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© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Objective: Despite being primary beneficiaries of human papillomavirus (HPV) vaccines, female university students in China exhibit low vaccination rates. This study aimed to assess their preferences for HPV vaccination services and evaluate the relative importance of various factors to inform vaccination strategy development. Methods: Through a literature review and expert consultations, we identified five key attributes for study: effectiveness, protection duration, waiting time, distance, and out-of-pocket (OOP) payment. A D-efficient design was used to create a discrete choice experiment (DCE) questionnaire. We collected data via face-to-face interviews and online surveys from female students across seven universities in China, employing mixed logit and latent class logit models to analyze the data. The predicted uptake and compensating variation (CV) were used to compare different vaccination service scenarios. Results: From 1178 valid questionnaires, with an effective response rate of 92.9%, we found that effectiveness was the most significant factor influencing vaccination preference, followed by protection duration, OOP payment and waiting time, with less concern for distance. The preferred services included a 90% effective vaccine, lifetime protection, a waiting time of less than three months, a travel time of more than 60 min, and low OOP payment. Significant variability in preferences across different vaccination service scenarios was observed, affecting potential market shares. The CV analysis showed female students were willing to spend approximately CNY 5612.79 to include a hypothetical ‘Service 5’ (a vaccine with higher valency than the nine-valent HPV vaccine) in their prevention options. Conclusions: The findings underscore the need for personalized, need-based HPV vaccination services that cater specifically to the preferences of female university students to increase vaccination uptake and protect their health.

Details

Title
Analyzing HPV Vaccination Service Preferences among Female University Students in China: A Discrete Choice Experiment
Author
Hu, Lu 1 ; Jiang, Jiacheng 1 ; Chen, Zhu 1   VIAFID ORCID Logo  ; Chen, Sixuan 1 ; Jin, Xinyu 1 ; Gao, Yingman 1 ; Wang, Li 2 ; Wang, Lidan 2 

 School of Health Management, Anhui Medical University, Hefei 230032, China; [email protected] (L.H.); [email protected] (J.J.); [email protected] (Z.C.); [email protected] (S.C.); [email protected] (X.J.); [email protected] (Y.G.) 
 School of Health Management, Anhui Medical University, Hefei 230032, China; [email protected] (L.H.); [email protected] (J.J.); [email protected] (Z.C.); [email protected] (S.C.); [email protected] (X.J.); [email protected] (Y.G.); Centre for Health Policy Research, Anhui Medical University, Hefei 230032, China 
First page
905
Publication year
2024
Publication date
2024
Publisher
MDPI AG
e-ISSN
2076393X
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3098197143
Copyright
© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.