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Eliciting women's preference for prenatal testing in China: a discrete choice experiment
Pregnancy tests can be used for the early diagnosis of fetal problems and can prevent abnormal birth in pregnancies. Yet, testing preferences among Chinese women are poorly investigated. We developed a Discrete Choice Experiment with 5 attributes: test procedure, detection rate, miscarriage rate, ti...
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| Published in: | BMC pregnancy and childbirth 2020-10, Vol.20 (1), p.604-604, Article 604 |
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| creator | Wu, Liangzhi Wu, Yanxin Zou, Shiqian Sun, Cong Chen, Junyu Li, Xueyan Lin, Zihang Guan, Lizhi Zeng, Qing Zhao, Sihan Liang, Jingtong Chen, Rui Hu, Zhiwen Au, Kingyan Xie, Daipeng Xiao, Xiaomin Ming, Wai-Kit |
| description | Pregnancy tests can be used for the early diagnosis of fetal problems and can prevent abnormal birth in pregnancies. Yet, testing preferences among Chinese women are poorly investigated.
We developed a Discrete Choice Experiment with 5 attributes: test procedure, detection rate, miscarriage rate, time to wait for result, and test cost. By studying the choices that the women make in the hypothetical scenarios and comparing the attributes and levels, we can analyze the women's preference of prenatal testing in China.
Ninety-two women completed the study. Respondents considered the test procedure as the most important attribute, followed by detection rate, miscarriage rate, wait time for result, and test cost, respectively. The estimated preference weight for the non-invasive procedure was 0.928 (P |
| doi_str_mv | 10.1186/s12884-020-03270-7 |
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We developed a Discrete Choice Experiment with 5 attributes: test procedure, detection rate, miscarriage rate, time to wait for result, and test cost. By studying the choices that the women make in the hypothetical scenarios and comparing the attributes and levels, we can analyze the women's preference of prenatal testing in China.
Ninety-two women completed the study. Respondents considered the test procedure as the most important attribute, followed by detection rate, miscarriage rate, wait time for result, and test cost, respectively. The estimated preference weight for the non-invasive procedure was 0.928 (P < 0.0001). All other attributes being equal, the odds of choosing a non-invasive testing procedure over an invasive one was 2.53 (95% confidence interval, 2.42-2.64; P < 0.001). Participants were willing to pay up to RMB$28,810 (approximately US$4610) for a non-invasive test, RMB$6061(US$970) to reduce the miscarriage rate by 1% and up to RMB$3356 (US$537) to increase the detection rate by 1%. Compared to other DCE (Discrete Choice Experiment) studies regarding Down's syndrome screening, women in our study place relatively less emphasis on test safety.
The present study has shown that Chinese women place more emphasis on detection rate than test safety. Chinese women place great preference on noninvasive prenatal testing, which indicate a popular need of incorporating noninvasive prenatal testing into the health insurance coverage in China. This study provided valuable evidence for the decision makers in the Chinese government.</description><identifier>ISSN: 1471-2393</identifier><identifier>EISSN: 1471-2393</identifier><identifier>DOI: 10.1186/s12884-020-03270-7</identifier><identifier>PMID: 33032548</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>Abortion, Spontaneous - etiology ; Abortion, Spontaneous - prevention & control ; Adult ; Amniotic fluid ; China ; Choice Behavior ; Diagnostic tests ; Discrete choice experiment ; Down syndrome ; Down Syndrome - diagnosis ; Experiments ; Female ; Hospitals ; Humans ; Medical diagnosis ; Medical screening ; Miscarriage ; Obstetrics ; Patient Preference - economics ; Patient Preference - psychology ; Patient Preference - statistics & numerical data ; Preferences ; Pregnancy ; Pregnancy complications ; Prenatal diagnosis ; Prenatal Diagnosis - adverse effects ; Prenatal Diagnosis - economics ; Prenatal Diagnosis - psychology ; Prenatal Diagnosis - statistics & numerical data ; Questionnaires ; Software ; Statistical analysis ; Surveys and Questionnaires - statistics & numerical data ; Women ; Womens health</subject><ispartof>BMC pregnancy and childbirth, 2020-10, Vol.20 (1), p.604-604, Article 604</ispartof><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c563t-27a2610d7b8b6ec444fb53c88d20a5fe90043412962144c25469b851f7d673043</citedby><cites>FETCH-LOGICAL-c563t-27a2610d7b8b6ec444fb53c88d20a5fe90043412962144c25469b851f7d673043</cites><orcidid>0000-0002-8846-7515</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7542883/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2451931338?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33032548$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Liangzhi</creatorcontrib><creatorcontrib>Wu, Yanxin</creatorcontrib><creatorcontrib>Zou, Shiqian</creatorcontrib><creatorcontrib>Sun, Cong</creatorcontrib><creatorcontrib>Chen, Junyu</creatorcontrib><creatorcontrib>Li, Xueyan</creatorcontrib><creatorcontrib>Lin, Zihang</creatorcontrib><creatorcontrib>Guan, Lizhi</creatorcontrib><creatorcontrib>Zeng, Qing</creatorcontrib><creatorcontrib>Zhao, Sihan</creatorcontrib><creatorcontrib>Liang, Jingtong</creatorcontrib><creatorcontrib>Chen, Rui</creatorcontrib><creatorcontrib>Hu, Zhiwen</creatorcontrib><creatorcontrib>Au, Kingyan</creatorcontrib><creatorcontrib>Xie, Daipeng</creatorcontrib><creatorcontrib>Xiao, Xiaomin</creatorcontrib><creatorcontrib>Ming, Wai-Kit</creatorcontrib><title>Eliciting women's preference for prenatal testing in China: a discrete choice experiment</title><title>BMC pregnancy and childbirth</title><addtitle>BMC Pregnancy Childbirth</addtitle><description>Pregnancy tests can be used for the early diagnosis of fetal problems and can prevent abnormal birth in pregnancies. Yet, testing preferences among Chinese women are poorly investigated.
We developed a Discrete Choice Experiment with 5 attributes: test procedure, detection rate, miscarriage rate, time to wait for result, and test cost. By studying the choices that the women make in the hypothetical scenarios and comparing the attributes and levels, we can analyze the women's preference of prenatal testing in China.
Ninety-two women completed the study. Respondents considered the test procedure as the most important attribute, followed by detection rate, miscarriage rate, wait time for result, and test cost, respectively. The estimated preference weight for the non-invasive procedure was 0.928 (P < 0.0001). All other attributes being equal, the odds of choosing a non-invasive testing procedure over an invasive one was 2.53 (95% confidence interval, 2.42-2.64; P < 0.001). Participants were willing to pay up to RMB$28,810 (approximately US$4610) for a non-invasive test, RMB$6061(US$970) to reduce the miscarriage rate by 1% and up to RMB$3356 (US$537) to increase the detection rate by 1%. Compared to other DCE (Discrete Choice Experiment) studies regarding Down's syndrome screening, women in our study place relatively less emphasis on test safety.
The present study has shown that Chinese women place more emphasis on detection rate than test safety. Chinese women place great preference on noninvasive prenatal testing, which indicate a popular need of incorporating noninvasive prenatal testing into the health insurance coverage in China. This study provided valuable evidence for the decision makers in the Chinese government.</description><subject>Abortion, Spontaneous - etiology</subject><subject>Abortion, Spontaneous - prevention & control</subject><subject>Adult</subject><subject>Amniotic fluid</subject><subject>China</subject><subject>Choice Behavior</subject><subject>Diagnostic tests</subject><subject>Discrete choice experiment</subject><subject>Down syndrome</subject><subject>Down Syndrome - diagnosis</subject><subject>Experiments</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Medical diagnosis</subject><subject>Medical screening</subject><subject>Miscarriage</subject><subject>Obstetrics</subject><subject>Patient Preference - economics</subject><subject>Patient Preference - psychology</subject><subject>Patient Preference - statistics & numerical data</subject><subject>Preferences</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Prenatal diagnosis</subject><subject>Prenatal Diagnosis - adverse effects</subject><subject>Prenatal Diagnosis - economics</subject><subject>Prenatal Diagnosis - psychology</subject><subject>Prenatal Diagnosis - statistics & numerical data</subject><subject>Questionnaires</subject><subject>Software</subject><subject>Statistical analysis</subject><subject>Surveys and Questionnaires - statistics & numerical data</subject><subject>Women</subject><subject>Womens health</subject><issn>1471-2393</issn><issn>1471-2393</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdUstuEzEUtRAVfcAPsEAjsaCbKX6ObRZIVVSgUiU2ILGzPPadxNFkHOwJhb_nNilVy8qPe865r0PIa0YvGDPd-8q4MbKlnLZUcE1b_YycMKlZy4UVzx_dj8lprWtKmTaKviDHQiBBSXNCflyNKaQ5TcvmNm9gelebbYEBCkwBmiGXu-fkZz82M9Q9Lk3NYpUm_6HxTUw1FJihCauckAC_t1AS6swvydHgxwqv7s8z8v3T1bfFl_bm6-frxeVNG1Qn5pZrzztGo-5N30GQUg69EsGYyKlXA1hKpZCM244zKQMW3dneKDbo2GmBsTNyfdCN2a_dFpP78sdln9z-I5el82VOYQQXaDRegQwR8wCXfa8FdFaFweohKoZaHw9a212_gRiwjeLHJ6JPI1NauWX-5bSSuAqBAuf3AiX_3OG83AYHBOPoJ8i76riU1iohLEXo2_-g67wrE44KUYpZwYQwiOIHVCi5VlzMQzGMujsTuIMJHJrA7U3gNJLePG7jgfJv6-IvPKqsfA</recordid><startdate>20201008</startdate><enddate>20201008</enddate><creator>Wu, Liangzhi</creator><creator>Wu, Yanxin</creator><creator>Zou, Shiqian</creator><creator>Sun, Cong</creator><creator>Chen, Junyu</creator><creator>Li, Xueyan</creator><creator>Lin, Zihang</creator><creator>Guan, Lizhi</creator><creator>Zeng, Qing</creator><creator>Zhao, Sihan</creator><creator>Liang, Jingtong</creator><creator>Chen, Rui</creator><creator>Hu, Zhiwen</creator><creator>Au, Kingyan</creator><creator>Xie, Daipeng</creator><creator>Xiao, Xiaomin</creator><creator>Ming, Wai-Kit</creator><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-8846-7515</orcidid></search><sort><creationdate>20201008</creationdate><title>Eliciting women's preference for prenatal testing in China: a discrete choice experiment</title><author>Wu, Liangzhi ; Wu, Yanxin ; Zou, Shiqian ; Sun, Cong ; Chen, Junyu ; Li, Xueyan ; Lin, Zihang ; Guan, Lizhi ; Zeng, Qing ; Zhao, Sihan ; Liang, Jingtong ; Chen, Rui ; Hu, Zhiwen ; Au, Kingyan ; Xie, Daipeng ; Xiao, Xiaomin ; Ming, Wai-Kit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c563t-27a2610d7b8b6ec444fb53c88d20a5fe90043412962144c25469b851f7d673043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abortion, Spontaneous - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC pregnancy and childbirth</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Liangzhi</au><au>Wu, Yanxin</au><au>Zou, Shiqian</au><au>Sun, Cong</au><au>Chen, Junyu</au><au>Li, Xueyan</au><au>Lin, Zihang</au><au>Guan, Lizhi</au><au>Zeng, Qing</au><au>Zhao, Sihan</au><au>Liang, Jingtong</au><au>Chen, Rui</au><au>Hu, Zhiwen</au><au>Au, Kingyan</au><au>Xie, Daipeng</au><au>Xiao, Xiaomin</au><au>Ming, Wai-Kit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Eliciting women's preference for prenatal testing in China: a discrete choice experiment</atitle><jtitle>BMC pregnancy and childbirth</jtitle><addtitle>BMC Pregnancy Childbirth</addtitle><date>2020-10-08</date><risdate>2020</risdate><volume>20</volume><issue>1</issue><spage>604</spage><epage>604</epage><pages>604-604</pages><artnum>604</artnum><issn>1471-2393</issn><eissn>1471-2393</eissn><abstract>Pregnancy tests can be used for the early diagnosis of fetal problems and can prevent abnormal birth in pregnancies. Yet, testing preferences among Chinese women are poorly investigated.
We developed a Discrete Choice Experiment with 5 attributes: test procedure, detection rate, miscarriage rate, time to wait for result, and test cost. By studying the choices that the women make in the hypothetical scenarios and comparing the attributes and levels, we can analyze the women's preference of prenatal testing in China.
Ninety-two women completed the study. Respondents considered the test procedure as the most important attribute, followed by detection rate, miscarriage rate, wait time for result, and test cost, respectively. The estimated preference weight for the non-invasive procedure was 0.928 (P < 0.0001). All other attributes being equal, the odds of choosing a non-invasive testing procedure over an invasive one was 2.53 (95% confidence interval, 2.42-2.64; P < 0.001). Participants were willing to pay up to RMB$28,810 (approximately US$4610) for a non-invasive test, RMB$6061(US$970) to reduce the miscarriage rate by 1% and up to RMB$3356 (US$537) to increase the detection rate by 1%. Compared to other DCE (Discrete Choice Experiment) studies regarding Down's syndrome screening, women in our study place relatively less emphasis on test safety.
The present study has shown that Chinese women place more emphasis on detection rate than test safety. Chinese women place great preference on noninvasive prenatal testing, which indicate a popular need of incorporating noninvasive prenatal testing into the health insurance coverage in China. This study provided valuable evidence for the decision makers in the Chinese government.</abstract><cop>England</cop><pub>BioMed Central</pub><pmid>33032548</pmid><doi>10.1186/s12884-020-03270-7</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-8846-7515</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Abortion, Spontaneous - etiology Abortion, Spontaneous - prevention & control Adult Amniotic fluid China Choice Behavior Diagnostic tests Discrete choice experiment Down syndrome Down Syndrome - diagnosis Experiments Female Hospitals Humans Medical diagnosis Medical screening Miscarriage Obstetrics Patient Preference - economics Patient Preference - psychology Patient Preference - statistics & numerical data Preferences Pregnancy Pregnancy complications Prenatal diagnosis Prenatal Diagnosis - adverse effects Prenatal Diagnosis - economics Prenatal Diagnosis - psychology Prenatal Diagnosis - statistics & numerical data Questionnaires Software Statistical analysis Surveys and Questionnaires - statistics & numerical data Women Womens health |
| title | Eliciting women's preference for prenatal testing in China: a discrete choice experiment |
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