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Understanding the determinants of COVID-19 vaccination intention and willingness to pay: findings from a population-based survey in Bangladesh.
BMC Infect Dis. 2021 Aug 31; 21(1):892.BI

Abstract

BACKGROUND

Several coronavirus disease (COVID-19) vaccines have already been authorized and distributed in different countries all over the world, including Bangladesh. Understanding public acceptance of such a novel vaccine is vital, but little is known about the topic.

OBJECTIVES

This study aimed to investigate the determinants of intention to receive a COVID-19 vaccine and willingness to pay (WTP) among people in Bangladesh.

METHODS

An anonymous and online-based survey of Bangladeshi people (mean age = 29.96 ± 9.15 years; age range = 18-60 years) was conducted using a self-reported questionnaire consisting of socio-demographics, COVID-19 experience, and vaccination-related information as well as the health belief model (HBM). Multivariable logistic regression was performed to determine the factors influencing COVID-19 vaccination intent and WTP.

RESULTS

Of the 894 participants, 38.5% reported a definite intention to receive a COVID-19 vaccine, whereas 27% had a probable intention, and among this intent group, 42.8% wanted to get vaccinated as soon as possible. Older age, feeling optimistic about the effectiveness of COVID-19 vaccination, believing that vaccination decreases worries and risk of COVID-19 infection, and being less concerned about side effects and safety of COVID-19 vaccination under the HBM construct were found to be significant factors in COVID-19 vaccination intention. Most of the participants (72.9%) were willing to pay for a COVID-19 vaccine, with a median (interquartile range [IQR]) amount of BDT 400/US$ 4.72 (IQR; BDT 200-600/US$ 2.36-7.07) per dose. Factors associated with higher WTP were younger age, being male, having higher education, residing in an urban area, having good self-rated health status, positivity towards COVID-19 vaccination's effectiveness, and being worried about the likelihood of getting infected with COVID-19. Participants who were COVID-19 vaccination intent preferred an imported vaccine over a domestically-made vaccine (22.9% vs. 14.8%), while 28.2% preferred a routine immunization schedule.

CONCLUSION

The findings indicate a considerable proportion of Bangladeshi people intended to get vaccinated and had WTP for the COVID-19 vaccine. However, urgent education and awareness programs are warranted to alleviate public skepticism regarding the COVID-19 vaccination.

Links

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Authors+Show Affiliations

Banik R
Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh. rajonbanik.phi.ju@gmail.com.
Islam MS
Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh. Centre for Advanced Research Excellence in Public Health, Savar, Dhaka, 1342, Bangladesh.
Pranta MUR
Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh.
Rahman QM
Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh.
Rahman M
Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh.
Pardhan S
Vision and Eye Research Institute, School of Medicine, Anglia Ruskin University, Young Street, Cambridge, UK.
Driscoll R
Vision and Eye Research Institute, School of Medicine, Anglia Ruskin University, Young Street, Cambridge, UK.
Hossain S
Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh.
Sikder MT
Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh. sikder@juniv.edu.

MeSH

AgedBangladeshCOVID-19COVID-19 VaccinesHumansIntentionMaleSARS-CoV-2Vaccination

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34465297

Citation

Banik, Rajon, et al. "Understanding the Determinants of COVID-19 Vaccination Intention and Willingness to Pay: Findings From a Population-based Survey in Bangladesh." BMC Infectious Diseases, vol. 21, no. 1, 2021, p. 892.
Banik R, Islam MS, Pranta MUR, et al. Understanding the determinants of COVID-19 vaccination intention and willingness to pay: findings from a population-based survey in Bangladesh. BMC Infect Dis. 2021;21(1):892.
Banik, R., Islam, M. S., Pranta, M. U. R., Rahman, Q. M., Rahman, M., Pardhan, S., Driscoll, R., Hossain, S., & Sikder, M. T. (2021). Understanding the determinants of COVID-19 vaccination intention and willingness to pay: findings from a population-based survey in Bangladesh. BMC Infectious Diseases, 21(1), 892. https://doi.org/10.1186/s12879-021-06406-y
Banik R, et al. Understanding the Determinants of COVID-19 Vaccination Intention and Willingness to Pay: Findings From a Population-based Survey in Bangladesh. BMC Infect Dis. 2021 Aug 31;21(1):892. PubMed PMID: 34465297.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Understanding the determinants of COVID-19 vaccination intention and willingness to pay: findings from a population-based survey in Bangladesh. AU - Banik,Rajon, AU - Islam,Md Saiful, AU - Pranta,Mamun Ur Rashid, AU - Rahman,Quazi Maksudur, AU - Rahman,Mahmudur, AU - Pardhan,Shahina, AU - Driscoll,Robin, AU - Hossain,Sahadat, AU - Sikder,Md Tajuddin, Y1 - 2021/08/31/ PY - 2021/3/28/received PY - 2021/7/19/accepted PY - 2021/9/1/entrez PY - 2021/9/2/pubmed PY - 2021/9/25/medline KW - Bangladesh KW - COVID-19 vaccine KW - Health belief model KW - Intention KW - Willingness to pay SP - 892 EP - 892 JF - BMC infectious diseases JO - BMC Infect Dis VL - 21 IS - 1 N2 - BACKGROUND: Several coronavirus disease (COVID-19) vaccines have already been authorized and distributed in different countries all over the world, including Bangladesh. Understanding public acceptance of such a novel vaccine is vital, but little is known about the topic. OBJECTIVES: This study aimed to investigate the determinants of intention to receive a COVID-19 vaccine and willingness to pay (WTP) among people in Bangladesh. METHODS: An anonymous and online-based survey of Bangladeshi people (mean age = 29.96 ± 9.15 years; age range = 18-60 years) was conducted using a self-reported questionnaire consisting of socio-demographics, COVID-19 experience, and vaccination-related information as well as the health belief model (HBM). Multivariable logistic regression was performed to determine the factors influencing COVID-19 vaccination intent and WTP. RESULTS: Of the 894 participants, 38.5% reported a definite intention to receive a COVID-19 vaccine, whereas 27% had a probable intention, and among this intent group, 42.8% wanted to get vaccinated as soon as possible. Older age, feeling optimistic about the effectiveness of COVID-19 vaccination, believing that vaccination decreases worries and risk of COVID-19 infection, and being less concerned about side effects and safety of COVID-19 vaccination under the HBM construct were found to be significant factors in COVID-19 vaccination intention. Most of the participants (72.9%) were willing to pay for a COVID-19 vaccine, with a median (interquartile range [IQR]) amount of BDT 400/US$ 4.72 (IQR; BDT 200-600/US$ 2.36-7.07) per dose. Factors associated with higher WTP were younger age, being male, having higher education, residing in an urban area, having good self-rated health status, positivity towards COVID-19 vaccination's effectiveness, and being worried about the likelihood of getting infected with COVID-19. Participants who were COVID-19 vaccination intent preferred an imported vaccine over a domestically-made vaccine (22.9% vs. 14.8%), while 28.2% preferred a routine immunization schedule. CONCLUSION: The findings indicate a considerable proportion of Bangladeshi people intended to get vaccinated and had WTP for the COVID-19 vaccine. However, urgent education and awareness programs are warranted to alleviate public skepticism regarding the COVID-19 vaccination. SN - 1471-2334 UR - https://www.unboundmedicine.com/medline/citation/34465297/Understanding_the_determinants_of_COVID_19_vaccination_intention_and_willingness_to_pay:_findings_from_a_population_based_survey_in_Bangladesh_ DB - PRIME DP - Unbound Medicine ER -