经济因素对农村成人乙肝疫苗支付意愿的影响分析——中国卫生经济.docVIP

经济因素对农村成人乙肝疫苗支付意愿的影响分析( 刘彩① 摘要：目的 探讨经济因素对农村成人乙肝疫苗支付意愿的影响，提供建议。方法 采用概率比例规模抽样方法在保定市2个县个村， 关键词：乙肝疫苗；经济因素；支付意愿；农村；成人 Study on Influence of Economic Factors to Willingness to Pay of Hepatitis B Vaccination Service for Adults in Rural Areas Abstract: Objective To explore the influence of economic factors to willingness to pay of hepatitis B vaccination service for adults in rural areas and propose suggestions. Methods 1393 adults aged 16 years old and above were selected from 6 villages in 2 counties by probability proportionate to size sampling in Baoding, investigated them using questionnaire and statistical analysis and description was completed. Results Households annual incomes per capita, economic status expectation and time cost influence willingness to pay of hepatitis B vaccination service for adults in rural areas. Expense factor is the second reason of hampering injection. Corresponding with relative subsidies, there are more than 40% respondents who is willing to take the vaccine. Conclusion Economic factors influence willingness to pay of hepatitis B vaccination service for adults in rural areas, some subsidies should be provided to the disadvantage and high risk group and vaccination could be integrated into insurance payment, such as new rural cooperative medical scheme. Keywords: Hepatitis B vaccine; economic factors; willingness to pay; rural area; adults First-author’s address: Management School, Tianjin University of Chinese Traditional Medicine, Tianjin, 300073, China. 计划免疫及新医改期间查漏补种15 岁以下人群接种率，但成人发病率仍维持较高水平[]。成人接种乙肝疫苗有良好免疫效果、经济效益和社会效益[,3]。1 资料与方法 资料 按经济发展水平和地理位置，在保定市抽取2个县，每个县抽取3个村，采用概率比例规模抽样方法，在每村抽取家庭入户调查，剔除失访和缺失值，得到16~60岁居民2013名。其中，接种过乙肝疫苗者620人（30.8%），未接种过79人（39.2%），不知道者603人（30.0%）。本研究关注1393（79+603）名调查对象。 调查内容包括：社会人口特征、乙肝疫苗意愿、乙肝及乙肝疫苗相关知识等。预调研调查员，完善问卷正式调查由调查员入户询问填写。 ①家庭人均年收入：按从低到高顺序将调查对象等分5组；②未来经济预期：询问“未来5年，您家经济状况将如何变化？”，据此测量调查对象的未来经济预期；③时间成本：较多数人会认为接种乙肝疫苗会耽误工作，引入“距离最近接种机构时间”衡量接种交通时间对支付意愿影响。 1.2.2 因变量 表达偏好法，又叫条件估价法，利