探索报销比率对接种疫苗的意愿的影响:采用面板数据的混合效应建模方法
Linbo Xie1,2, Jie Xing3,4, Mengsha Yan1,2
1Vanke School of Public Health, Tsinghua University, Beijing, China.
疫苗的成本显著影响了中国父母对6岁以下儿童接种疫苗的意愿. 了解成本敏感性可以提高儿童免疫覆盖率,以获得关键的自付疫苗.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 接种疫苗是预防疾病的基石,但在中国的幼儿中,接种EV71,水,流感和DTaP-IPV-Hib等自付疫苗是不理想的.
- 确定影响疫苗接受的因素对于加强公共卫生战略至关重要.
研究的目的:
- 调查中国6岁以下儿童对自付疫苗的接种意愿 (WTV) 的决定因素.
- 分析疫苗成本与WTV之间的关系,并确定具有不同成本敏感性的人口群体.
主要方法:
- 结构化问卷调查对杭州2212个家庭进行了调查,其中有6岁以下的儿童.
- 使用多重回归和混合效应模型来确定WTV决定因素和成本-WTV相关性.
- 无监督集群根据成本灵敏度对人口进行了细分.
主要成果:
- 疫苗成本成为影响自付疫苗的WTV的主要决定因素.
- 根据成本灵敏度确定了四个不同的组.
- 只有一个孩子的家庭,1-3岁的孩子,受过高等教育的父母和更高的社会经济地位的家庭显示出更高的WTV.
结论:
- 疫苗成本是儿童接受自费疫苗的关键障碍.
- 针对性战略解决成本问题,利用人口因素可以提高疫苗接种率.
- 提高基本疫苗的免疫覆盖率对于中国的儿童健康至关重要.
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