Shokri Jamnani Anahita, Rezapour Aziz, Moradi Najmeh, Langarizadeh Mostafa
Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Health Management and Economics Research Center, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2021 Jun 23;35:81. doi: 10.47176/mjiri.35.81. eCollection 2021.
The Willingness to pay (WTP) for and acceptance of cervical cancer prevention (CCP) methods have an important role in the control of this type of cancer. Therefore, the aim of this study was to estimate the WTP and acceptance of CCP methods with the contingent valuation method (CVM). In this systematic review and meta-analysis study, the required information was collected by searching relevant keywords in PubMed, Scopus, Embase, Web of Knowledge, and their Persian equivalent in the Scientific Information Database (SID) and Elmnet databases during January 1, 2000 to June 30, 2020. All studies that reported the WTP and CCP methods with the CVM in English or Persian were included. The reporting quality of studies was assessed by strengthening the Reporting of Observational Studies in Epidemiology (STROBE). Comprehensive meta-analysis (CMA: 2) software was used to conduct the meta-analysis. The content analysis method was used for qualitative data analysis. Finally, 28 articles (with 49610 people) were included in the study. Most of the participants were women (35.7%). The HPV vaccine was the most common method of prevention (75%). The overall acceptance rate was 64% and the overall positive WTP rate was 66%. The average WTP was US$30.44, which accounts for about 0.84% of GDP per capita. The most significant effective factors included income, age, education, high-risk sexual behaviors, and awareness of cervical cancer, belief in the risk of cervical cancer, and belief about the effectiveness of prevention methods. The cost was the most important reason for the unwillingness to pay and accept. Results show that the WTP and acceptance rate of CCP methods are relatively high. It is recommended to reduce the cost of prevention methods, especially the HPV vaccine, and to increase awareness and improve the attitude of people. Also, it is recommended to consider other methods of estimation of WTP and other cancers in future studies.
支付意愿(WTP)以及对宫颈癌预防(CCP)方法的接受程度在这类癌症的控制中起着重要作用。因此,本研究的目的是采用条件价值评估法(CVM)来估计对CCP方法的支付意愿和接受程度。在这项系统评价和荟萃分析研究中,通过在2000年1月1日至2020年6月30日期间在PubMed、Scopus、Embase、Web of Knowledge以及它们在科学信息数据库(SID)和Elmnet数据库中的波斯文等效数据库中搜索相关关键词来收集所需信息。纳入所有以英文或波斯文报告采用CVM的支付意愿和CCP方法的研究。通过强化流行病学观察性研究报告(STROBE)来评估研究的报告质量。使用综合荟萃分析(CMA:2)软件进行荟萃分析。内容分析法用于定性数据分析。最后,本研究纳入了28篇文章(涉及49610人)。大多数参与者为女性(35.7%)。HPV疫苗是最常见的预防方法(75%)。总体接受率为64%,总体正向支付意愿率为66%。平均支付意愿为30.44美元,约占人均国内生产总值的0.84%。最显著的影响因素包括收入、年龄、教育程度、高危性行为、对宫颈癌的认知、对宫颈癌风险的信念以及对预防方法有效性的信念。成本是不愿支付和接受的最重要原因。结果表明,CCP方法的支付意愿和接受率相对较高。建议降低预防方法尤其是HPV疫苗的成本,并提高人们的认知水平和改善其态度。此外,建议在未来研究中考虑其他支付意愿估计方法以及其他癌症。
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