The Effect of Perceived Risks on the Demand for Vaccination: Results from a Discrete Choice Experiment

Sadique, Md Z.; Devlin, Nancy; Edmunds, William J.; Parkin, David
February 2013
PLoS ONE;Feb2013, Vol. 8 Issue 2, p1
Academic Journal
The demand for vaccination against infectious diseases involves a choice between vaccinating and not vaccinating, in which there is a trade-off between the benefits and costs of each option. The aim of this paper is to investigate these trade-offs and to estimate how the perceived prevalence and severity of both the disease against which the vaccine is given and any vaccine associated adverse events (VAAE) might affect demand. A Discrete Choice Experiment (DCE) was used to elicit stated preferences from a representative sample of 369 UK mothers of children below 5 years of age, for three hypothetical vaccines. Cost was included as an attribute, which enabled estimation of the willingness to pay for different vaccines having differing levels of the probability of occurrence and severity of both the infection and VAAE. The results suggest that the severity of the health effects associated with both the diseases and VAAEs exert an important influence on the demand for vaccination, whereas the probability of these events occurring was not a significant predictor. This has important implications for public health policy, which has tended to focus on the probability of these health effects as the main influence on decision making. Our results also suggest that anticipated regrets about the consequences of making the wrong decision also exert an influence on demand.


Related Articles

  • Have Preferences of Girls Changed Almost 3 Years after the Much Debated Start of the HPV Vaccination Program in the Netherlands? A Discrete Choice Experiment. Hofman, Robine; de Bekker-Grob, Esther W.; Richardus, Jan Hendrik; de Koning, Harry J.; van Ballegooijen, Marjolein; Korfage, Ida J. // PLoS ONE;Aug2014, Vol. 9 Issue 8, p1 

    Objectives: To assess how girls' preferences have changed almost 3 years after the much debated start of the human papillomavirus (HPV) vaccination program. Methods: A discrete choice experiment (DCE) was conducted among girls aged 11–15 years who were invited, or were not yet invited, to...

  • Harnessing the potential to quantify public preferences for healthcare priorities through citizens' juries. Whitty, Jennifer A.; Burton, Paul; Kendall, Elizabeth; Ratcliffe, Julie; Wilson, Andrew; Littlejohns, Peter; Scuffham, Paul A. // International Journal of Health Policy & Management;2014, Vol. 3 Issue 2, p57 

    Despite progress towards greater public engagement, questions about the optimal approach to access public preferences remain unanswered. We review two increasingly popular methods for engaging the public in healthcare priority-setting and determining their preferences; the Citizens' Jury (CJ)...

  • Assessing Preferences for a University-Based Smoking Cessation Program in Lebanon: A Discrete Choice Experiment. Salloum, Ramzi G.; Abbyad, Christine W.; Kohler, Racquel E.; Kratka, Allison K.; Oh, Leighanne; Wood, Kathryn A. // Nicotine & Tobacco Research;May2015, Vol. 17 Issue 5, p580 

    Introduction: Smoking prevalence rates in Lebanon are among the highest in the Eastern Mediterranean region. Few smoking cessation programs are offered in Lebanon and little is known about the preferences of Lebanese smokers for cessation treatment programs. Objective: To establish which...

  • Substantial Agreement of Referee Recommendations at a General Medical Journal – A Peer Review Evaluation at Deutsches Ärzteblatt International Baethge, Christopher; Franklin, Jeremy; Mertens, Stephan // PLoS ONE;May2013, Vol. 8 Issue 5, p1 

    Background: Peer review is the mainstay of editorial decision making for medical journals. There is a dearth of evaluations of journal peer review with regard to reliability and validity, particularly in the light of the wide variety of medical journals. Studies carried out so far indicate low...

  • A Framework for the Economic Analysis of Data Collection Methods for Vital Statistics. Jimenez-Soto, Eliana; Hodge, Andrew; Nguyen, Kim-Huong; Dettrick, Zoe; Lopez, Alan D. // PLoS ONE;Aug2014, Vol. 9 Issue 8, p1 

    Background: Over recent years there has been a strong movement towards the improvement of vital statistics and other types of health data that inform evidence-based policies. Collecting such data is not cost free. To date there is no systematic framework to guide investment decisions on methods...

  • Does it matter whose opinion we seek regarding the allocation of healthcare resources? - a case study. Kolasa, K.; Lewandowski, T. // BMC Health Services Research;12/18/2015, Vol. 15, p1 

    Background: Societal preferences have to be taken into consideration to ensure difficult healthcare decisions are legitimate and acceptable. It has been interesting to ascertain whether attitudes towards the principles of public healthcare resources allocation are homogenous. In...

  • Preferences for cancer treatments: an overview of methods and applications in oncology. Blinman, P.; King, M.; Norman, R.; Viney, R.; Stockler, M. R. // Annals of Oncology;May2012, Vol. 23 Issue 5, p1104 

    This review provides cancer clinicians and researchers with an overview of methods for assessing preferences, with examples and recommendations for their application in oncology. Decisions about cancer treatments involve trade-offs between their relative benefits and harms. An individual's...

  • Attitudes and Perceptions about Clinical Guidelines: A Qualitative Study with Spanish Physicians. Solà, Ivan; Carrasco, José Miguel; Díaz del Campo, Petra; Gracia, Javier; Orrego, Carola; Martínez, Flora; Kotzeva, Anna; Guillamón, Imma; Calderón, Enrique; de Gaminde, Idoia; Louro, Arturo; Rotaeche, Rafael; Salcedo, Flavia; Velázquez, Paola; Alonso-Coello, Pablo // PLoS ONE;Feb2014, Vol. 9 Issue 2, p1 

    Background: Clinical guidelines (CGs) are popular for healthcare decision making but their acceptability and use by healthcare providers is influenced by numerous factors. Some of these factors are professional-related, such as knowledge and perceptions of and attitudes toward CGs in general....

  • Introduction of New Vaccines: Decision-making Process in Bangladesh. Uddin, Jasim; Sarma, Haribondhu; Bari, Tajul I.; Koehlmoos, Tracey P. // Journal of Health, Population & Nutrition;Jun2013, Vol. 31 Issue 2, p211 

    The understanding of the decision-making process in the introduction of new vaccines helps establish why vaccines are adopted or not. It also contributes to building a sustainable demand for vaccines in a country. The purpose of the study was to map and analyze the formal decision-making process...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics