Parental preferences for a mandatory vaccination scheme in England; a discrete choice experiment

Discrete Choice ◽

Day Care ◽

Choice Experiment ◽

Vaccine Uptake ◽

Compensation Scheme ◽

Parental Preferences ◽

Vaccination Scheme ◽

Unvaccinated Child ◽

Mandatory Vaccination

Background: Mandatory vaccination has been mooted to combat falling childhood vaccine uptake rates in England. This study investigated parental preferences for a mandatory vaccination scheme. Methods: Discrete choice experiment. Six attributes were investigated: vaccine (MMR, 6-in-1), child age group (2 years and older, 5 years and older), incentive (130 GBP cash incentive for parent, 130 GBP voucher incentive for child, no incentive), penalty (450 GBP fine, parent not able to claim Child Benefits for an unvaccinated child, unvaccinated child not able to attend school or day care), ability to opt out (medical exemption only, medical and religious belief exemption), and compensation scheme (not offered, offered). Mixed effects conditional logit regression models were used to investigate parental preferences and relative importance of attributes. Findings: Participants were 1,001 parents of children aged 5 years and under (53% female, mean age=33.6 years, SD=7.1, 84% white British). Parental preferences were mostly based on incentives (slight preference for cash pay-out for the parent versus a voucher for the child) and penalties (preference for schemes that did not allow unvaccinated children to attend school or day care and those that withheld financial benefits for parents of unvaccinated children). Parents also preferred schemes that: offered a compensation scheme, mandated the 6-in-1 vaccine, mandated vaccination in children aged 2 years and older, and that offered only medical exemptions. Interpretation: Results can inform policymakers' decisions about how best to implement a mandatory childhood vaccination scheme in England. Funding: Data collection was funded by a British Academy/Leverhulme Small Research Grants (SRG1920\101118).

Parental preferences for rotavirus vaccination in young children: A discrete choice experiment

Vaccine ◽

10.1016/j.vaccine.2014.09.004 ◽

2014 ◽

Vol 32 (47) ◽

pp. 6277-6283 ◽

Cited By ~ 25

Author(s):

Jorien Veldwijk ◽

Mattijs S. Lambooij ◽

Patricia C.J. Bruijning-Verhagen ◽

Henriette A. Smit ◽

G. Ardine de Wit

Keyword(s):

Young Children ◽

Discrete Choice ◽

Choice Experiment ◽

Rotavirus Vaccination ◽

Parental Preferences for Rotavirus Vaccination and Potential Vaccination Coveragein Young Children: A Discrete Choice Experiment

Value in Health ◽

10.1016/j.jval.2013.08.229 ◽

2013 ◽

Vol 16 (7) ◽

pp. A362

Author(s):

J. Veldwijk ◽

M.S. Lambooij ◽

P.C.J. Bruijning-Verhagen ◽

H.A. Smit ◽

G.A. de Wit

Keyword(s):

Young Children ◽

Discrete Choice ◽

Choice Experiment ◽

Rotavirus Vaccination ◽

Parental preferences for HPV vaccination in junior middle school girls in China: A discrete choice experiment

Vaccine ◽

10.1016/j.vaccine.2020.11.020 ◽

2020 ◽

Vol 38 (52) ◽

pp. 8310-8317

Author(s):

Shan Zhu ◽

Jie Chang ◽

Khezar Hayat ◽

Pengchao Li ◽

Wenjing Ji ◽

...

Keyword(s):

Middle School ◽

Discrete Choice ◽

Choice Experiment ◽

Hpv Vaccination ◽

Middle School Girls ◽

Parental Preferences ◽

School Girls

Parental preferences toward genomic sequencing for non-medically actionable conditions in children: a discrete-choice experiment

Genetics in Medicine ◽

10.1038/gim.2017.93 ◽

2017 ◽

Vol 20 (2) ◽

pp. 181-189 ◽

Cited By ~ 9

Author(s):

Megan A Lewis ◽

Alex Stine ◽

Ryan S Paquin ◽

Carol Mansfield ◽

Dallas Wood ◽

...

Keyword(s):

Discrete Choice ◽

Choice Experiment ◽

Genomic Sequencing ◽

Influence of Vaccination Characteristics on COVID-19 Vaccine Acceptance Among Working-Age People in Hong Kong, China: A Discrete Choice Experiment

Frontiers in Public Health ◽

10.3389/fpubh.2021.793533 ◽

2021 ◽

Vol 9 ◽

Author(s):

Kailu Wang ◽

Eliza Lai-Yi Wong ◽

Annie Wai-Ling Cheung ◽

Peter Sen-Yung Yau ◽

Vincent Chi-Ho Chung ◽

...

Keyword(s):

Social Media ◽

Hong Kong ◽

Discrete Choice ◽

Choice Experiment ◽

Vaccine Uptake ◽

Preference Heterogeneity ◽

Significant Information ◽

Vaccine Acceptance ◽

General Physicians

Background: Along with individual-level factors, vaccination-related characteristics are important in understanding COVID-19 vaccine hesitancy. This study aimed to determine the influence of these characteristics on vaccine acceptance to formulate promotion strategies after considering differences among respondents with different characteristics.Methods: An online discrete choice experiment was conducted among people aged 18–64 years in Hong Kong, China, from 26 to 28 February 2021. Respondents were asked to make choices regarding hypothetical vaccination programmes described by vaccination-related characteristics—the attributes derived from a prior individual interview. Subgroup analysis was performed to identify the differences in vaccination-related characteristics among respondents with different personal characteristics.Results: A total of 1,773 respondents provided valid responses. The vaccine efficacy and brand were the most important factors affecting acceptance, followed by the exemption of quarantine for vaccinated travelers, safety, venue for vaccination, vaccine uptake of people in their lives, and recommendations by general physicians or government. Frequent exposure to vaccination information on social media has been associated with increasing vaccine refusal. Substantial preference heterogeneity for the attributes was found among people of different ages, incomes, chronic conditions, and previous acceptance of influenza vaccines.Conclusion: The findings provided evidence to formulate interventions to promote vaccine uptake, including the provision of vaccination at housing estate or workplaces, involvement of general physicians and interpersonal communication in vaccine promotion and information dissemination, and exemption of quarantine for vaccinated people. Moreover, social media is a significant information channel that cannot be neglected in the dissemination of official information.

Parental Preferences for the Organization of Preschool Vaccination Programs Including Financial Incentives: A Discrete Choice Experiment

MDM Policy & Practice ◽

10.1177/2381468317708319 ◽

2017 ◽

Vol 2 (1) ◽

pp. 238146831770831

Author(s):

Darren Flynn ◽

Laura Ternent ◽

Frauke Becker ◽

Yemi Oluboyede ◽

Jean Adams

Keyword(s):

Discrete Choice ◽

Financial Incentives ◽

Choice Experiment ◽

Vaccination Programs ◽

No Such Thing as a Free-Rider? Understanding Drivers of Childhood and Adult Vaccination through a Multicountry Discrete Choice Experiment

Vaccines ◽

10.3390/vaccines9030264 ◽

2021 ◽

Vol 9 (3) ◽

pp. 264

Author(s):

Frederik Verelst ◽

Roselinde Kessels ◽

Lander Willem ◽

Philippe Beutels

Keyword(s):

Discrete Choice ◽

Vaccination Coverage ◽

Choice Experiment ◽

Disease Burden ◽

Free Rider ◽

Vaccine Effectiveness ◽

Vaccine Uptake ◽

Vaccine Preventable Disease ◽

Preventable Disease

Increased vaccine hesitancy and refusal negatively affects vaccine uptake, leading to the reemergence of vaccine preventable diseases. We aim to quantify the relative importance of factors people consider when making vaccine decisions for themselves, or for their child, with specific attention for underlying motives arising from context, such as required effort (accessibility) and opportunism (free riding on herd immunity). We documented attitudes towards vaccination and performed a discrete choice experiment in 4802 respondents in The United Kingdom, France and Belgium, eliciting preferences for six attributes: (1) vaccine effectiveness, (2) vaccine preventable disease burden, (3) vaccine accessibility in terms of copayment, vaccinator and administrative requirements, (4) frequency of mild vaccine-related side-effects, (5) vaccination coverage in the country’s population and (6) local vaccination coverage in personal networks. We distinguished adults deciding on vaccination for themselves from parents deciding for their youngest child. While all attributes were found to be significant, vaccine effectiveness and accessibility stood out in all (sub)samples, followed by vaccine preventable disease burden. We confirmed that people attach more value to severity of disease compared to its frequency, and discovered that peer influence dominates free-rider motives, especially for the vaccination of children. These behavioral data are insightful for policy and are essential to parameterize dynamic vaccination behavior in simulation models. In contrast to what most game theoretical models assume, social norms dominate free-rider incentives. Policy-makers and healthcare workers should actively communicate on high vaccination coverage, and draw attention to the effectiveness of vaccines while optimizing their practical accessibility.

COVID-19 vaccine preferences among university students in Hong Kong: a discrete choice experiment

BMC Research Notes ◽

10.1186/s13104-021-05841-z ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Xue Li ◽

Man Yui Chong ◽

Ching Yui Chan ◽

Vindy Wing Sun Chan ◽

Xinning Tong

Keyword(s):

Hong Kong ◽

Health Education ◽

University Students ◽

Discrete Choice ◽

Choice Experiment ◽

Vaccine Uptake ◽

Vaccine Hesitancy ◽

Online Questionnaire ◽

Conditional Logit

Abstract Objective To promote public health and resume university activities, COVID-19 vaccination has been mandated from an increasing number of universities worldwide. The objective of the study is to understand the factors that impact preference and willingness to take the vaccine among university students in Hong Kong universities utilizing an online questionnaire. The findings will be imperative for health education and the success of the vaccination program. Results We conducted a discrete choice experiment survey among university students in Hong Kong and applied conditional logit regression to estimate their vaccine preference and the weight of each attribute. Regression results showed adverse reactions, efficacy, origin of the vaccine, required number of doses and out-of-pocket price are significant determinants for the choice of vaccine, ranked from the most to least important. Similar preference weighting results were observed after adjusting age, sex, monthly household income, studying medical-related subjects and recent influenza vaccination. Safety, efficacy and origin of the vaccine are key drivers for vaccination decisions among young adults in Hong Kong. Health education and communication focused on these factors are urgently needed to overcome vaccine hesitancy and improve the vaccine uptake.