Predictors of acceptance and willingness to pay for the COVID-19 vaccine in the general public of India: A health belief model approach

• 作者: Narayana Goruntla Sai Harshavardhan Chintamani Bhanu P Samyuktha S Kasturi Vishwanathasetty Veerabhadrappa Pradeepkumar Bhupalam Jinka Dasaratha Ramaiah
• 来源期刊: 亚太热带医药杂志（英文版）
• 年，卷（期）: 2021,（4）
• 所属期刊栏目: Original Articles
• 页码范围: 165-175
• 页数: 11页
• 语种: 英文
• DOI: 10.4103/1995-7645.312512

摘要

Objective: To determine the predictors of acceptance and willingness to pay (WTP) for the COVID-19 vaccine among the Indian public and to provide insights for future demand forecasts and pricing considerations.Methods: A nationwide, web-based, self-administered, cross-sectional survey was conducted from 5 to 20 October 2020. The health belief model (HBM) approach was used as a theoretical framework to assess the predictors of acceptance of and WTP for the COVID-19 vaccine. Results: Of 2480 respondents, 2451 completed the online survey, yielding a response rate of 98.8％. Participants who participated in the survey had diverse demographics in terms of their location, educational level, occupation type, and family income. Among 2451 respondents, the majority (89.3％) intended to receive the COVID-19 vaccine. Respondents with high perceived benefits of COVID-19 vaccination, such as reduction in worry (OR 5.87; 95％ CI 4.39-7.96) and sickness (OR 4.31; 95％ CI 3.31-5.62), showed higher intention to receive the vaccine. However, respondents with a high perception of the side effects and barriers to vaccination (OR 0.36; 95％ CI 0.25-0.54) and vaccine shortage (OR 0.58; 95％ CI 0.41-0.81) showed lower intention to receive the vaccine. The majority (2162, 88.21％) of respondents were willing to pay an amount of INR: 500-1000 or USD: 6.81-13.62 for a dose of COVID-19 vaccine, with a median (Q1, Q3) of INR: 500 (500, 1000) or USD: 6.81 (6.81, 13.62). The higher marginal WTP for the COVID-19 vaccine was influenced by advanced age, marital status, female sex, intermediate educational background, high family income, fair or poor perceived health status, and no affordable barriers. Conclusions: The majority of respondents intended to receive the COVID-19 vaccine. Healthcare interventions focusing on HBM constructs and demographic predictors associated with low intention to receive the vaccine can be effective in enhancing the coverage of the COVID-19 vaccine. The findings of this study provide guidance for the future price considerations of the COVID-19 vaccine.