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Wong LP, Lee HY, Alias H, Zimet G, Liu T, Lin Y, Hu Z. Cost-based COVID-19 vaccination and willingness to pay: A post-pandemic review. Hum Vaccin Immunother 2024; 20:2313860. [PMID: 38359815 PMCID: PMC10877984 DOI: 10.1080/21645515.2024.2313860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 01/31/2024] [Indexed: 02/17/2024] Open
Abstract
The primary objective of this paper is to serve as a valuable resource for policymakers who are confronted with the evolving landscape of the coronavirus disease 2019 (COVID-19), considering both free and cost-based vaccination approaches. The potential consequences of shifting from free to cost-based vaccination are explored, encompassing its impact on global vaccine equity and prioritization, economic well-being, healthcare systems and delivery, public health policies, and vaccine distribution strategies. Examining past studies on willingness to pay for the initial COVID-19 vaccine dose and booster shots provides insights into how individuals value COVID-19 vaccinations and underscores the significance of addressing issues related to affordability. If COVID-19 vaccinations incur expenses, using effective communication strategies that emphasize the importance of vaccination and personal health benefits can increase willingness to pay. Making COVID-19 vaccines accessible through public health programs or health insurance can help alleviate financial barriers and increase vaccination rates.
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Affiliation(s)
- Li Ping Wong
- Department of Epidemiology and Health Statistics, Fujian Key Laboratory of Environment Factors and Cancer, School of Public Health, Fujian Medical University, Fuzhou, Fujian, China
- Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Hai Yen Lee
- Tropical Infectious Diseases Research & Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, Malaysia
| | - Haridah Alias
- Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Gregory Zimet
- Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Tongyu Liu
- Department of Gynecology, Fujian Cancer Hospital, Clinical Oncology School of Fujian Medical University, Fuzhou, Fujian, China
| | - Yulan Lin
- Department of Epidemiology and Health Statistics, Fujian Key Laboratory of Environment Factors and Cancer, School of Public Health, Fujian Medical University, Fuzhou, Fujian, China
| | - Zhijian Hu
- Department of Epidemiology and Health Statistics, Fujian Key Laboratory of Environment Factors and Cancer, School of Public Health, Fujian Medical University, Fuzhou, Fujian, China
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Munro MH, Gore RJ, Lynch CJ, Hastings YD, Reinhold AM. Enhancing risk and crisis communication with computational methods: A systematic literature review. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2024. [PMID: 39676035 DOI: 10.1111/risa.17690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2024] [Revised: 08/29/2024] [Accepted: 11/21/2024] [Indexed: 12/17/2024]
Abstract
Recent developments in risk and crisis communication (RCC) research combine social science theory and data science tools to construct effective risk messages efficiently. However, current systematic literature reviews (SLRs) on RCC primarily focus on computationally assessing message efficacy as opposed to message efficiency. We conduct an SLR to highlight any current computational methods that improve message construction efficacy and efficiency. We found that most RCC research focuses on using theoretical frameworks and computational methods to analyze or classify message elements that improve efficacy. For improving message efficiency, computational and manual methods are only used in message classification. Specifying the computational methods used in message construction is sparse. We recommend that future RCC research apply computational methods toward improving efficacy and efficiency in message construction. By improving message construction efficacy and efficiency, RCC messaging would quickly warn and better inform affected communities impacted by current hazards. Such messaging has the potential to save as many lives as possible.
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Affiliation(s)
- Madison H Munro
- Gianforte School of Computing, Montana State University, Bozeman, Montana, USA
| | - Ross J Gore
- Virginia Modeling, Analysis and Simulation Center, Old Dominion University, Suffolk, Virginia, USA
| | - Christopher J Lynch
- Virginia Modeling, Analysis and Simulation Center, Old Dominion University, Suffolk, Virginia, USA
| | - Yvette D Hastings
- Gianforte School of Computing, Montana State University, Bozeman, Montana, USA
| | - Ann Marie Reinhold
- Gianforte School of Computing, Montana State University, Bozeman, Montana, USA
- Pacific Northwest National Laboratory, Richland, Washington, USA
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Mansi JA, Hensler HR, Dawson R, Tuckson R, Wolynn T. Navigating the Evolving Landscape of COVID-19: Strategies to Increase Vaccine Confidence and Improve Vaccination Rates in the United States. Vaccines (Basel) 2024; 12:1072. [PMID: 39340102 PMCID: PMC11435598 DOI: 10.3390/vaccines12091072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2024] [Revised: 09/06/2024] [Accepted: 09/06/2024] [Indexed: 09/30/2024] Open
Abstract
The COVID-19 pandemic has had a significant impact on every individual in the United States. The launch of the COVID-19 vaccines is estimated to have averted millions of deaths and reduced over 18 million COVID-19-related hospitalizations. In September 2023, the updated 2023-2024 COVID-19 vaccine, which includes a monovalent component that corresponds to the omicron variant XBB.1.5, reflecting the predominant circulating variant at the time of strain selection, was approved and was recommended for use in all people ≥ 6 months of age. Despite this recommendation, the US uptake of the updated COVID-19 vaccines over the 2023-2024 season has been far from optimal, placing many people at unnecessary risk of severe COVID-19 outcomes. This paper provides an overview of the current state of COVID-19 in 2023-2024 and barriers to vaccine uptake. With the continued evolution of the virus, the potential for more virulent variants, reduced public acceptance of vaccination, and the potential barriers that contributed to low vaccine uptake are explored to provide solutions for improving COVID-19 protection for future seasons.
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Affiliation(s)
| | | | | | - Reed Tuckson
- Black Coalition Against COVID, Atlanta, GA 30328, USA
| | - Todd Wolynn
- Kids Plus Pediatrics, Pittsburgh, PA 16046, USA
- Shots Heard Round the World, Pittsburgh, PA 16046, USA
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Purcell H, Kohler IV, Ciancio A, Mwera J, Delavande A, Mwapasa V, Kohler HP. Mortality risk information and health-seeking behavior during an epidemic. Proc Natl Acad Sci U S A 2024; 121:e2315677121. [PMID: 38959039 PMCID: PMC11252761 DOI: 10.1073/pnas.2315677121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2023] [Accepted: 05/24/2024] [Indexed: 07/04/2024] Open
Abstract
In a context where pessimistic survival perceptions have been widespread as a result of the HIV/AIDS epidemic (Fig. 1 A), we study vaccine uptake and other health behaviors during the recent COVID-19 pandemic. Leveraging a longitudinal cohort study in rural Malawi that has been followed for up to 25 y, we document that a 2017 mortality risk information intervention designed to reduce pessimistic mortality perceptions (Fig. 1 B) resulted in improved health behavior, including COVID-19 vaccine uptake (Fig. 1 C). We also report indirect effects for siblings and household members. This was likely the result of a reinforcing process where the intervention triggered engagement with the healthcare system and stronger beliefs in the efficacy of modern biomedical treatments, which led to the adoption of health risk reduction behavior, including vaccine uptake. Our findings suggest that health information interventions focused on survival perceptions can be useful in promoting health behavior and participation in the formal healthcare system, even during health crises-such as the COVID-19 pandemic-that are unanticipated at the time of the intervention. We also note the importance of the intervention design, where establishing rapport, tailoring the content to the local context, and spending time with respondents to convey the information contributed to the salience of the message.
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Affiliation(s)
- Helene Purcell
- Populations Studies Center, Sociology Department, University of Pennsylvania, Philadelphia, PA19104
| | - Iliana V. Kohler
- Populations Studies Center, Sociology Department, University of Pennsylvania, Philadelphia, PA19104
| | - Alberto Ciancio
- Adam Smith Business School, University of Glasgow, GlasgowG12, United Kingdom
| | | | - Adeline Delavande
- Economics Department, Nova School of Business & Economics, Carcavelos2775-405, Portugal
- Economics Department, University of Technology, SydneyNSW2007, Australia
| | - Victor Mwapasa
- Department of Public Health, School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre312200, Malawi
| | - Hans-Peter Kohler
- Populations Studies Center, Sociology Department, University of Pennsylvania, Philadelphia, PA19104
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