Preferential differences in vaccination decision-making for oneself or one’s child in The Netherlands: a discrete choice experiment

Abstract Background To optimize the focus of future public information campaigns in The Netherlands promoting the uptake of vaccines among adults and children, we quantified the contribution of several attributes to the vaccination decision. Method We performed a discrete choice experiment (DCE) amo...

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Bibliographic Details
Published in:	BMC public health Vol. 20; no. 1; pp. 1 - 828
Main Authors:	Hoogink, Joram, Verelst, Frederik, Kessels, Roselinde, van Hoek, Albert Jan, Timen, Aura, Willem, Lander, Beutels, Philippe, Wallinga, Jacco, de Wit, G. Ardine
Format:	Journal Article
Language:	English
Published:	London BioMed Central Ltd 01-06-2020 BioMed Central BMC
Subjects:	Accessibility Adult vaccination Adults Age Analysis Childhood vaccination Children Children & youth Confidence Decision analysis Decision making Discrete choice experiment Families & family life Health education Health literacy Hospitals Infectious diseases Influenza Logit models Norms Perceptions Public information Questionnaires Religion Side effects Social norms Studies Vaccination Vaccination behaviour Vaccine efficacy Vaccines South Africa Netherlands
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Summary:	Abstract Background To optimize the focus of future public information campaigns in The Netherlands promoting the uptake of vaccines among adults and children, we quantified the contribution of several attributes to the vaccination decision. Method We performed a discrete choice experiment (DCE) among Dutch adults including six attributes, i.e. vaccine effectiveness, vaccine-preventable burden of disease (specified in severity and frequency), accessibility of vaccination in terms of co-payment and prescription requirements, frequency of mild side-effects, population-level vaccination coverage and local vaccination coverage among family and friends. Participants answered the DCE from their own perspective (‘oneself’ group) or with regard to a vaccine decision for their youngest child (‘child’ group). The data was analysed by means of panel mixed logit models. Results We included 1547 adult participants (825 ‘oneself’ and 722 ‘child’). Vaccine effectiveness was the most important attribute in the ‘oneself’ group, followed by burden of disease (relative importance (RI) 78%) and accessibility (RI 76%). In the ‘child’ group, burden of disease was most important, but tied closely with vaccine effectiveness (RI 97%). Of less importance was the risk of mild vaccine-related side-effects and both population and local vaccination coverage. Interestingly, participants were more willing to vaccinate when uptake among the population or family and friends was high, indicating that social influence and social norms plays a role. Conclusions Vaccine effectiveness and disease severity are key attributes in vaccination decision-making for adults making a decision for themselves and for parents who decide for their children. Hence, public information campaigns for both adult and child vaccination should primarily focus on these two attributes. In addition, reinforcing social norms may be considered.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1471-2458 1471-2458
DOI:	10.1186/s12889-020-08844-w