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Health Expectations : An International Journal of Public Participation in Health Care and Health Policy logoLink to Health Expectations : An International Journal of Public Participation in Health Care and Health Policy
. 2020 Oct 6;23(6):1543–1578. doi: 10.1111/hex.13140

Public preference for COVID‐19 vaccines in China: A discrete choice experiment

Dong Dong 1,2,, Richard Huan Xu 1,2,, Eliza Lai‐yi Wong 1,2, Chi‐Tim Hung 1,2, Da Feng 3, Zhanchun Feng 4, Eng‐kiong Yeoh 1,2, Samuel Yeung‐shan Wong 1
PMCID: PMC7752198  PMID: 33022806

Abstract

Background

As the coronavirus disease 2019 (COVID‐19) pandemic is sweeping across the globe, there is an urgent need to develop effective vaccines as the most powerful strategy to end the pandemic. This study aimed to examine how factors related to vaccine characteristics, their social normative influence and convenience of vaccination can affect the public's preference for the uptake of the COVID‐19 vaccine in China.

Methods

An online discrete choice experiment (DCE) survey was administered to a sample of China's general population. Participants were asked to make a series of hypothetical choices and estimate their preference for different attributes of the vaccine. A mixed logit regression model was used to analyse the DCE data. Willingness to pay for each attribute was also calculated.

Results

Data of 1236 participants who provided valid responses were included in the analysis. There was strong public preference for high effectiveness of the vaccine, followed by long protective duration, very few adverse events and being manufactured overseas. Price was the least important attribute affecting the public preference in selecting the COVID‐19 vaccine.

Conclusions

The strong public preferences detected in this study should be considered when developing COVID‐19 vaccination programme in China. The results provide useful information for policymakers to identify the individual and social values for a good vaccination strategy.

Patient or Public Contribution

The design of the experimental choices was fully based on interviews and focus group discussions participated by 26 Chinese people with diverse socio‐economic backgrounds. Without their participation, the study would not be possible.

Keywords: Chinese public, COVID‐19 pandemic, discrete choice experiment, vaccine, willingness to pay

1. INTRODUCTION

As of 24 August 2020, the novel severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) virus has infected more than 23 million people in 216 countries and regions, with a case fatality ratio (CFR) of approximately 3.4%. 1 Currently, there is no effective treatment for this disease, and relaxation of effective non‐pharmaceutical interventions often leads to resurgence of community outbreaks. 2 , 3 , 4 , 5 Thus, a vaccine seems to be the only solution to this problem. As vaccines are regarded as the most cost‐effective way of controlling infectious diseases, there are attempts to develop a coronavirus disease 2019 (COVID‐19) vaccine rapidly to catch up with the rate of the pandemic's spread. 6 On 20 July 2020, the so‐called Oxford vaccine (ChAdOx1 nCoV‐19) was announced as a front runner among 24 candidate vaccines in clinical evaluations worldwide. The reason is that it was proven in a stage 1/2, single‐blind, five‐site, randomized clinical trial that the vaccine could spike up antibodies and create a safe immune response in the body. 7

However, the path to introducing a new vaccine to the market can be politically and economically complicated. The COVID‐19 vaccine is no exception. Although insights and opinions of different stakeholders—such as policymakers and medical professionals—might affect the vaccine's uptake to some extent, 8 the most essential factor for any vaccination programme's successful adoption is the public's acceptance. Factors such as individual characteristics (eg high‐risk occupations and socio‐economic vulnerability) and disease‐specific characteristics (eg morbidity) play an important role in the individual's decision‐making process to select vaccination programmes. 9 , 10 A reasonable strategy should consider both the provider's affordability and consumer's preference. However, currently, studies investigating these factors and their effect on the public's preference in selecting the COVID‐19 vaccine are limited and fragmented. Obtaining such information is important for policymakers to understand the individual and social values to optimize strategies and design potential vaccination campaigns to address COVID‐19 as well as for pharmaceutical companies to estimate the expected benefit when managing the vaccine's development. 11 Moreover, the acceptance rate for a possible vaccine also reflects the public's willingness to be vaccinated. Thus, this study aimed to examine how the relative importance of factors related to vaccine characteristics, the social normative influence and convenience of vaccination affects the public's preference for the uptake of the COVID‐19 vaccine in China.

China was selected as the research location for two reasons. First, China is one of the leading candidates in the global vaccine development contest, as three of its vaccines were reported to have already completed the phase 2 clinical trials. At the end of June 2020, China's state‐run CanSino Biologics announced that their vaccine candidate demonstrated a 'good safety profile' with high levels of immune response in patients, and it is highly probable to be authorized for urgent use, including for front‐line medical professionals, at the end of this year. 12 Thus, a broader commercial use of the vaccine may not be too far off. Second, China's Wuhan City is regarded as the epicentre of the COVID‐19 pandemic. Moreover, China is one of the few countries recovering from the pandemic via careful manoeuvering to return to normal. Nevertheless, the pandemic's impact at the physical, psychological, social and economic levels is extensive and long‐lasting. Hence, this study provides empirical evidence to identify the optimal COVID‐19 vaccination programme for promoting the vaccine's uptake among the general Chinese population and indicates key attributes for consideration when other countries start to develop their own COVID‐19 vaccination programmes.

2. METHODS

To explore public preferences for the COVID‐19 vaccination programme, we used a discrete choice experiment (DCE) task administered online. 13 For each choice task, there were two options of hypothetical vaccination programme alternatives. To ensure all respondents make a choice and to detect their preference, no opt‐out alternative was provided. An example choice set is provided in Figure 1. The major benefit of using the stated preference method is that it allows us to understand and capture the public's preference for vaccination programmes that do not currently exist but could in future be available.

FIGURE 1.

FIGURE 1

An example of choice set

2.1. Selection of attributes and levels

The criteria defined by Norman et al 14 were followed to develop the attributes and levels of our DCE questionnaire. According to these criteria, first, all levels and their combinations should be reasonable. Second, all levels and their combinations should be familiar to respondents in their current practice. Third, heterogeneity of the levels should be fully considered in the design to ensure the respondents can make some trade‐offs between them.

The attributes and levels were selected using a standard iterative process adopted by previous studies that used DCE. 13 , 15 , 16 First, the research team conducted a comprehensive literature review with articles extracted from the Cochrane Library, Web of Science, MEDLINE and EMBASE (1950‐2019), including academic articles using a variety of research methods such as quantitative and/or qualitative study designs, systematic reviews and randomized clinical trials, and the other government reports and policy briefings from Google, to explore important factors that affect the public's willingness and attitude when making decisions on vaccination uptake. The search target was not limited to the COVID‐19 and other pneumonia vaccines, but extended to other fields such as the influenza vaccine. Two researchers independently completed the literature review. All the team members discussed the findings, and four attributes—effectiveness, 17 , 18 , 19 , 20 protective duration, 17 , 19 , 20 , 21 adverse events 22 , 23 , 24 and frequency of injections 25 , 26 —were confirmed that potentially important for developing our DCE questionnaire. Then, on the basis of the findings from the literature review, six one‐to‐one interviews (three males and three females, aged between 28 and 62 years) and three focus group interviews with six to eight participants in each group (20 participants in total) as a sample of the Chinese general population were conducted to investigate their views and perspectives about the attributes of an 'ideal' COVID‐19 vaccine and its effectiveness at different levels. Several new insights were derived from the qualitative interviews. A new attribute—place of origin—that was considered to indirectly reflect the quality of the vaccine was added based on the interview results. The expression and explanations of the attributes and levels were modified according to the interviewees’ suggestions and comments. Third, a team of experts from relevant areas (clinical medicine, methodology, infectious disease and policy, five persons in total) was invited to discuss the findings from the previous steps. Two rounds of discussion were organized, experts and research team worked together to discuss how to modify and refine the attributes and levels to meet our criteria. Considering the majority of the adult vaccines are not free of charge in China, a cost parameter, which reflected the price of COVID‐19 vaccination programme, was included in the DCE questionnaire. An optimal mode of presenting choice sets to the respondents was also determined by experts to ensure the maximization of the face validity—the extent of a measure to capture what it is intended to measure—of the choice task. 27 Thus, finally, based on the literature review, general public interviews and expert discussions, six attributes with two to six levels for each were developed. The final set of attributes and levels is presented in Table 1.

TABLE 1.

The attributes and levels of the discrete choice experiment study

Attribute Levels
Effectiveness (%) 50
70
90
Duration of protection (month) 6
12
18
Adverse event No reactions
Local reactions such as redness and/or swelling at the site of vaccination for 1‐2 d
Fever 1‐2 d
The total number of injections 1
2
3
Price (CNY) 0
200
400
600
800
1000
Origin of product Imported product
Domestic product

Abbreviation: CNY, Chinese Yuan.

2.2. Experiment and questionnaire design

A full‐factorial design using all the attributes and levels results in 3 × 3×3 × 3 × 6 × 2 = 972 possible profiles, which provide 471 906 pairwise choice sets for selection. Using the STATA software (StataCorp LLC), 40 pairwise choice sets were constructed using a D‐optimality algorithm with the attribute coefficient set to zero. Only the main effect was estimated in this study. There is no standard guidance in the literature on the optimal number of DCE tasks that each respondent should complete. In this study, 40 choice sets were randomly assigned to four blocks, each of which had 10 choices. All of the choice sets were checked for plausibility, and no manual alteration of the design was required.

To assess the internal validity of DCE questions, a choice set with dominated pairs was presented (trap question) to all respondents. 28 In that choice task, one alternative was unambiguously better than the other alternative for all attributes. Only DCE data that the respondents correctly selected as the dominated alternative from this choice set would be included in the analysis.

The survey questionnaire's first page provided the study information. Participants were not allowed to continue the survey until they had read details of the informed consent and agreed to participate in the study by clicking the 'Agree' button at the bottom of the page. The questionnaire consisted of three sections. In the first section, respondents were advised that they would be providing information about their health conditions; their knowledge of, attitudes towards and experience with the COVID‐19 pandemic; and their previous experience of vaccination. In the second section, a dominated DCE task was presented to the respondents to check whether they understood the DCE design and provided a plausible answer. To reduce systematic selection biases, one of the four blocks with 10 standard DCE tasks for each was randomly chosen by the survey software and presented to the respondents. Each respondent was confronted with one block of 10 DCE questions. After completing the DCE questions, respondents were asked to provide a subjective assessment of the difficulty of the questions on a five‐point Likert scale ranging from 'very hard' to 'very easy'. The last part of the questionnaire included questions to collect information on the respondents’ demographics, socio‐economic status (SES) and an overall evaluation of their mental health status using the Patient Health Questionnaire‐2. 29

Before the formal study, a pilot DCE survey was conducted. A convenience sample of 10 members of the general public was invited to participate in the online survey. First, they were asked to complete the questionnaire independently through the same online platform as in the formal survey. Second, an interview was conducted immediately by the first two authors to understand their comments and suggestions on the survey and the approach.

2.3. Sample and survey administration

The survey was managed online via Wenjuanxing (WJX, https://www.wjx.cn/), the biggest online survey company in China, between June and July 2020. The questionnaire was developed by the research team using WJX’s survey design software built on its online survey platform. Participants were recruited by the same survey company via its members on the online panel. An online panel is a form of access panel and includes 'a sample database' consisting of registered participants who agree to occasionally participate in Internet‐based studies; these have become increasingly prevalent in academic research. 30 , 31 In this study, the inclusion criteria of participants was ≥18 years; Chinese citizen; and stay at China during the last six months. Although previous studies have indicated that using the Internet to collect data might lead to certain forms of interviewer bias, a growing number of researchers agree that web‐based surveys, which provide a quick and cost‐effective way to collect DCE data, are often preferred by participants than surveys administered by interviewers. 13 , 32 Thus, this study adopted a web‐based survey considering that nearly 0.8 billion Chinese people currently have access to the Internet. The Survey and Behavioural Research Ethics Committee of the Chinese University of Hong Kong approved the study protocol and informed consent (Reference No.: SBRE‐19‐690).

2.4. Data analysis

Descriptive statistics were used to present the participants’ demographics, SES, and physical and mental health status. The random utility theory provides the theoretical foundation for analysing the DCE data. The public's utility (U) associated with a particular vaccination programme had two components: the deterministic component (V) and the stochastic component (ε).

The model of utility for an individual n associated with vaccination programme i can be estimated as

Un=Vn+εn=β1Effectiveness70+β2Effectiveness90+β3Duration12+β4Duration18+β5Adversemoderate+β6Adverseno+β7Injection2+β8Injection1+β9Productionimport+β10Price+εn.

The DCE data were binary, where '1' indicates that the alternative plan was chosen and '0' means that the other alternative plan was chosen. All attributes were dummy‐coded, and the coefficients of each level were estimated in the model and summarized to reflect the overall utility for each profile. The mixed logit regression (MXL) model was used to analyse the DCE data, as it estimates a distribution around each mean preference parameter to avoid potential bias of the estimated mean preference weights caused by unobserved heterogeneity. 33 The attribute of 'price' was specified as a continuous variable to facilitate the calculation of willingness to pay (WTP), which is the monetary value that people place on different attributes of the vaccination programme.

We calculated the utility value and relative predicted probabilities for all profiles of the experimental design, which allowed us to compare profiles that are more likely to be chosen by respondents with profiles that are less likely to be chosen. 34 This allowed us to convey the DCE results as easily understood information for the general public and policymakers. Subgroup analysis was also conducted to estimate the public's preference heterogeneity regarding vaccination programmes in terms of the respondents’ gender (men/women), family registry (urban/rural), parenting (yes/no) and personal vaccinated experience (yes/no). All statistical analyses were conducted using R (R Foundation, Austria) and STATA. The P‐value was set at ≤.05.

3. RESULTS

3.1. Responders’ characteristics

A total of 1694 individuals participated in the online survey, among whom, 177 did not consent or complete the questionnaire, 240 did not answer the trap item correctly, and 41 indicated the DCE questions are hard or very hard to be understood. These 458 answers were excluded from the analyses. Thus, data from 1236 individuals (72.96%) were elicited for our analyses. Four versions of the DCE questionnaire were completed by an approximately equal numbers of respondents (Appendix Table A1). Nearly half of the respondents were men, and the mean age was 30.27 years. The majority was married (60.6%) and lived in an urban area (72.18%). Most respondents were employed full time (78.4%), lived with their families (85.84%) and were protected by some form of medical insurance (98.62%). More than 80% reported a personal monthly income greater than the median monthly income in China (around 2200 Chinese Yuan [CNY]; 1 CNY = 0.14 USD) (Table 2). Compared with the national census data, our sample showed a similar sex ratio and proportion of medical insurance coverage, but higher educational attainment and proportion of living in the urban area. Figure 2 demonstrates that the respondents who were women (79.3%), had children (80.7%), lived in an urban area (79.1%) and were vaccinated in the past (86.2%) showed a more positive attitude towards taking the COVID‐19 vaccine.

TABLE A1.

All participants’ characteristics for each block (n = 1277)

Block 1 (n = 322) Block 2 (n = 313) Block 3 (n = 322) Block 4 (n = 320)
N % n % n % n %
Sex
Male 171 53.1 152 48.6 164 50.9 139 43.4
Female 151 46.9 161 51.4 158 49.1 181 56.6
Age, mean (SD) 28.9 7.5 30.2 7.5 31.0 8.6 30.0 6.8
Educational level
Secondary and below 62 17.4 60 19.2 53 26.6 58 18.2
Tertiary and above 260 82.6 253 80.8 269 83.4 262 81.8
Marital status
Unmarried 137 42.6 126 40.3 116 36 116 36.3
Married 183 56.8 185 59.1 205 63.7 202 61.1
Divorced 2 0.6 2 0.6 1 0.3 2 0.6
Family register
Urban area 246 76.4 228 72.8 264 82 248 77.5
Rural area 75 23.3 85 27.2 58 18 72 22.5
Number of children
0 154 47.8 142 45.4 131 40.7 129 40.3
1 131 40.7 145 46.3 166 51.6 158 49.4
≥2 37 11.5 26 8.3 25 7.7 33 10.3
Living status
Live along 33 10.3 23 7.4 22 6.8 28 8.7
Live with family 263 81.7 272 87 285 88.5 227 88.6
Live with friends 22 6.8 18 5.6 12 3.7 15 4.7
Others 4 1.2 3 0.9
Working status
Full‐time employed 249 77.3 254 81.2 250 77.6 245 76.6
Part‐time employed 12 3.7 11 3.5 10 3.1 14 4.4
Farming 2 0.6 3 0.9 3 0.9 2 0.6
Students 53 16.5 41 13.1 57 17.7 51 15.9
Housewife 1 0.3 2 0.6 1 0.3
Retired 2 0.6 1 0.3 1 0.3
Unemployed 3 0.9 2 0.6 1 0.3 6 1.9
Medical insurance
Yes 317 98.4 306 97.8 319 99.1 315 98.4
No 5 1.6 7 2.2 3 0.9 5 1.6
Personal income (CNY/month)
<1000 23 7.1 25 7.9 29 9 23 7.2
1000‐1999 24 7.5 21 6.7 21 6.5 23 7.2
2000‐2999 25 7.8 17 5.4 9 2.8 24 7.5
3000‐3999 28 8.7 32 10.2 31 9.6 24 7.5
4000‐4999 20 6.2 21 6.7 18 5.6 28 8.7
5000‐5999 34 10.6 35 11.2 35 10.8 33 10.3
6000‐6999 32 9.9 34 10.9 32 9.9 29 9.1
7000‐7999 24 7.5 31 9.9 22 6.8 28 8.7
8000‐8999 35 10.9 30 9.6 36 11.2 40 12.5
9000‐9999 19 5.9 27 8.6 19 5.9 27 8.4
≥10 000 58 18.0 40 12.8 70 21.7 41 12.8

1277 including the participants who correctly answered the trap question, but indicated the discrete choice experiment questions are hard to be understood.

TABLE 2.

Characteristics of all respondents (n = 1236)

Sample General public a
n % %
Sex
Male 607 49.11 51.1
Female 629 50.89 48.9
Age, mean (SD) 30.27 7.66
Educational level (aged > 18)
Secondary and below 176 14.24 85.9
Tertiary and above 1060 85.76 14.1
Marital status
Unmarried 480 38.83 18.2
Married 749 60.60 74.1
Divorced/widow 7 0.57 7.7
Family register
Urban area 954 77.18 59.9
Rural area 282 22.82 41.1
Number of children
0 556 43.54
1 600 46.99
≥2 121 9.47
Living status
Live along 104 8.41
Live with family 1061 85.84
Live with friends 65 5.26
Others 6 0.48
Working status
Full‐time employed 969 78.4 96.3
Part‐time employed 44 3.56
Farming 11 0.89
Students 194 15.7
Housewife 2 0.16
Retired 4 0.32
Unemployed 12 0.97
Medical insurance
Yes 1219 98.62 96.5
No 17 1.38 3.5
Personal income (CNY/month)
<1000 98 7.93
1000‐1999 85 6.88
2000‐2999 71 5.74
3000‐3999 112 9.06
4000‐4999 85 6.88
5000‐5999 130 10.52
6000‐6999 123 9.95
7000‐7999 102 8.25
8000‐8999 138 11.17
9000‐9999 87 7.04
≥10 000 205 16.59

Abbreviations: CNY, China Yuan; SD, standard deviation.

a

Based on China Statistical Yearbook 2018.

FIGURE 2.

FIGURE 2

Respondents’ attitude towards COVID‐19 vaccine uptake

3.2. Results of the main effect model

Table 3 shows that the order and signs of all the attributes were as expected, and the coefficient of the attributes, except for the 'number of injections = 2', was statistically significant. The results demonstrated that the most important attribute was effectiveness. The coefficient of '90% effectiveness' was 3.138 (P < .001), followed by that of '70% effectiveness' (b = 1.416, P < .001). Although the COVID‐19 vaccine's price had a negative and significant effect on the respondents, it did not appear to be as important as the other attributes (b = −0.002, P < .001). Respondents’ preference for choosing a COVID‐19 vaccination programme increased with a longer protected duration but decreased with more adverse events and higher frequency of injections. In addition, we found that the place of manufacturing of the COVID‐19 vaccine affected the respondents’ preference—imported vaccine generated a higher utility score (b = 0.178, P < .001).

TABLE 3.

Main effects model and WTP (n = 1236)

Coefficient (SE) P‐value SD (SE) P‐value WTP 95% CI
Effect 70% 1.416 (0.047) <.001 −0.201 (0.16) .211 878.879 790.626 967.131
Effect 90% 3.138 (0.093) <.001 1.739 (0.091) <.001 1948.158 1766.113 2130.204
Duration 12 mo 0.491 (0.041) <.001 0.053 (0.074) .473 305.018 252.072 357.964
Duration 18 mo 0.719 (0.05) <.001 0.409 (0.092) <.001 446.663 379.633 513.693
Moderate adverse event 0.471 (0.044) <.001 0.286 (0.1) .004 292.175 236.172 348.178
No adverse event 1.042 (0.056) <.001 0.93 (0.065) <.001 647.029 565.525 728.533
Injection 2 times 0.059 (0.044) .177 −0.019 (0.109) .859 36.791 −16.956 90.537
Injection 1 time 0.159 (0.042) <.001 0.317 (0.083) <.001 98.417 47.56 149.273
Imported 0.178 (0.03) <.001 −0.081 (0.117) .492 110.46 72.635 148.284
Price −0.002 (0) <.001 0.002 (0.001) <.001

Abbreviations: 95% CI, 95% confidence interval; SE, standard error; SD, standard deviation; WTP, willingness to pay.

Results of the WTP estimation supported the comparisons of the respondents’ preferences from the monetary perspective. The results demonstrated that respondents prefer to pay more for effectiveness and longer protective duration than for the other attributes. On average, respondents were willing to pay around 1948 CNY and 446 CNY to take vaccines with 90% effectiveness and a protective duration of 18 months compared with 50% effectiveness and a protective duration of six months, respectively. In terms of the frequency of injections, respondents were willing to pay only 98 CNY to take one shot rather than take three shots. Table 4 and Figure 3 present results of the selective subgroup analysis. The COVID‐19 vaccine with higher effectiveness was more likely to lead to a higher utility value for respondents who were women, lived in a rural area, parenting children and had vaccinated experience. The utility values and probability of selection for all design profiles are presented in the Appendix (Table A2).

TABLE 4.

Results of subgroup analysis (n = 1236)

Male Female
Coefficient (SE) SD (SE) Coefficient (SE) SD (SE)
Effect 70% 1.486 (0.076)*** 0.593 (0.111)*** 1.544 (0.073)*** 0.225 (0.184)
Effect 90% 3.279 (0.147)*** 1.954 (0.129)*** 3.391 (0.149)*** 0.265 (0.187)***
Duration 12 mo 0.464 (0.06)*** 0.011 (0.101) 0.564 (0.059)*** 1.866 (0.131)
Duration 18 mo 0.601 (0.072)*** 0.351 (0.135)* 0.955 (0.079)*** 0.081 (0.116)***
Moderate adverse event 0.524 (0.062)*** 0.075 (0.136) 0.444 (0.07)*** 0.6 (0.123)***
No adverse event 0.951 (0.079)*** 0.93 (0.096)** 1.157 (0.085)*** 0.71 (0.1)***
Injection 2 times −0.04 (0.065) 0.319 (0.137) 0.164 (0.066)*** 1.156 (0.097)
Injection 1 time 0.076 (0.059) 0.066 (0.158) 0.286 (0.062)* 0.083 (0.115)*
Imported 0.198 (0.045)*** 0.085 (0.173) 0.176 (0.046)*** 0.317 (0.127)
Price −0.001 (0.001)*** 0.002 (0.001)*** −0.002 (0.001)*** 0.213 (0.113)***
Urban resident Rural resident
Coefficient (SE) SD (SE) Coefficient (SE) SD (SE)
Effect 70% 1.488 (0.058)*** 0.372 (0.102)*** 1.44 (0.11)*** 0.564 (0.191)**
Effect 90% 3.235 (0.109)*** 1.805 (0.101)*** 3.208 (0.227)*** 2.087 (0.233)***
Duration 12 mo 0.499 (0.047)*** 0.041 (0.086) 0.554 (0.089)*** 0.1 (0.148)
Duration 18 mo 0.718 (0.056)*** 0.326 (0.122)** 0.832 (0.118)** 0.683 (0.182)***
Moderate adverse event 0.528 (0.052)*** 0.423 (0.096)*** 0.324 (0.093)*** 0.196 (0.24)
No adverse event 1.043 (0.064)*** 0.933 (0.078)*** 1.137 (0.126)*** 0.968 (0.176)***
Injection 2 times 0.065 (0.051) 0.02 (0.148) 0.099 (0.095) 0.07 (0.178)
Injection 1 time 0.142 (0.048)** 0.144 (0.128) 0.323 (0.09)*** 0.309 (0.202)
Imported 0.154 (0.036)*** 0.299 (0.07)*** 0.331 (0.068)*** 0.192 (0.141)
Price −0.002 (0.001)*** 0.002 (0)*** −0.002 (0.001)*** 0.002 (0.001)***
Had children No children
Coefficient (SE) SD (SE) Coefficient (SE) SD (SE)
Effect 70% 1.558 (0.071)*** 0.448 (0.126)*** 1.411 (0.081)*** 0.517 (0.127)***
Effect 90% 3.426 (0.139)*** 2.015 (0.138)*** 3.001 (0.141)*** 1.782 (0.137)***
Duration 12 months 0.483 (0.057)*** 0.081 (0.098) 0.57 (0.065)*** 0.123 (0.118)
Duration 18 months 0.77 (0.072)*** 0.606 (0.113)*** 0.727 (0.076)*** 0.292 (0.215)
Moderate adverse event 0.546 (0.06)*** 0.072 (0.155) 0.413 (0.067)*** 0.211 (0.295)
No adverse event 0.991 (0.076)*** 0.947 (0.092)*** 1.176 (0.094)*** 1.092 (0.101)***
Injection 2 times 0.031 (0.062) 0.126 (0.129) 0.105 (0.069) 0.27 (0.145)
Injection 1 time 0.175 (0.058)* 0.336 (0.118)** 0.176 (0.063)* 0.115 (0.248)
Imported 0.169 (0.043)*** 0.286 (0.102)** 0.204 (0.049)*** 0.326 (0.088)***
Price −0.002 (0.001)*** 0.002 (0.001)*** −0.002 (0.001)*** 0.002 (0.001)***
Vaccinated Non‐vaccinated
Coefficient (SE) SD (SE) Coefficient (SE) SD (SE)
Effect 70% 1.601 (0.065)*** 0.212 (0.157) 1.259 (0.079)*** 0.584 (0.128)***
Effect 90% 3.434 (0.129)*** 1.911 (0.119) 2.912 (0.151)*** 1.809 (0.145)***
Duration 12 months 0.515 (0.053)*** 0.116 (0.108) 0.487 (0.066)*** 0.051 (0.118)
Duration 18 months 0.751 (0.066)*** 0.392 (0.142) 0.74 (0.081)*** 0.473 (0.128)***
Moderate adverse event 0.512 (0.057)*** 0.22 (0.167) 0.423 (0.071)*** 0.192 (0.133)
No adverse event 1.064 (0.077)*** 1.058 (0.088) 1.087 (0.088)*** 0.905 (0.107)***
Injection 2 times 0.037 (0.058) 0.211 (0.158) 0.094 (0.072) 0.091 (0.132)
Injection 1 time 0.149 (0.054)* 0.222 (0.151) 0.193 (0.067)* 0.228 (0.133)
Imported 0.179 (0.041)*** 0.175 (0.094) 0.194 (0.053)*** 0.45 (0.084)***
Price −0.002 (0.001)*** 0.002 (0.001) −0.002 (0.001)*** 0.002 (0.001)***

Abbreviations: SE, standard error; SD standard deviation.

*

<0.05;

**

<0.01;

***

<0.001.

FIGURE 3.

FIGURE 3

Willingness to pay estimation for subgroup population

TABLE A2.

Utility score of all the profiles in this study design

No. Effect Duration Adverse Injection Cost Place Utility Percentage (%)
1 90 18 No 1 400 Imported 8.083 1.128
2 90 18 No 3 400 Imported 8.083 1.128
3 90 18 No 1 600 Imported 8.081 1.126
4 90 18 No 2 1000 Imported 8.077 1.122
5 90 18 No 1 0 Domestic 7.909 0.948
6 90 18 No 1 200 Domestic 7.907 0.946
7 90 18 No 2 200 Domestic 7.907 0.946
8 90 18 No 2 400 Domestic 7.905 0.944
9 90 18 No 2 800 Domestic 7.901 0.941
10 90 18 No 1 1000 Domestic 7.899 0.939
11 90 18 No 3 1000 Domestic 7.899 0.939
12 90 12 No 3 200 Imported 7.857 0.9
13 90 12 No 1 400 Imported 7.855 0.898
14 90 12 No 2 400 Imported 7.855 0.898
15 90 12 No 2 600 Imported 7.853 0.896
16 90 12 No 1 800 Imported 7.851 0.895
17 90 12 No 3 800 Imported 7.851 0.895
18 90 12 No 1 1000 Imported 7.849 0.893
19 90 12 No 3 1000 Imported 7.849 0.893
20 90 12 No 1 0 Domestic 7.681 0.755
21 90 12 No 2 0 Domestic 7.681 0.755
22 90 12 No 1 200 Domestic 7.679 0.753
23 90 12 No 2 200 Domestic 7.679 0.753
24 90 12 No 3 400 Domestic 7.677 0.752
25 90 12 No 3 600 Domestic 7.675 0.75
26 90 12 No 2 1000 Domestic 7.671 0.747
27 90 18 Moderate 3 0 Imported 7.516 0.64
28 90 18 Moderate 3 200 Imported 7.514 0.639
29 90 18 Moderate 2 800 Imported 7.508 0.635
30 90 18 Moderate 3 800 Imported 7.508 0.635
31 90 18 Moderate 3 1000 Imported 7.506 0.634
32 90 6 No 1 400 Imported 7.364 0.55
33 90 6 No 3 800 Imported 7.36 0.548
34 90 18 Moderate 1 0 Domestic 7.338 0.536
35 90 18 Moderate 2 0 Domestic 7.338 0.536
36 90 18 Moderate 2 200 Domestic 7.336 0.535
37 90 18 Moderate 1 400 Domestic 7.334 0.534
38 90 18 Moderate 2 400 Domestic 7.334 0.534
39 90 18 Moderate 3 400 Domestic 7.334 0.534
40 90 18 Moderate 2 600 Domestic 7.332 0.532
41 90 18 Moderate 3 600 Domestic 7.332 0.532
42 90 18 Moderate 1 1000 Domestic 7.328 0.53
43 90 12 Moderate 2 200 Imported 7.286 0.509
44 90 12 Moderate 2 800 Imported 7.28 0.505
45 90 6 No 2 0 Domestic 7.19 0.462
46 90 6 No 3 0 Domestic 7.19 0.462
47 90 6 No 3 200 Domestic 7.188 0.461
48 90 6 No 2 400 Domestic 7.186 0.46
49 90 6 No 3 400 Domestic 7.186 0.46
50 90 6 No 3 600 Domestic 7.184 0.459
51 90 6 No 1 1000 Domestic 7.18 0.457
52 90 6 No 2 1000 Domestic 7.18 0.457
53 90 12 Moderate 2 0 Domestic 7.11 0.426
54 90 12 Moderate 1 200 Domestic 7.108 0.426
55 90 12 Moderate 3 200 Domestic 7.108 0.426
56 90 12 Moderate 3 400 Domestic 7.106 0.425
57 90 12 Moderate 1 600 Domestic 7.104 0.424
58 90 12 Moderate 1 800 Domestic 7.102 0.423
59 90 12 Moderate 3 800 Domestic 7.102 0.423
60 90 18 No 1 0 Imported 7.087 0.417
61 90 18 No 3 0 Imported 7.087 0.417
62 90 18 No 1 200 Imported 7.085 0.416
63 90 18 No 3 200 Imported 7.085 0.416
64 90 18 No 2 400 Imported 7.083 0.415
65 90 18 No 1 800 Imported 7.079 0.413
66 90 18 No 3 800 Imported 7.079 0.413
67 90 18 Severe 2 0 Imported 7.045 0.4
68 90 18 Severe 2 200 Imported 7.043 0.399
69 90 18 Severe 1 600 Imported 7.039 0.397
70 90 18 Severe 3 600 Imported 7.039 0.397
71 90 18 No 2 0 Domestic 6.909 0.349
72 90 18 No 1 400 Domestic 6.905 0.347
73 90 18 No 3 400 Domestic 6.905 0.347
74 90 18 No 2 600 Domestic 6.903 0.347
75 90 18 No 3 600 Domestic 6.903 0.347
76 90 18 Severe 3 0 Domestic 6.867 0.334
77 90 18 Severe 1 200 Domestic 6.865 0.334
78 90 18 Severe 3 400 Domestic 6.863 0.333
79 90 18 Severe 2 600 Domestic 6.861 0.332
80 90 12 No 1 0 Imported 6.859 0.332
81 90 12 No 2 0 Imported 6.859 0.332
82 90 12 No 3 0 Imported 6.859 0.332
83 90 18 Severe 1 800 Domestic 6.859 0.332
84 90 12 No 2 200 Imported 6.857 0.331
85 90 18 Severe 1 1000 Domestic 6.857 0.331
86 90 18 Severe 2 1000 Domestic 6.857 0.331
87 90 12 No 3 400 Imported 6.855 0.33
88 90 12 No 3 600 Imported 6.853 0.33
89 90 12 No 2 1000 Imported 6.849 0.328
90 90 12 Severe 2 0 Imported 6.817 0.318
91 90 12 Severe 3 0 Imported 6.817 0.318
92 90 12 Severe 3 200 Imported 6.815 0.318
93 90 12 Severe 2 400 Imported 6.813 0.317
94 90 12 Severe 2 600 Imported 6.811 0.316
95 90 12 Severe 3 1000 Imported 6.807 0.315
96 90 6 Moderate 1 0 Imported 6.797 0.312
97 90 6 Moderate 3 0 Imported 6.797 0.312
98 90 6 Moderate 1 200 Imported 6.795 0.311
99 90 6 Moderate 3 200 Imported 6.795 0.311
100 90 6 Moderate 2 600 Imported 6.791 0.31
101 90 6 Moderate 1 800 Imported 6.789 0.309
102 90 6 Moderate 1 1000 Imported 6.787 0.309
103 90 12 No 1 400 Domestic 6.677 0.277
104 90 12 No 2 400 Domestic 6.677 0.277
105 90 12 No 1 600 Domestic 6.675 0.276
106 90 12 No 1 800 Domestic 6.673 0.275
107 90 12 No 2 800 Domestic 6.673 0.275
108 90 12 No 3 800 Domestic 6.673 0.275
109 90 12 No 1 1000 Domestic 6.671 0.275
110 90 12 Severe 1 200 Domestic 6.637 0.266
111 90 12 Severe 1 400 Domestic 6.635 0.265
112 90 12 Severe 1 600 Domestic 6.633 0.265
113 90 12 Severe 3 600 Domestic 6.633 0.265
114 90 12 Severe 1 800 Domestic 6.631 0.264
115 90 12 Severe 2 800 Domestic 6.631 0.264
116 90 12 Severe 1 1000 Domestic 6.629 0.264
117 90 12 Severe 2 1000 Domestic 6.629 0.264
118 90 6 Moderate 2 200 Domestic 6.617 0.26
119 90 6 Moderate 1 400 Domestic 6.615 0.26
120 90 6 Moderate 1 600 Domestic 6.613 0.259
121 90 6 Moderate 3 600 Domestic 6.613 0.259
122 90 6 Moderate 2 800 Domestic 6.611 0.259
123 90 6 Moderate 2 1000 Domestic 6.609 0.258
124 90 6 Moderate 3 1000 Domestic 6.609 0.258
125 90 18 Moderate 2 200 Imported 6.514 0.235
126 90 18 Moderate 2 400 Imported 6.512 0.235
127 90 18 Moderate 3 400 Imported 6.512 0.235
128 90 18 Moderate 3 600 Imported 6.51 0.234
129 90 18 Moderate 1 800 Imported 6.508 0.234
130 90 6 No 1 0 Imported 6.368 0.203
131 90 6 No 1 200 Imported 6.366 0.203
132 90 6 No 3 200 Imported 6.366 0.203
133 90 6 No 3 400 Imported 6.364 0.202
134 70 18 No 1 200 Imported 6.363 0.202
135 70 18 No 3 200 Imported 6.363 0.202
136 90 6 No 1 800 Imported 6.36 0.201
137 90 6 No 2 800 Imported 6.36 0.201
138 70 18 No 1 800 Imported 6.357 0.201
139 70 18 No 3 800 Imported 6.357 0.201
140 70 18 No 1 1000 Imported 6.355 0.2
141 90 18 Moderate 3 0 Domestic 6.338 0.197
142 90 18 Moderate 1 200 Domestic 6.336 0.197
143 90 18 Moderate 3 200 Domestic 6.336 0.197
144 90 18 Moderate 1 600 Domestic 6.332 0.196
145 90 18 Moderate 2 800 Domestic 6.33 0.195
146 90 18 Moderate 3 800 Domestic 6.33 0.195
147 90 18 Moderate 2 1000 Domestic 6.328 0.195
148 90 6 Severe 2 0 Imported 6.326 0.195
149 90 6 Severe 1 600 Imported 6.32 0.194
150 90 12 Moderate 1 0 Imported 6.288 0.187
151 90 12 Moderate 3 0 Imported 6.288 0.187
152 90 12 Moderate 2 400 Imported 6.284 0.187
153 90 12 Moderate 2 600 Imported 6.282 0.186
154 90 12 Moderate 1 800 Imported 6.28 0.186
155 90 6 No 2 200 Domestic 6.188 0.17
156 70 18 No 3 0 Domestic 6.187 0.169
157 90 6 No 1 400 Domestic 6.186 0.169
158 70 18 No 2 200 Domestic 6.185 0.169
159 90 6 No 1 600 Domestic 6.184 0.169
160 90 6 No 2 600 Domestic 6.184 0.169
161 70 18 No 1 400 Domestic 6.183 0.169
162 90 6 No 3 800 Domestic 6.182 0.169
163 70 18 No 1 600 Domestic 6.181 0.168
164 70 18 No 2 600 Domestic 6.181 0.168
165 90 6 No 3 1000 Domestic 6.18 0.168
166 70 18 No 2 800 Domestic 6.179 0.168
167 90 6 Severe 1 0 Domestic 6.148 0.163
168 90 6 Severe 3 0 Domestic 6.148 0.163
169 90 6 Severe 1 400 Domestic 6.144 0.162
170 90 6 Severe 2 600 Domestic 6.142 0.162
171 90 6 Severe 3 600 Domestic 6.142 0.162
172 90 6 Severe 2 800 Domestic 6.14 0.162
173 90 6 Severe 3 800 Domestic 6.14 0.162
174 90 6 Severe 3 1000 Domestic 6.138 0.161
175 70 12 No 2 0 Imported 6.137 0.161
176 70 12 No 2 200 Imported 6.135 0.161
177 70 12 No 3 600 Imported 6.131 0.16
178 70 12 No 1 800 Imported 6.129 0.16
179 70 12 No 2 800 Imported 6.129 0.16
180 70 12 No 2 1000 Imported 6.127 0.16
181 90 12 Moderate 1 400 Domestic 6.106 0.156
182 90 12 Moderate 3 600 Domestic 6.104 0.156
183 90 12 Moderate 2 800 Domestic 6.102 0.156
184 90 12 Moderate 1 1000 Domestic 6.1 0.155
185 90 12 Moderate 2 1000 Domestic 6.1 0.155
186 90 12 Moderate 3 1000 Domestic 6.1 0.155
187 90 18 No 2 0 Imported 6.087 0.153
188 90 18 No 2 200 Imported 6.085 0.153
189 90 18 No 2 600 Imported 6.081 0.152
190 90 18 No 3 600 Imported 6.081 0.152
191 90 18 No 2 800 Imported 6.079 0.152
192 90 18 No 1 1000 Imported 6.077 0.152
193 90 18 No 3 1000 Imported 6.077 0.152
194 90 18 Severe 3 0 Imported 6.045 0.147
195 90 18 Severe 1 200 Imported 6.043 0.147
196 90 18 Severe 1 400 Imported 6.041 0.146
197 90 18 Severe 2 400 Imported 6.041 0.146
198 90 18 Severe 1 800 Imported 6.037 0.146
199 90 18 Severe 3 800 Imported 6.037 0.146
200 90 18 Severe 1 1000 Imported 6.035 0.146
201 90 18 Severe 3 1000 Imported 6.035 0.146
202 70 12 No 1 0 Domestic 5.959 0.135
203 70 12 No 1 200 Domestic 5.957 0.135
204 70 12 No 3 200 Domestic 5.957 0.135
205 70 12 No 1 400 Domestic 5.955 0.134
206 70 12 No 2 400 Domestic 5.955 0.134
207 70 12 No 1 600 Domestic 5.953 0.134
208 70 12 No 2 600 Domestic 5.953 0.134
209 70 12 No 3 800 Domestic 5.951 0.134
210 70 12 No 3 1000 Domestic 5.949 0.134
211 90 18 No 3 0 Domestic 5.909 0.128
212 90 18 No 3 200 Domestic 5.907 0.128
213 90 18 No 1 600 Domestic 5.903 0.128
214 90 18 No 1 800 Domestic 5.901 0.127
215 90 18 No 3 800 Domestic 5.901 0.127
216 90 18 No 2 1000 Domestic 5.899 0.127
217 90 18 Severe 1 0 Domestic 5.867 0.123
218 90 18 Severe 2 0 Domestic 5.867 0.123
219 90 18 Severe 3 200 Domestic 5.865 0.123
220 90 18 Severe 2 800 Domestic 5.859 0.122
221 90 12 No 1 200 Imported 5.857 0.122
222 90 12 No 1 600 Imported 5.853 0.121
223 90 12 No 2 800 Imported 5.851 0.121
224 90 12 Severe 1 0 Imported 5.817 0.117
225 90 12 Severe 1 600 Imported 5.811 0.116
226 90 12 Severe 3 600 Imported 5.811 0.116
227 90 12 Severe 1 800 Imported 5.809 0.116
228 90 12 Severe 2 800 Imported 5.809 0.116
229 90 12 Severe 3 800 Imported 5.809 0.116
230 90 12 Severe 2 1000 Imported 5.807 0.116
231 90 6 Moderate 2 200 Imported 5.795 0.114
232 70 18 Moderate 3 0 Imported 5.794 0.114
233 90 6 Moderate 1 400 Imported 5.793 0.114
234 90 6 Moderate 2 400 Imported 5.793 0.114
235 90 6 Moderate 3 400 Imported 5.793 0.114
236 90 6 Moderate 1 600 Imported 5.791 0.114
237 70 18 Moderate 3 400 Imported 5.79 0.114
238 90 6 Moderate 2 800 Imported 5.789 0.114
239 70 18 Moderate 3 600 Imported 5.788 0.114
240 90 6 Moderate 2 1000 Imported 5.787 0.114
241 90 12 No 3 0 Domestic 5.681 0.102
242 90 12 No 3 200 Domestic 5.679 0.102
243 90 12 No 2 600 Domestic 5.675 0.102
244 90 12 No 3 1000 Domestic 5.671 0.101
245 70 6 No 1 200 Imported 5.644 0.098
246 90 12 Severe 2 0 Domestic 5.639 0.098
247 90 12 Severe 3 0 Domestic 5.639 0.098
248 70 6 No 1 800 Imported 5.638 0.098
249 90 12 Severe 2 200 Domestic 5.637 0.098
250 90 12 Severe 2 400 Domestic 5.635 0.098
251 90 12 Severe 3 400 Domestic 5.635 0.098
252 90 12 Severe 2 600 Domestic 5.633 0.097
253 90 6 Moderate 1 0 Domestic 5.619 0.096
254 90 6 Moderate 2 0 Domestic 5.619 0.096
255 90 6 Moderate 3 0 Domestic 5.619 0.096
256 90 6 Moderate 1 200 Domestic 5.617 0.096
257 70 18 Moderate 1 200 Domestic 5.614 0.096
258 70 18 Moderate 2 200 Domestic 5.614 0.096
259 70 18 Moderate 1 400 Domestic 5.612 0.095
260 70 18 Moderate 2 400 Domestic 5.612 0.095
261 90 6 Moderate 1 800 Domestic 5.611 0.095
262 90 6 Moderate 3 800 Domestic 5.611 0.095
263 70 18 Moderate 2 600 Domestic 5.61 0.095
264 70 18 Moderate 1 800 Domestic 5.608 0.095
265 70 18 Moderate 2 800 Domestic 5.608 0.095
266 70 18 Moderate 3 800 Domestic 5.608 0.095
267 70 18 Moderate 2 1000 Domestic 5.606 0.095
268 70 18 Moderate 3 1000 Domestic 5.606 0.095
269 70 12 Moderate 1 0 Imported 5.566 0.091
270 70 12 Moderate 3 0 Imported 5.566 0.091
271 70 12 Moderate 1 200 Imported 5.564 0.091
272 70 12 Moderate 2 600 Imported 5.56 0.091
273 90 18 Moderate 1 0 Imported 5.516 0.087
274 90 18 Moderate 2 0 Imported 5.516 0.087
275 90 18 Moderate 1 200 Imported 5.514 0.086
276 90 18 Moderate 1 400 Imported 5.512 0.086
277 90 18 Moderate 1 600 Imported 5.51 0.086
278 90 18 Moderate 2 600 Imported 5.51 0.086
279 90 18 Moderate 1 1000 Imported 5.506 0.086
280 90 18 Moderate 2 1000 Imported 5.506 0.086
281 70 6 No 1 0 Domestic 5.468 0.083
282 70 6 No 2 200 Domestic 5.466 0.082
283 70 6 No 3 200 Domestic 5.466 0.082
284 70 6 No 2 400 Domestic 5.464 0.082
285 70 6 No 3 400 Domestic 5.464 0.082
286 70 6 No 3 600 Domestic 5.462 0.082
287 70 6 No 2 800 Domestic 5.46 0.082
288 70 6 No 3 800 Domestic 5.46 0.082
289 70 6 No 3 1000 Domestic 5.458 0.082
290 70 12 Moderate 2 0 Domestic 5.388 0.076
291 70 12 Moderate 2 400 Domestic 5.384 0.076
292 70 12 Moderate 1 600 Domestic 5.382 0.076
293 70 12 Moderate 3 600 Domestic 5.382 0.076
294 70 12 Moderate 3 800 Domestic 5.38 0.076
295 70 12 Moderate 1 1000 Domestic 5.378 0.075
296 90 6 No 2 0 Imported 5.368 0.075
297 90 6 No 3 0 Imported 5.368 0.075
298 90 6 No 2 200 Imported 5.366 0.075
299 70 18 No 1 0 Imported 5.365 0.074
300 70 18 No 2 0 Imported 5.365 0.074
301 90 6 No 2 400 Imported 5.364 0.074
302 90 6 No 1 600 Imported 5.362 0.074
303 90 6 No 2 600 Imported 5.362 0.074
304 90 6 No 3 600 Imported 5.362 0.074
305 70 18 No 1 400 Imported 5.361 0.074
306 70 18 No 3 400 Imported 5.361 0.074
307 70 18 No 1 600 Imported 5.359 0.074
308 70 18 No 3 600 Imported 5.359 0.074
309 90 6 No 1 1000 Imported 5.358 0.074
310 90 6 No 2 1000 Imported 5.358 0.074
311 90 6 No 3 1000 Imported 5.358 0.074
312 70 18 No 2 800 Imported 5.357 0.074
313 90 18 Moderate 1 800 Domestic 5.33 0.072
314 90 18 Moderate 3 1000 Domestic 5.328 0.072
315 90 6 Severe 1 0 Imported 5.326 0.072
316 70 18 Severe 1 0 Imported 5.323 0.071
317 90 6 Severe 2 400 Imported 5.322 0.071
318 90 6 Severe 3 400 Imported 5.322 0.071
319 70 18 Severe 1 200 Imported 5.321 0.071
320 70 18 Severe 2 400 Imported 5.319 0.071
321 90 6 Severe 1 800 Imported 5.318 0.071
322 70 18 Severe 2 600 Imported 5.317 0.071
323 90 6 Severe 1 1000 Imported 5.316 0.071
324 90 6 Severe 3 1000 Imported 5.316 0.071
325 70 18 Severe 1 1000 Imported 5.313 0.071
326 70 18 Severe 3 1000 Imported 5.313 0.071
327 90 12 Moderate 2 0 Imported 5.288 0.069
328 90 12 Moderate 1 200 Imported 5.286 0.069
329 90 12 Moderate 3 200 Imported 5.286 0.069
330 90 12 Moderate 1 400 Imported 5.284 0.069
331 90 12 Moderate 3 400 Imported 5.284 0.069
332 90 12 Moderate 1 600 Imported 5.282 0.069
333 90 12 Moderate 3 600 Imported 5.282 0.069
334 90 12 Moderate 3 800 Imported 5.28 0.068
335 90 12 Moderate 1 1000 Imported 5.278 0.068
336 90 12 Moderate 2 1000 Imported 5.278 0.068
337 90 12 Moderate 3 1000 Imported 5.278 0.068
338 90 6 No 1 0 Domestic 5.19 0.063
339 90 6 No 1 200 Domestic 5.188 0.062
340 70 18 No 2 400 Domestic 5.183 0.062
341 90 6 No 1 800 Domestic 5.182 0.062
342 90 6 No 2 800 Domestic 5.182 0.062
343 70 18 No 1 800 Domestic 5.179 0.062
344 70 18 No 3 800 Domestic 5.179 0.062
345 70 18 No 2 1000 Domestic 5.177 0.062
346 70 18 No 3 1000 Domestic 5.177 0.062
347 90 6 Severe 2 0 Domestic 5.148 0.06
348 90 6 Severe 1 200 Domestic 5.146 0.06
349 90 6 Severe 2 200 Domestic 5.146 0.06
350 90 6 Severe 3 200 Domestic 5.146 0.06
351 70 18 Severe 2 0 Domestic 5.145 0.06
352 70 18 Severe 2 200 Domestic 5.143 0.06
353 70 18 Severe 3 200 Domestic 5.143 0.06
354 70 18 Severe 3 400 Domestic 5.141 0.06
355 70 18 Severe 1 600 Domestic 5.139 0.059
356 90 6 Severe 2 1000 Domestic 5.138 0.059
357 70 18 Severe 3 800 Domestic 5.137 0.059
358 70 12 No 1 200 Imported 5.135 0.059
359 70 12 No 3 200 Imported 5.135 0.059
360 70 18 Severe 2 1000 Domestic 5.135 0.059
361 70 12 No 1 400 Imported 5.133 0.059
362 70 12 No 2 400 Imported 5.133 0.059
363 70 12 No 3 400 Imported 5.133 0.059
364 70 12 No 2 600 Imported 5.131 0.059
365 70 12 No 3 800 Imported 5.129 0.059
366 70 12 No 3 1000 Imported 5.127 0.059
367 90 12 Moderate 1 0 Domestic 5.11 0.058
368 90 12 Moderate 3 0 Domestic 5.11 0.058
369 90 12 Moderate 2 200 Domestic 5.108 0.058
370 90 12 Moderate 2 400 Domestic 5.106 0.057
371 90 12 Moderate 2 600 Domestic 5.104 0.057
372 70 12 Severe 2 400 Imported 5.091 0.057
373 70 12 Severe 3 400 Imported 5.091 0.057
374 70 12 Severe 3 600 Imported 5.089 0.057
375 70 12 Severe 2 800 Imported 5.087 0.056
376 70 12 Severe 2 1000 Imported 5.085 0.056
377 70 6 Moderate 1 0 Imported 5.075 0.056
378 70 6 Moderate 2 0 Imported 5.075 0.056
379 70 6 Moderate 2 200 Imported 5.073 0.056
380 70 6 Moderate 1 400 Imported 5.071 0.056
381 70 6 Moderate 3 400 Imported 5.071 0.056
382 70 6 Moderate 1 600 Imported 5.069 0.055
383 70 6 Moderate 3 600 Imported 5.069 0.055
384 70 6 Moderate 2 1000 Imported 5.065 0.055
385 90 18 Severe 1 0 Imported 5.045 0.054
386 90 18 Severe 3 200 Imported 5.043 0.054
387 90 18 Severe 3 400 Imported 5.041 0.054
388 90 18 Severe 2 600 Imported 5.039 0.054
389 90 18 Severe 2 800 Imported 5.037 0.054
390 90 18 Severe 2 1000 Imported 5.035 0.054
391 70 12 No 2 0 Domestic 4.959 0.05
392 70 12 No 3 0 Domestic 4.959 0.05
393 70 12 No 2 200 Domestic 4.957 0.05
394 70 12 No 1 800 Domestic 4.951 0.049
395 70 12 No 2 800 Domestic 4.951 0.049
396 50 18 No 2 0 Imported 4.949 0.049
397 70 12 No 1 1000 Domestic 4.949 0.049
398 50 18 No 2 200 Imported 4.947 0.049
399 50 18 No 1 600 Imported 4.943 0.049
400 50 18 No 3 600 Imported 4.943 0.049
401 70 12 Severe 1 0 Domestic 4.917 0.048
402 70 12 Severe 2 0 Domestic 4.917 0.048
403 70 12 Severe 3 0 Domestic 4.917 0.048
404 70 12 Severe 2 200 Domestic 4.915 0.047
405 70 12 Severe 3 200 Domestic 4.915 0.047
406 70 12 Severe 1 600 Domestic 4.911 0.047
407 70 12 Severe 1 800 Domestic 4.909 0.047
408 70 12 Severe 1 1000 Domestic 4.907 0.047
409 70 12 Severe 3 1000 Domestic 4.907 0.047
410 70 6 Moderate 3 0 Domestic 4.897 0.047
411 70 6 Moderate 3 200 Domestic 4.895 0.047
412 70 6 Moderate 2 600 Domestic 4.891 0.046
413 70 6 Moderate 1 800 Domestic 4.889 0.046
414 70 6 Moderate 1 1000 Domestic 4.887 0.046
415 70 6 Moderate 3 1000 Domestic 4.887 0.046
416 90 18 Severe 2 200 Domestic 4.865 0.045
417 90 18 Severe 1 400 Domestic 4.863 0.045
418 90 18 Severe 2 400 Domestic 4.863 0.045
419 90 18 Severe 1 600 Domestic 4.861 0.045
420 90 18 Severe 3 600 Domestic 4.861 0.045
421 90 18 Severe 3 800 Domestic 4.859 0.045
422 90 18 Severe 3 1000 Domestic 4.857 0.045
423 90 12 Severe 1 200 Imported 4.815 0.043
424 90 12 Severe 2 200 Imported 4.815 0.043
425 90 12 Severe 1 400 Imported 4.813 0.043
426 90 12 Severe 3 400 Imported 4.813 0.043
427 90 12 Severe 1 1000 Imported 4.807 0.043
428 90 6 Moderate 2 0 Imported 4.797 0.042
429 70 18 Moderate 1 0 Imported 4.794 0.042
430 70 18 Moderate 2 0 Imported 4.794 0.042
431 90 6 Moderate 3 600 Imported 4.791 0.042
432 90 6 Moderate 3 800 Imported 4.789 0.042
433 70 18 Moderate 2 600 Imported 4.788 0.042
434 90 6 Moderate 3 1000 Imported 4.787 0.042
435 70 18 Moderate 2 800 Imported 4.786 0.042
436 70 18 Moderate 3 800 Imported 4.786 0.042
437 70 18 Moderate 3 1000 Imported 4.784 0.042
438 50 18 No 3 0 Domestic 4.771 0.041
439 50 18 No 1 200 Domestic 4.769 0.041
440 50 18 No 3 400 Domestic 4.767 0.041
441 50 18 No 2 600 Domestic 4.765 0.041
442 50 18 No 1 800 Domestic 4.763 0.041
443 50 18 No 1 1000 Domestic 4.761 0.041
444 50 18 No 2 1000 Domestic 4.761 0.041
445 50 12 No 2 0 Imported 4.721 0.039
446 50 12 No 3 0 Imported 4.721 0.039
447 50 12 No 3 200 Imported 4.719 0.039
448 50 12 No 2 400 Imported 4.717 0.039
449 50 12 No 2 600 Imported 4.715 0.039
450 50 12 No 3 1000 Imported 4.711 0.039
451 70 6 No 2 0 Imported 4.646 0.036
452 70 6 No 3 0 Imported 4.646 0.036
453 70 6 No 1 400 Imported 4.642 0.036
454 70 6 No 1 600 Imported 4.64 0.036
455 70 6 No 3 600 Imported 4.64 0.036
456 90 12 Severe 1 0 Domestic 4.639 0.036
457 70 6 No 3 800 Imported 4.638 0.036
458 90 12 Severe 3 200 Domestic 4.637 0.036
459 90 12 Severe 3 800 Domestic 4.631 0.036
460 90 12 Severe 3 1000 Domestic 4.629 0.036
461 90 6 Moderate 3 200 Domestic 4.617 0.035
462 70 18 Moderate 3 0 Domestic 4.616 0.035
463 90 6 Moderate 2 400 Domestic 4.615 0.035
464 90 6 Moderate 3 400 Domestic 4.615 0.035
465 70 18 Moderate 3 200 Domestic 4.614 0.035
466 90 6 Moderate 2 600 Domestic 4.613 0.035
467 70 18 Moderate 3 400 Domestic 4.612 0.035
468 70 18 Moderate 1 600 Domestic 4.61 0.035
469 70 18 Moderate 3 600 Domestic 4.61 0.035
470 90 6 Moderate 1 1000 Domestic 4.609 0.035
471 70 18 Moderate 1 1000 Domestic 4.606 0.035
472 70 6 Severe 2 400 Imported 4.6 0.035
473 70 6 Severe 1 1000 Imported 4.594 0.034
474 70 12 Moderate 2 0 Imported 4.566 0.033
475 70 12 Moderate 1 400 Imported 4.562 0.033
476 70 12 Moderate 3 400 Imported 4.562 0.033
477 70 12 Moderate 2 800 Imported 4.558 0.033
478 70 12 Moderate 2 1000 Imported 4.556 0.033
479 50 12 No 1 200 Domestic 4.541 0.033
480 50 12 No 1 400 Domestic 4.539 0.033
481 50 12 No 1 600 Domestic 4.537 0.033
482 50 12 No 3 600 Domestic 4.537 0.033
483 50 12 No 1 800 Domestic 4.535 0.032
484 50 12 No 2 800 Domestic 4.535 0.032
485 50 12 No 1 1000 Domestic 4.533 0.032
486 50 12 No 2 1000 Domestic 4.533 0.032
487 70 6 No 2 600 Domestic 4.462 0.03
488 70 6 No 1 800 Domestic 4.46 0.03
489 70 6 No 1 1000 Domestic 4.458 0.03
490 70 6 No 2 1000 Domestic 4.458 0.03
491 70 6 Severe 3 0 Domestic 4.426 0.029
492 70 6 Severe 1 200 Domestic 4.424 0.029
493 70 6 Severe 1 400 Domestic 4.422 0.029
494 70 6 Severe 3 400 Domestic 4.422 0.029
495 70 6 Severe 1 800 Domestic 4.418 0.029
496 70 6 Severe 2 1000 Domestic 4.416 0.029
497 70 6 Severe 3 1000 Domestic 4.416 0.029
498 70 12 Moderate 1 0 Domestic 4.388 0.028
499 70 12 Moderate 3 0 Domestic 4.388 0.028
500 70 12 Moderate 2 200 Domestic 4.386 0.028
501 70 12 Moderate 3 200 Domestic 4.386 0.028
502 70 12 Moderate 1 800 Domestic 4.38 0.028
503 50 18 Moderate 1 0 Imported 4.378 0.028
504 70 12 Moderate 3 1000 Domestic 4.378 0.028
505 50 18 Moderate 3 400 Imported 4.374 0.028
506 50 18 Moderate 3 800 Imported 4.37 0.028
507 50 18 Moderate 3 1000 Imported 4.368 0.027
508 70 18 No 3 0 Imported 4.365 0.027
509 70 18 No 2 200 Imported 4.363 0.027
510 70 18 No 2 400 Imported 4.361 0.027
511 70 18 No 2 600 Imported 4.359 0.027
512 70 18 No 2 1000 Imported 4.355 0.027
513 70 18 No 3 1000 Imported 4.355 0.027
514 90 6 Severe 3 0 Imported 4.326 0.026
515 90 6 Severe 1 200 Imported 4.324 0.026
516 90 6 Severe 2 200 Imported 4.324 0.026
517 90 6 Severe 3 200 Imported 4.324 0.026
518 70 18 Severe 2 0 Imported 4.323 0.026
519 90 6 Severe 1 400 Imported 4.322 0.026
520 70 18 Severe 2 200 Imported 4.321 0.026
521 90 6 Severe 2 600 Imported 4.32 0.026
522 90 6 Severe 3 600 Imported 4.32 0.026
523 70 18 Severe 3 400 Imported 4.319 0.026
524 90 6 Severe 2 800 Imported 4.318 0.026
525 90 6 Severe 3 800 Imported 4.318 0.026
526 70 18 Severe 1 600 Imported 4.317 0.026
527 90 6 Severe 2 1000 Imported 4.316 0.026
528 70 18 Severe 1 800 Imported 4.315 0.026
529 70 18 Severe 2 800 Imported 4.315 0.026
530 50 6 No 2 0 Imported 4.23 0.024
531 50 6 No 1 600 Imported 4.224 0.024
532 50 18 Moderate 2 0 Domestic 4.2 0.023
533 50 18 Moderate 3 0 Domestic 4.2 0.023
534 50 18 Moderate 3 200 Domestic 4.198 0.023
535 50 18 Moderate 1 600 Domestic 4.194 0.023
536 50 18 Moderate 2 600 Domestic 4.194 0.023
537 50 18 Moderate 1 800 Domestic 4.192 0.023
538 50 18 Moderate 2 800 Domestic 4.192 0.023
539 50 18 Moderate 2 1000 Domestic 4.19 0.023
540 70 18 No 1 0 Domestic 4.187 0.023
541 70 18 No 2 0 Domestic 4.187 0.023
542 70 18 No 1 200 Domestic 4.185 0.023
543 70 18 No 3 200 Domestic 4.185 0.023
544 70 18 No 3 400 Domestic 4.183 0.023
545 70 18 No 3 600 Domestic 4.181 0.023
546 70 18 No 1 1000 Domestic 4.177 0.023
547 50 12 Moderate 1 400 Imported 4.146 0.022
548 50 12 Moderate 3 400 Imported 4.146 0.022
549 70 18 Severe 1 0 Domestic 4.145 0.022
550 70 18 Severe 3 0 Domestic 4.145 0.022
551 50 12 Moderate 1 600 Imported 4.144 0.022
552 90 6 Severe 2 400 Domestic 4.144 0.022
553 90 6 Severe 3 400 Domestic 4.144 0.022
554 90 6 Severe 1 600 Domestic 4.142 0.022
555 70 18 Severe 1 400 Domestic 4.141 0.022
556 70 18 Severe 2 400 Domestic 4.141 0.022
557 50 12 Moderate 2 1000 Imported 4.14 0.022
558 90 6 Severe 1 800 Domestic 4.14 0.022
559 70 18 Severe 3 600 Domestic 4.139 0.022
560 90 6 Severe 1 1000 Domestic 4.138 0.022
561 70 12 No 1 0 Imported 4.137 0.022
562 70 12 No 3 0 Imported 4.137 0.022
563 70 12 No 1 600 Imported 4.131 0.022
564 70 12 No 1 1000 Imported 4.127 0.022
565 70 12 Severe 2 0 Imported 4.095 0.021
566 70 12 Severe 3 0 Imported 4.095 0.021
567 70 12 Severe 3 200 Imported 4.093 0.021
568 70 12 Severe 1 400 Imported 4.091 0.021
569 70 12 Severe 1 1000 Imported 4.085 0.021
570 70 12 Severe 3 1000 Imported 4.085 0.021
571 70 6 Moderate 3 0 Imported 4.075 0.021
572 70 6 Moderate 3 200 Imported 4.073 0.02
573 70 6 Moderate 2 600 Imported 4.069 0.02
574 70 6 Moderate 1 800 Imported 4.067 0.02
575 70 6 Moderate 2 800 Imported 4.067 0.02
576 70 6 Moderate 3 800 Imported 4.067 0.02
577 70 6 Moderate 1 1000 Imported 4.065 0.02
578 50 6 No 1 0 Domestic 4.052 0.02
579 50 6 No 3 0 Domestic 4.052 0.02
580 50 6 No 1 400 Domestic 4.048 0.02
581 50 6 No 2 600 Domestic 4.046 0.02
582 50 6 No 3 600 Domestic 4.046 0.02
583 50 6 No 2 800 Domestic 4.044 0.02
584 50 6 No 3 800 Domestic 4.044 0.02
585 50 6 No 3 1000 Domestic 4.042 0.02
586 50 12 Moderate 1 0 Domestic 3.972 0.018
587 50 12 Moderate 1 200 Domestic 3.97 0.018
588 50 12 Moderate 2 200 Domestic 3.97 0.018
589 50 12 Moderate 2 400 Domestic 3.968 0.018
590 50 12 Moderate 2 800 Domestic 3.964 0.018
591 50 12 Moderate 1 1000 Domestic 3.962 0.018
592 50 12 Moderate 3 1000 Domestic 3.962 0.018
593 70 12 No 3 400 Domestic 3.955 0.018
594 70 12 No 3 600 Domestic 3.953 0.018
595 50 18 No 3 0 Imported 3.949 0.018
596 70 12 No 2 1000 Domestic 3.949 0.018
597 50 18 No 1 200 Imported 3.947 0.018
598 50 18 No 1 400 Imported 3.945 0.018
599 50 18 No 2 400 Imported 3.945 0.018
600 50 18 No 1 800 Imported 3.941 0.018
601 50 18 No 3 800 Imported 3.941 0.018
602 50 18 No 1 1000 Imported 3.939 0.018
603 50 18 No 3 1000 Imported 3.939 0.018
604 70 12 Severe 1 200 Domestic 3.915 0.017
605 70 12 Severe 2 400 Domestic 3.913 0.017
606 70 12 Severe 3 400 Domestic 3.913 0.017
607 70 12 Severe 2 600 Domestic 3.911 0.017
608 70 12 Severe 2 800 Domestic 3.909 0.017
609 70 12 Severe 3 800 Domestic 3.909 0.017
610 70 12 Severe 2 1000 Domestic 3.907 0.017
611 50 18 Severe 2 200 Imported 3.905 0.017
612 50 18 Severe 1 400 Imported 3.903 0.017
613 50 18 Severe 1 600 Imported 3.901 0.017
614 50 18 Severe 2 800 Imported 3.899 0.017
615 50 18 Severe 2 1000 Imported 3.897 0.017
616 70 6 Moderate 1 0 Domestic 3.897 0.017
617 70 6 Moderate 2 0 Domestic 3.897 0.017
618 70 6 Moderate 1 200 Domestic 3.895 0.017
619 70 6 Moderate 1 400 Domestic 3.893 0.017
620 70 6 Moderate 2 400 Domestic 3.893 0.017
621 70 6 Moderate 3 400 Domestic 3.893 0.017
622 70 6 Moderate 1 600 Domestic 3.891 0.017
623 70 18 Moderate 1 200 Imported 3.792 0.015
624 70 18 Moderate 2 200 Imported 3.792 0.015
625 70 18 Moderate 3 200 Imported 3.792 0.015
626 70 18 Moderate 1 400 Imported 3.79 0.015
627 70 18 Moderate 2 400 Imported 3.79 0.015
628 70 18 Moderate 1 600 Imported 3.788 0.015
629 70 18 Moderate 1 800 Imported 3.786 0.015
630 70 18 Moderate 1 1000 Imported 3.784 0.015
631 70 18 Moderate 2 1000 Imported 3.784 0.015
632 50 18 No 1 0 Domestic 3.771 0.015
633 50 18 No 2 0 Domestic 3.771 0.015
634 50 18 No 3 200 Domestic 3.769 0.015
635 50 18 No 2 800 Domestic 3.763 0.015
636 50 18 Severe 1 0 Domestic 3.729 0.015
637 50 18 Severe 1 200 Domestic 3.727 0.014
638 50 18 Severe 3 200 Domestic 3.727 0.014
639 50 18 Severe 2 400 Domestic 3.725 0.014
640 50 18 Severe 2 600 Domestic 3.723 0.014
641 50 18 Severe 3 600 Domestic 3.723 0.014
642 50 12 No 1 0 Imported 3.721 0.014
643 50 18 Severe 3 800 Domestic 3.721 0.014
644 50 18 Severe 1 1000 Domestic 3.719 0.014
645 50 12 No 1 600 Imported 3.715 0.014
646 50 12 No 3 600 Imported 3.715 0.014
647 50 12 No 1 800 Imported 3.713 0.014
648 50 12 No 2 800 Imported 3.713 0.014
649 50 12 No 3 800 Imported 3.713 0.014
650 50 12 No 2 1000 Imported 3.711 0.014
651 50 12 Severe 3 0 Imported 3.679 0.014
652 50 12 Severe 3 200 Imported 3.677 0.014
653 50 12 Severe 2 800 Imported 3.671 0.014
654 50 12 Severe 3 800 Imported 3.671 0.014
655 50 12 Severe 3 1000 Imported 3.669 0.014
656 50 6 Moderate 3 200 Imported 3.657 0.013
657 50 6 Moderate 1 400 Imported 3.655 0.013
658 50 6 Moderate 2 400 Imported 3.655 0.013
659 50 6 Moderate 2 600 Imported 3.653 0.013
660 50 6 Moderate 1 800 Imported 3.651 0.013
661 50 6 Moderate 3 800 Imported 3.651 0.013
662 50 6 Moderate 1 1000 Imported 3.649 0.013
663 50 6 Moderate 3 1000 Imported 3.649 0.013
664 70 6 No 1 0 Imported 3.646 0.013
665 70 6 No 2 200 Imported 3.644 0.013
666 70 6 No 3 200 Imported 3.644 0.013
667 70 6 No 2 400 Imported 3.642 0.013
668 70 6 No 3 400 Imported 3.642 0.013
669 70 6 No 2 600 Imported 3.64 0.013
670 70 6 No 2 800 Imported 3.638 0.013
671 70 6 No 1 1000 Imported 3.636 0.013
672 70 6 No 2 1000 Imported 3.636 0.013
673 70 6 No 3 1000 Imported 3.636 0.013
674 70 18 Moderate 1 0 Domestic 3.616 0.013
675 70 18 Moderate 2 0 Domestic 3.616 0.013
676 70 6 Severe 2 0 Imported 3.604 0.013
677 70 6 Severe 2 200 Imported 3.602 0.013
678 70 6 Severe 1 400 Imported 3.6 0.013
679 70 6 Severe 2 800 Imported 3.596 0.013
680 70 6 Severe 3 800 Imported 3.596 0.013
681 70 12 Moderate 2 200 Imported 3.564 0.012
682 70 12 Moderate 3 200 Imported 3.564 0.012
683 70 12 Moderate 2 400 Imported 3.562 0.012
684 70 12 Moderate 1 600 Imported 3.56 0.012
685 70 12 Moderate 3 600 Imported 3.56 0.012
686 70 12 Moderate 1 800 Imported 3.558 0.012
687 70 12 Moderate 3 800 Imported 3.558 0.012
688 70 12 Moderate 1 1000 Imported 3.556 0.012
689 70 12 Moderate 3 1000 Imported 3.556 0.012
690 50 12 No 2 0 Domestic 3.543 0.012
691 50 12 No 3 0 Domestic 3.543 0.012
692 50 12 No 2 200 Domestic 3.541 0.012
693 50 12 No 2 400 Domestic 3.539 0.012
694 50 12 No 3 400 Domestic 3.539 0.012
695 50 12 No 2 600 Domestic 3.537 0.012
696 50 12 Severe 1 0 Domestic 3.501 0.012
697 50 12 Severe 2 0 Domestic 3.501 0.012
698 50 12 Severe 2 200 Domestic 3.499 0.012
699 50 12 Severe 1 400 Domestic 3.497 0.012
700 50 12 Severe 2 400 Domestic 3.497 0.012
701 50 12 Severe 3 400 Domestic 3.497 0.012
702 50 12 Severe 2 600 Domestic 3.495 0.011
703 50 12 Severe 3 600 Domestic 3.495 0.011
704 50 12 Severe 1 1000 Domestic 3.491 0.011
705 50 6 Moderate 1 0 Domestic 3.481 0.011
706 50 6 Moderate 2 0 Domestic 3.481 0.011
707 50 6 Moderate 1 200 Domestic 3.479 0.011
708 50 6 Moderate 2 200 Domestic 3.479 0.011
709 50 6 Moderate 3 400 Domestic 3.477 0.011
710 50 6 Moderate 3 600 Domestic 3.475 0.011
711 50 6 Moderate 2 1000 Domestic 3.471 0.011
712 70 6 No 2 0 Domestic 3.468 0.011
713 70 6 No 3 0 Domestic 3.468 0.011
714 70 6 No 1 200 Domestic 3.466 0.011
715 70 6 No 1 400 Domestic 3.464 0.011
716 70 6 No 1 600 Domestic 3.462 0.011
717 70 6 Severe 1 0 Domestic 3.426 0.011
718 70 6 Severe 3 200 Domestic 3.424 0.011
719 70 6 Severe 2 400 Domestic 3.422 0.011
720 70 6 Severe 1 600 Domestic 3.42 0.011
721 70 6 Severe 2 600 Domestic 3.42 0.011
722 70 6 Severe 3 600 Domestic 3.42 0.011
723 70 12 Moderate 1 200 Domestic 3.386 0.01
724 70 12 Moderate 1 400 Domestic 3.384 0.01
725 70 12 Moderate 3 400 Domestic 3.384 0.01
726 70 12 Moderate 2 600 Domestic 3.382 0.01
727 70 12 Moderate 2 800 Domestic 3.38 0.01
728 50 18 Moderate 3 0 Imported 3.378 0.01
729 70 12 Moderate 2 1000 Domestic 3.378 0.01
730 50 18 Moderate 1 400 Imported 3.374 0.01
731 50 18 Moderate 2 400 Imported 3.374 0.01
732 50 18 Moderate 2 1000 Imported 3.368 0.01
733 70 18 Severe 3 0 Imported 3.323 0.01
734 70 18 Severe 3 200 Imported 3.321 0.01
735 70 18 Severe 1 400 Imported 3.319 0.01
736 70 18 Severe 3 600 Imported 3.317 0.01
737 70 18 Severe 3 800 Imported 3.315 0.01
738 70 18 Severe 2 1000 Imported 3.313 0.01
739 50 6 No 1 0 Imported 3.23 0.009
740 50 6 No 2 400 Imported 3.226 0.009
741 50 6 No 3 400 Imported 3.226 0.009
742 50 6 No 1 800 Imported 3.222 0.009
743 50 6 No 1 1000 Imported 3.22 0.009
744 50 6 No 3 1000 Imported 3.22 0.009
745 50 18 Moderate 1 0 Domestic 3.2 0.009
746 50 18 Moderate 1 200 Domestic 3.198 0.009
747 50 18 Moderate 2 200 Domestic 3.198 0.009
748 50 18 Moderate 3 400 Domestic 3.196 0.009
749 50 18 Moderate 3 600 Domestic 3.194 0.008
750 50 18 Moderate 3 800 Domestic 3.192 0.008
751 50 18 Moderate 1 1000 Domestic 3.19 0.008
752 50 18 Moderate 3 1000 Domestic 3.19 0.008
753 50 6 Severe 2 200 Imported 3.186 0.008
754 50 6 Severe 2 800 Imported 3.18 0.008
755 50 12 Moderate 1 0 Imported 3.15 0.008
756 50 12 Moderate 3 0 Imported 3.15 0.008
757 50 12 Moderate 1 200 Imported 3.148 0.008
758 50 12 Moderate 3 200 Imported 3.148 0.008
759 50 12 Moderate 2 400 Imported 3.146 0.008
760 70 18 Severe 1 200 Domestic 3.143 0.008
761 50 12 Moderate 1 800 Imported 3.142 0.008
762 50 12 Moderate 3 800 Imported 3.142 0.008
763 70 18 Severe 2 600 Domestic 3.139 0.008
764 70 18 Severe 1 800 Domestic 3.137 0.008
765 70 18 Severe 2 800 Domestic 3.137 0.008
766 70 18 Severe 1 1000 Domestic 3.135 0.008
767 70 18 Severe 3 1000 Domestic 3.135 0.008
768 70 12 Severe 1 0 Imported 3.095 0.008
769 70 12 Severe 1 200 Imported 3.093 0.008
770 70 12 Severe 2 200 Imported 3.093 0.008
771 70 12 Severe 1 600 Imported 3.089 0.008
772 70 12 Severe 2 600 Imported 3.089 0.008
773 70 12 Severe 1 800 Imported 3.087 0.008
774 70 12 Severe 3 800 Imported 3.087 0.008
775 70 6 Moderate 1 200 Imported 3.073 0.008
776 70 6 Moderate 2 400 Imported 3.071 0.008
777 70 6 Moderate 3 1000 Imported 3.065 0.007
778 50 6 No 2 0 Domestic 3.052 0.007
779 50 6 No 1 200 Domestic 3.05 0.007
780 50 6 No 2 200 Domestic 3.05 0.007
781 50 6 No 3 200 Domestic 3.05 0.007
782 50 6 No 2 1000 Domestic 3.042 0.007
783 50 6 Severe 2 0 Domestic 3.01 0.007
784 50 6 Severe 1 200 Domestic 3.008 0.007
785 50 6 Severe 3 200 Domestic 3.008 0.007
786 50 6 Severe 3 400 Domestic 3.006 0.007
787 50 6 Severe 1 600 Domestic 3.004 0.007
788 50 6 Severe 1 800 Domestic 3.002 0.007
789 50 6 Severe 3 800 Domestic 3.002 0.007
790 50 12 Moderate 2 0 Domestic 2.972 0.007
791 50 12 Moderate 1 400 Domestic 2.968 0.007
792 50 12 Moderate 3 400 Domestic 2.968 0.007
793 50 12 Moderate 2 600 Domestic 2.966 0.007
794 50 12 Moderate 3 600 Domestic 2.966 0.007
795 50 18 No 1 0 Imported 2.949 0.007
796 50 18 No 3 200 Imported 2.947 0.007
797 50 18 No 3 400 Imported 2.945 0.007
798 50 18 No 2 600 Imported 2.943 0.007
799 50 18 No 2 800 Imported 2.941 0.007
800 50 18 No 2 1000 Imported 2.939 0.007
801 70 12 Severe 1 400 Domestic 2.913 0.006
802 70 12 Severe 3 600 Domestic 2.911 0.006
803 50 18 Severe 1 0 Imported 2.907 0.006
804 50 18 Severe 2 0 Imported 2.907 0.006
805 50 18 Severe 3 0 Imported 2.907 0.006
806 50 18 Severe 1 200 Imported 2.905 0.006
807 50 18 Severe 2 400 Imported 2.903 0.006
808 50 18 Severe 2 600 Imported 2.901 0.006
809 50 18 Severe 3 800 Imported 2.899 0.006
810 50 18 Severe 1 1000 Imported 2.897 0.006
811 70 6 Moderate 2 200 Domestic 2.895 0.006
812 70 6 Moderate 3 600 Domestic 2.891 0.006
813 70 6 Moderate 2 800 Domestic 2.889 0.006
814 70 6 Moderate 3 800 Domestic 2.889 0.006
815 70 6 Moderate 2 1000 Domestic 2.887 0.006
816 50 18 No 2 200 Domestic 2.769 0.006
817 50 18 No 1 400 Domestic 2.767 0.006
818 50 18 No 2 400 Domestic 2.767 0.006
819 50 18 No 1 600 Domestic 2.765 0.006
820 50 18 No 3 600 Domestic 2.765 0.006
821 50 18 No 3 800 Domestic 2.763 0.006
822 50 18 No 3 1000 Domestic 2.761 0.006
823 50 18 Severe 1 400 Domestic 2.725 0.005
824 50 18 Severe 3 400 Domestic 2.725 0.005
825 50 18 Severe 1 800 Domestic 2.721 0.005
826 50 18 Severe 2 800 Domestic 2.721 0.005
827 50 12 No 1 200 Imported 2.719 0.005
828 50 12 No 2 200 Imported 2.719 0.005
829 50 18 Severe 3 1000 Domestic 2.719 0.005
830 50 12 No 1 400 Imported 2.717 0.005
831 50 12 No 3 400 Imported 2.717 0.005
832 50 12 No 1 1000 Imported 2.711 0.005
833 50 12 Severe 2 200 Imported 2.677 0.005
834 50 12 Severe 2 400 Imported 2.675 0.005
835 50 12 Severe 3 400 Imported 2.675 0.005
836 50 12 Severe 3 600 Imported 2.673 0.005
837 50 12 Severe 1 800 Imported 2.671 0.005
838 50 6 Moderate 1 0 Imported 2.659 0.005
839 50 6 Moderate 2 0 Imported 2.659 0.005
840 50 6 Moderate 3 0 Imported 2.659 0.005
841 50 6 Moderate 2 200 Imported 2.657 0.005
842 50 6 Moderate 3 400 Imported 2.655 0.005
843 50 6 Moderate 3 600 Imported 2.653 0.005
844 50 6 Moderate 2 1000 Imported 2.649 0.005
845 70 6 Severe 1 0 Imported 2.604 0.005
846 70 6 Severe 3 0 Imported 2.604 0.005
847 70 6 Severe 1 200 Imported 2.602 0.005
848 70 6 Severe 3 200 Imported 2.602 0.005
849 70 6 Severe 3 400 Imported 2.6 0.005
850 70 6 Severe 1 600 Imported 2.598 0.005
851 70 6 Severe 2 600 Imported 2.598 0.005
852 70 6 Severe 3 600 Imported 2.598 0.005
853 70 6 Severe 1 800 Imported 2.596 0.005
854 70 6 Severe 2 1000 Imported 2.594 0.005
855 70 6 Severe 3 1000 Imported 2.594 0.005
856 50 12 No 1 0 Domestic 2.543 0.004
857 50 12 No 3 200 Domestic 2.541 0.004
858 50 12 No 3 800 Domestic 2.535 0.004
859 50 12 No 3 1000 Domestic 2.533 0.004
860 50 12 Severe 3 0 Domestic 2.501 0.004
861 50 12 Severe 1 200 Domestic 2.499 0.004
862 50 12 Severe 3 200 Domestic 2.499 0.004
863 50 12 Severe 1 600 Domestic 2.495 0.004
864 50 12 Severe 2 800 Domestic 2.493 0.004
865 50 12 Severe 3 800 Domestic 2.493 0.004
866 50 12 Severe 2 1000 Domestic 2.491 0.004
867 50 6 Moderate 1 400 Domestic 2.477 0.004
868 50 6 Moderate 2 400 Domestic 2.477 0.004
869 50 6 Moderate 1 600 Domestic 2.475 0.004
870 50 6 Moderate 1 800 Domestic 2.473 0.004
871 50 6 Moderate 2 800 Domestic 2.473 0.004
872 50 6 Moderate 3 800 Domestic 2.473 0.004
873 50 6 Moderate 1 1000 Domestic 2.471 0.004
874 70 6 Severe 2 0 Domestic 2.426 0.004
875 70 6 Severe 2 200 Domestic 2.424 0.004
876 70 6 Severe 2 800 Domestic 2.418 0.004
877 70 6 Severe 3 800 Domestic 2.418 0.004
878 70 6 Severe 1 1000 Domestic 2.416 0.004
879 50 18 Moderate 2 0 Imported 2.378 0.004
880 50 18 Moderate 1 200 Imported 2.376 0.004
881 50 18 Moderate 2 200 Imported 2.376 0.004
882 50 18 Moderate 3 200 Imported 2.376 0.004
883 50 18 Moderate 1 600 Imported 2.372 0.004
884 50 18 Moderate 2 600 Imported 2.372 0.004
885 50 18 Moderate 3 600 Imported 2.372 0.004
886 50 18 Moderate 1 800 Imported 2.37 0.004
887 50 18 Moderate 2 800 Imported 2.37 0.004
888 50 18 Moderate 1 1000 Imported 2.368 0.004
889 50 6 No 3 0 Imported 2.23 0.003
890 50 6 No 1 200 Imported 2.228 0.003
891 50 6 No 2 200 Imported 2.228 0.003
892 50 6 No 3 200 Imported 2.228 0.003
893 50 6 No 1 400 Imported 2.226 0.003
894 50 6 No 2 600 Imported 2.224 0.003
895 50 6 No 3 600 Imported 2.224 0.003
896 50 6 No 2 800 Imported 2.222 0.003
897 50 6 No 3 800 Imported 2.222 0.003
898 50 6 No 2 1000 Imported 2.22 0.003
899 50 18 Moderate 1 400 Domestic 2.196 0.003
900 50 18 Moderate 2 400 Domestic 2.196 0.003
901 50 6 Severe 1 0 Imported 2.188 0.003
902 50 6 Severe 3 0 Imported 2.188 0.003
903 50 6 Severe 2 400 Imported 2.184 0.003
904 50 6 Severe 2 600 Imported 2.182 0.003
905 50 6 Severe 1 800 Imported 2.18 0.003
906 50 12 Moderate 2 0 Imported 2.15 0.003
907 50 12 Moderate 2 200 Imported 2.148 0.003
908 50 12 Moderate 2 600 Imported 2.144 0.003
909 50 12 Moderate 3 600 Imported 2.144 0.003
910 50 12 Moderate 2 800 Imported 2.142 0.003
911 50 12 Moderate 1 1000 Imported 2.14 0.003
912 50 12 Moderate 3 1000 Imported 2.14 0.003
913 50 6 No 2 400 Domestic 2.048 0.003
914 50 6 No 3 400 Domestic 2.048 0.003
915 50 6 No 1 600 Domestic 2.046 0.003
916 50 6 No 1 800 Domestic 2.044 0.003
917 50 6 No 1 1000 Domestic 2.042 0.003
918 50 6 Severe 1 400 Domestic 2.006 0.003
919 50 6 Severe 3 600 Domestic 2.004 0.003
920 50 6 Severe 2 800 Domestic 2.002 0.003
921 50 6 Severe 1 1000 Domestic 2 0.003
922 50 6 Severe 2 1000 Domestic 2 0.003
923 50 6 Severe 3 1000 Domestic 2 0.003
924 50 12 Moderate 3 0 Domestic 1.972 0.003
925 50 12 Moderate 3 200 Domestic 1.97 0.002
926 50 12 Moderate 1 600 Domestic 1.966 0.002
927 50 12 Moderate 1 800 Domestic 1.964 0.002
928 50 12 Moderate 3 800 Domestic 1.964 0.002
929 50 12 Moderate 2 1000 Domestic 1.962 0.002
930 50 18 Severe 3 200 Imported 1.905 0.002
931 50 18 Severe 3 400 Imported 1.903 0.002
932 50 18 Severe 3 600 Imported 1.901 0.002
933 50 18 Severe 1 800 Imported 1.899 0.002
934 50 18 Severe 3 1000 Imported 1.897 0.002
935 50 18 Severe 2 0 Domestic 1.729 0.002
936 50 18 Severe 3 0 Domestic 1.729 0.002
937 50 18 Severe 2 200 Domestic 1.727 0.002
938 50 18 Severe 1 600 Domestic 1.723 0.002
939 50 18 Severe 2 1000 Domestic 1.719 0.002
940 50 12 Severe 1 0 Imported 1.679 0.002
941 50 12 Severe 2 0 Imported 1.679 0.002
942 50 12 Severe 1 200 Imported 1.677 0.002
943 50 12 Severe 1 400 Imported 1.675 0.002
944 50 12 Severe 1 600 Imported 1.673 0.002
945 50 12 Severe 2 600 Imported 1.673 0.002
946 50 12 Severe 1 1000 Imported 1.669 0.002
947 50 12 Severe 2 1000 Imported 1.669 0.002
948 50 6 Moderate 1 200 Imported 1.657 0.002
949 50 6 Moderate 1 600 Imported 1.653 0.002
950 50 6 Moderate 2 800 Imported 1.651 0.002
951 50 12 Severe 1 800 Domestic 1.493 0.002
952 50 12 Severe 3 1000 Domestic 1.491 0.002
953 50 6 Moderate 3 0 Domestic 1.481 0.002
954 50 6 Moderate 3 200 Domestic 1.479 0.002
955 50 6 Moderate 2 600 Domestic 1.475 0.002
956 50 6 Moderate 3 1000 Domestic 1.471 0.002
957 50 6 Severe 2 0 Imported 1.188 0.001
958 50 6 Severe 1 200 Imported 1.186 0.001
959 50 6 Severe 3 200 Imported 1.186 0.001
960 50 6 Severe 1 400 Imported 1.184 0.001
961 50 6 Severe 3 400 Imported 1.184 0.001
962 50 6 Severe 1 600 Imported 1.182 0.001
963 50 6 Severe 3 600 Imported 1.182 0.001
964 50 6 Severe 3 800 Imported 1.18 0.001
965 50 6 Severe 1 1000 Imported 1.178 0.001
966 50 6 Severe 2 1000 Imported 1.178 0.001
967 50 6 Severe 3 1000 Imported 1.178 0.001
968 50 6 Severe 1 0 Domestic 1.01 0.001
969 50 6 Severe 3 0 Domestic 1.01 0.001
970 50 6 Severe 2 200 Domestic 1.008 0.001
971 50 6 Severe 2 400 Domestic 1.006 0.001
972 50 6 Severe 2 600 Domestic 1.004 0.001

4. DISCUSSION

This study reports the results of a DCE study quantifying the general public's stated preference for the COVID‐19 vaccination programme. To our knowledge, this is the first study to investigate the public's preference for selecting such vaccination programmes in China and worldwide. Results of the DCE study showed that the respondents’ vaccination probability increased with an increase in the vaccine's effectiveness and protective duration as well as with a decrease in the severity of adverse events and price. The MXL estimates further suggest the existence of preference heterogeneity in five out of six attributes.

We contribute to the existing literature by finding that the Chinese population showed higher preference for an imported rather than a domestically manufactured COVID‐19 vaccine product. This is not a surprising result, as some previous studies have indicated the Chinese people's high preference for imported vaccine. 35 , 36 In the past few years, China has had several vaccine‐related scandals that severely diminished the general public's trust in the quality and effectiveness of domestically manufactured health products. 22 , 37 Moreover, several public health scandals have recently raised concerns about the government's protectionist policy against foreign imports of vaccines. Confidence in domestic medical product manufacturers and distributors reached a new low in 2018 after a major manufacturer was found to be selling faulty rabies and 'diphtheria, tetanus and pertussis' shots, which were supposed to save lives and protect infants. 38 Our findings confirmed that despite some Chinese pharmaceutical companies now taking a leading position in the race to develop the COVID‐19 vaccine, the long‐term vaccine crisis has had a significantly negative influence on the public's willingness to select a domestic vaccine. This is in line with the findings of previous studies that anxiety about vaccine safety reduces and even eliminates public's willingness towards taking vaccination. 24 , 39 , 40 However, we found that there appeared to be trade‐offs between attributes that participants considered to maximize the vaccines’ utility. For example, when the other conditions were unchanged, a domestic vaccine that was priced lower could result in a higher probability to be selected than an imported vaccine.

The public's WTP for a COVID‐19 vaccine is rarely reported; only a recent study indicated that the Chilean public's WTP for a COVID‐19 vaccine is nearly 184 USD. 11 In our study, both the main effect model and subgroup analyses confirmed that price has a limited influence on the public's preference for selecting a vaccine, and the highest price contributed only little to the decrease in the individuals’ overall utility. Although the leaders of several countries have already promised that the future COVID‐19 vaccines will be provided as 'public goods' and that their development will be paid for with taxes, we still include the price parameter in our DCE study. This is because, first, the way to translate these political statements into a concrete plan to provide a vaccine without charge to the public is yet to be determined. Moreover, governments of some countries, such as the United States, have confirmed that the COVID‐19 vaccine would have an actual price tag, which would limit its availability for many Americans. 41 The second reason is related to the development of the coronavirus. A new study has confirmed that mutations can make the SARS‐CoV‐2 virus more infectious. 42 If this is true, development of the COVID‐19 vaccine would not be a one‐off effort, but a long‐term process. The cost of providing a free COVID‐19 vaccine to the public season by season would then be a significant financial burden and an impossible mission for some developing countries. Therefore, our WTP estimations provide useful information for policymakers to develop a reasonable pricing strategy to commoditize the COVID‐19 vaccine in the market. In addition, we should not neglect the effect of 'free‐riding' behaviours, which were reported by previous studies about vaccination decisions. 16 , 43 , 44 Price is likely to only have a slight influence on individuals’ vaccination preference, not because they do not care about the cost of vaccination but because they would not get vaccinated and hope to be covered by herd immunity. Herd immunity is developed when other people take the vaccine and create a sufficiently high coverage to protect everyone. Further, the price of vaccination in our study was limited to five levels, and the public's decisions on the choices might be affected by this predefined price range. However, at the time of conducting the study, no COVID‐19 vaccine was available in the market. The price range was informed by (1) the prices of the other vaccines, such as influenza and pneumonia, that are available in China, and (2) suggestions from experts who had knowledge and experience in vaccine pricing and procurement. Yet, the effect of different price range on the public's preference over vaccines should be further investigated in follow‐up studies.

The subgroup analysis further demonstrated that the female respondents were more likely to select a COVID‐19 vaccine with higher effectiveness, longer protective duration, fewer adverse events and fewer injections than the male respondents. However, the females’ preference for vaccination seemed to be more sensitive to increased price. Although previous studies indicated that females are more likely to take up other vaccines than males, 45 , 46 none discussed the effect of price on the decision making between males and females. Some possible explanations for this might be differences in the SES and health status, and provider bias.

This study showed that urban residents preferred a vaccine with higher effectiveness, whereas rural residents preferred longer protective duration. Although several previous studies have reported low vaccination coverage in rural populations, 47 , 48 , 49 none compared the individual vaccination preferences between the rural and the urban areas. The distribution of high‐quality health‐care resources is highly uneven in China. 50 Regarding the COVID‐19 vaccine, urban residents in this study preferred a product with higher efficiency, indicating that they are able and confident about affording another shot when the protective duration expires. However, for rural residents, health‐care systems often struggle to meet their needs. 51 Compared with urban residents, the limited selection for rural residents makes them prefer a vaccine without very high efficiency but with a longer protective duration to reduce the frequency of visits and costs. Our findings indicate that although urban and rural people's preference to uptake a vaccine is similar to some extent, as previous studies have revealed, the main determinant of the vaccination choice remains different since high‐quality health‐care resources are perceived to be more difficult to approach in rural areas. 46 , 52 , 53

Methodologically, in this study, we chose to use DCE over another stated preference method—contingent valuation (CV)—for three reasons. First, DCE provides more information than CV and allows the estimation of the marginal WTP for different levels and attributes. 54 Second, unlike CV which directly elicits the monetary value of a product, DCE mitigates certain ethical concerns in survey research. 55 Third, compared with CV, DCE provides better opportunities for researchers to identify people's trade‐offs between different attributes of a product. 56 However, it is worth noting that DCE usually generates a higher cognitive burden than CV, especially when the design of a DCE is complicated or the sample size is a relatively small one.

5. LIMITATIONS OF THE STUDY

Several limitations of our research must be addressed. First, our data were collected from an online survey, which means that people who did not have access to the Internet were excluded from the survey, which is likely to lead to a selection bias. Second, compared with the Chinese general population, our sample is much younger, better educated and has a higher income. Nearly 80% of them reported having an average monthly income greater than the national median. Methodologically, an inherent characteristic of DCE is that respondents have to make a choice between two hypothetical profiles. However, in the real world, they might be presented with more options. Hence, the generalizability of our findings is limited. Third, the low utility of adverse events in our study might be resulted from setting up the range of adverse events at relatively milder levels in the first place. Furthermore, although explanations on the attributes and levels of the profiles were provided in the survey, some participants might not read them carefully or even misunderstood the profiles. Therefore, the validity of our findings is not without concern. Finally, a more heterogeneous approach is needed in future studies by including different stated preference methods such as CV, or statistical techniques such as hierarchical Bayes.

6. CONCLUSIONS

This study found that 80% of the Chinese public who participated in the survey preferred to receive the COVID‐19 vaccination when it is available. More than 40% of them indicated that the elderly should be prioritized for the vaccination programme. When the participants were facing trade‐offs between two COVID‐19 vaccination programmes, effectiveness was regarded as the most important attribute, followed by long protective duration, very few adverse events and being manufactured overseas. Interestingly, price was the least important attribute affecting the public preference in selecting the COVID‐19 vaccine.

However, such findings need to be interpreted with caution. The distribution of income levels among our sample was skewed towards the higher end of national average. The public with lower incomes who will be more sensitive to prices was in fact unrepresented. Moreover, since the SARS‐CoV‐2 is still mutating, it is hard to predict the effectiveness of the vaccines that are currently under development, and thus, the final prices of these vaccines are largely unknown. Therefore, we suggest that price should not be considered as less important when the industry and the government design and implement marketing and policy strategies related to the COVID‐19 vaccines. It is also worth noting that different population subgroups had heterogeneous or varied preferences on the vaccine, which further reminds us of the importance of taking individuals’ or a certain social group's needs into consideration for any vaccination programme. Follow‐up studies from other countries are needed to investigate how the public's acceptance and preference for COVID‐19 vaccination change over time as the pandemic progresses. Not only does the development of vaccines against COVID‐19 has to be a global effort, building trust in and promoting equity access to the COVID‐19 vaccines also require co‐operation at the global level.

CONFLICT OF INTEREST

All the authors declare no conflict of interest.

AUTHOR CONTRIBUTIONS

DD, RHX, DF and SW conceptualized and designed the research protocol of the study. EW, CH, EY and FZC commented on the research design and helped revise the design. DD and RHX implemented data collection and interpretation. DD and RHX wrote the first draft of the manuscript. CH ad SW revised the first draft. All authors were involved in revising the article in the third round and approved the final manuscript.

ETHICAL APPROVAL

The study was approved by the Survey and Behavioural Research Ethics Committee of the Chinese University of Hong Kong. The ethics approval code is SBRE‐19‐690.

7. APPENDIX

7.1.

ACKNOWLEDGEMENTS

The authors would like to thank participants for interviews and focus groups for sharing their perceptions of and experience with vaccines.

Dong D, Xu RH, Wong EL, et al. Public preference for COVID‐19 vaccines in China: A discrete choice experiment. Health Expect. 2020;23:1543–1578. 10.1111/hex.13140

Dong Dong and Richard Huan Xu contributed equally to this article.

Eng‐kiong Yeoh and Samuel Yeung‐shan Wong co‐senior authorship.

Funding information

This research was funded by the Centre for Health Systems and Policy Research of the Chinese University of Hong Kong. The Centre was supported by the Tung Foundation (Project code: 6905422).

Contributor Information

Dong Dong, Email: dongdong@cuhk.edu.hk.

Richard Huan Xu, Email: richardhxu@cuhk.edu.hk.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding authors upon reasonable request.

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Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Data Availability Statement

The data that support the findings of this study are available from the corresponding authors upon reasonable request.


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