Mohammad Bellal Hossain, Md Zakiul Alam, Md Syful Islam, Shafayat Sultan, Md Mahir Faysal, Sharmin Rima, Md Anwer Hossain, Abdullah Al Mamun, Abdullah-Al- Mamun
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Multivariable logistic regression was used to analyze the correlates of the WTP.</p><p><strong>Results: </strong>The results showed that 772 of 1497 (51.6%) participants were willing to pay for the COVID-19 vaccine, with a median of 300 BDT (IQR 150-500 BDT; a currency exchange rate of 1 BDT=US $0.008 is applicable). The WTP was significantly higher among individuals with a graduate degree (adjusted odds ratio [aOR] 1.98, 95% CI 1.14-3.45) or master's and MPhil or PhD-level education (aOR 1.93, 95% CI 1.07-3.48) and those with higher knowledge about the vaccine (aOR 1.09, 95% CI 1.02-1.15), positive behavioral practices (aOR 1.11, 95% CI 1.06-1.17), stronger subjective norms regarding COVID-19 vaccine (aOR 1.25, 95% CI 1.08-1.46), and higher anticipated regret of getting infected with COVID-19 (aOR 1.17, 95% CI 1.04-1.32). Conversely, WTP was lower among participants with negative attitudes toward vaccines (aOR 0.91, 95% CI 0.88-0.95) and high perceived behavioral control regarding COVID-19 vaccination (aOR 0.86, 95% CI 0.76-0.96; P=.006).</p><p><strong>Conclusions: </strong>With nearly half of the respondents unwilling to pay, this study highlights the need to improve vaccine-related knowledge and enhance income-based affordability to increase WTP. Health promotion efforts should focus on disseminating knowledge about vaccines and addressing negative perceptions. 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Thus, assessing the willingness to pay (WTP) for the COVID-19 vaccine is essential for understanding potential pricing strategies, subsidy requirements, and vaccine demand.</p><p><strong>Objective: </strong>This study aimed to assess the prevalence of WTP for the COVID-19 vaccine and its correlates.</p><p><strong>Methods: </strong>A cross-sectional design was used to collect data from 1497 respondents through web-based platform and face-to-face interviews. Multivariable logistic regression was used to analyze the correlates of the WTP.</p><p><strong>Results: </strong>The results showed that 772 of 1497 (51.6%) participants were willing to pay for the COVID-19 vaccine, with a median of 300 BDT (IQR 150-500 BDT; a currency exchange rate of 1 BDT=US $0.008 is applicable). 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引用次数: 0
摘要
背景：孟加拉国政府免费提供COVID-19疫苗；然而，为大量人口维持这一免费疫苗接种计划构成了重大挑战。因此，评估COVID-19疫苗的支付意愿（WTP）对于了解潜在的定价策略、补贴要求和疫苗需求至关重要。目的：本研究旨在评估COVID-19疫苗WTP的流行情况及其相关因素。方法：采用横断面设计，通过网络平台和面对面访谈对1497名调查对象进行数据收集。采用多变量logistic回归分析WTP的相关因素。结果：1497名参与者中有772名（51.6%）愿意支付COVID-19疫苗，中位数为300 BDT (IQR为150-500 BDT；适用1比特币= 0.008美元的货币汇率)。WTP在研究生学历（调整比值比[aOR] 1.98, 95% CI 1.14-3.45）、硕士、哲学硕士或博士学历（aOR 1.93, 95% CI 1.07-3.48）、疫苗知识水平较高（aOR 1.09, 95% CI 1.02-1.15）、积极行为习惯（aOR 1.11, 95% CI 1.06-1.17）、对COVID-19疫苗的主观规范较强（aOR 1.25, 95% CI 1.08-1.46）和对感染COVID-19的预期后悔较高(aOR 1.17，95% ci 1.04-1.32)。相反，对疫苗持消极态度的参与者（aOR 0.91, 95% CI 0.88-0.95）和对COVID-19疫苗接种有高度感知的行为控制的参与者(aOR 0.86, 95% CI 0.76-0.96；P = .006)。结论：由于近一半的受访者不愿付费，本研究强调有必要改善疫苗相关知识，提高基于收入的可负担性，以增加WTP。健康促进工作应侧重于传播有关疫苗的知识和消除负面看法。此外，针对低收入群体的补贴方案可以帮助减轻财政障碍，促进公平获得疫苗。
Willingness to Pay for the COVID-19 Vaccine and Its Correlates in Bangladesh: Cross-Sectional Study.
Background: The Government of Bangladesh offers COVID-19 vaccines at no cost; however, sustaining this free vaccination program for a large population poses significant challenges. Thus, assessing the willingness to pay (WTP) for the COVID-19 vaccine is essential for understanding potential pricing strategies, subsidy requirements, and vaccine demand.
Objective: This study aimed to assess the prevalence of WTP for the COVID-19 vaccine and its correlates.
Methods: A cross-sectional design was used to collect data from 1497 respondents through web-based platform and face-to-face interviews. Multivariable logistic regression was used to analyze the correlates of the WTP.
Results: The results showed that 772 of 1497 (51.6%) participants were willing to pay for the COVID-19 vaccine, with a median of 300 BDT (IQR 150-500 BDT; a currency exchange rate of 1 BDT=US $0.008 is applicable). The WTP was significantly higher among individuals with a graduate degree (adjusted odds ratio [aOR] 1.98, 95% CI 1.14-3.45) or master's and MPhil or PhD-level education (aOR 1.93, 95% CI 1.07-3.48) and those with higher knowledge about the vaccine (aOR 1.09, 95% CI 1.02-1.15), positive behavioral practices (aOR 1.11, 95% CI 1.06-1.17), stronger subjective norms regarding COVID-19 vaccine (aOR 1.25, 95% CI 1.08-1.46), and higher anticipated regret of getting infected with COVID-19 (aOR 1.17, 95% CI 1.04-1.32). Conversely, WTP was lower among participants with negative attitudes toward vaccines (aOR 0.91, 95% CI 0.88-0.95) and high perceived behavioral control regarding COVID-19 vaccination (aOR 0.86, 95% CI 0.76-0.96; P=.006).
Conclusions: With nearly half of the respondents unwilling to pay, this study highlights the need to improve vaccine-related knowledge and enhance income-based affordability to increase WTP. Health promotion efforts should focus on disseminating knowledge about vaccines and addressing negative perceptions. Additionally, a subsidized program for low-income groups can help mitigate financial barriers and promote equitable access to vaccines.
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