Intention to Pay for Vaccination and Influencing Factors of General Residents: A National Cross-Sectional Study

Abstract

Background: As an important part of the promotion of immunization programs and the suppression of infectious diseases, paid vaccines can prevent a variety of diseases and meet the needs of different populations. However, few studies focus on the public’s intention to pay for vaccination. Methods: The survey was conducted from 10 July to 15 September 2021, adopting a cross-sectional survey in China. We used a multi-stage sampling strategy to recruit participators from 120 cities. Participants filled out questions which assessed their intentions to pay for vaccination. A linear regression analysis was given to identify the predictors associated with the subjects’ attitudes. Results: There were 11,031 residents who finished our questionnaire. Chinese residents’ intention to receive paid vaccines scored 74.5 points. Residents who were male (β = −0.03) and older (30–44 (β = −0.03) or 45–59 (β = −0.06) or ≥60 (β = −0.08)), living alone (β = −0.03), who had moderate to severe anxiety (β = −0.03) or severe anxiety (β = −0.03) were more likely to refuse vaccination, while those who lived in Western China (β = 0.03) who had higher PSSS scores and HLS-SF12 index might acquire the intention to pay for vaccination. Conclusions: The study found that gender, age, region, living alone, anxiety, social support, and health literacy were the main influencing factors of residents’ attitudes. Governments and health institutions should take targeted measures to improve the health literacy and mental health of the population in order to facilitate the implementation of vaccination withdrawal and immunization policies.

Media use and organ donation willingness: A latent profile analysis from Chinese residents

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Self-medication in Chinese residents and the related factors of whether or not they would take suggestions from medical staff as an important consideration during self-medication

“…In 2019, Duong et al simplified the 47-item European Health Literacy Questionnaire (HLS-EU-Q47) to develop a short version of the health literacy scale (HLS-SF12), The scale was used to measure the health literacy (HL) of the respondents ( 38 ). In 2019, Duong et al validated the reliability of the scale and investigated the health literacy of rural people in Vietnam ( 39 ), In 2021, Cheong et al used the scale to study the health literacy and related factors of Filipino migrant workers ( 40 ), In 2022, Zhang et al applied the scale to explore residents' attitudes toward vaccination ( 41 ), HLS-SF12 by Duong et al had good reliability in Taiwan, China according to Duong TV's study ( 38 ). The total Cronbach's alpha for this scale was 0.85, The Cronbach's alphas for each dimension were 0.61 (health care), 0.67 (disease prevention), and 0.72 (health promotion), Item-scale convergent validity were 0.66 (health care), 0.69(disease prevention), 0.73 (health promotion), The validation factor analysis was used to test the structural validity of the scale for use in Taiwan, China, and the model fitness indicators were as follows RMSEA = 0.06, GFI = 0.97, AGFI = 0.95, CFI = 0.95, IFI = 0.95, NFI = 0.95, X 2 /df = 5.72 ( 38 ), All the above indicators of reliability and validity are qualified and meet the relevant criteria, which indicates that the HLS-SF12 has good reliability and validity in Taiwan, China and can be used to measure the health literacy of Chinese residents.…”