, China [ 28 ]. Decision-making regarding proactively taking the COVID-19 vaccine for family may be modulated by concerns about the safety and effectiveness of the vaccine [ 46 ]; considering this, health promotion of the risk-benefit relationship of vaccination for family decision-makers must be urgently undertaken.…”

Impact of household decision makers’ hesitancy to vaccinate children against COVID-19 on other household members: A family-based study in Taizhou, China

“…The participants completed a self-administered survey by scanning a QR code. We chose a community in Taizhou, China, and collected questionnaires from every household in the community ( Luo et al, 2022 ). A logical check was performed, and outliers were eliminated before data analysis.…”

“…The family decision maker makes decisions within the family that affect the choices of the entire family ( Luo et al, 2022 ). Children rely on their parents and other family members to manage complex healthcare decisions owing to their lack of judgment and autonomy ( Gutman et al, 2018 ).…”