Background Acceptance and willingness to pay for the COVID-19 vaccine are unknown. Aims We compared attitudes toward COVID-19 vaccination in people suffering from depression or anxiety disorder and people without mental disorders, and their willingness to pay for it. Method Adults with depression or anxiety disorder ( n = 79) and healthy controls ( n = 134) living in Chongqing, China, completed a cross-sectional study between 13 and 26 January 2021. We used a validated survey to assess eight aspects related to attitudes toward the COVID-19 vaccines. Psychiatric symptoms were assessed by the 21-item Depression, Anxiety and Stress Scale. Results Seventy-six people with depression or anxiety disorder (96.2%) and 134 healthy controls (100%) reported willingness to receive the COVID-19 vaccine. A significantly higher proportion of people with depression or anxiety disorder (64.5%) were more willing to pay for the COVID-19 vaccine than healthy controls (38.1%) ( P ≤ 0.001). After multivariate adjustment, severity of depression and anxiety was significantly associated with willingness to pay for COVID-19 vaccination among psychiatric patients ( P = 0.048). Non-healthcare workers ( P = 0.039), health insurance ( P = 0.003), living with children ( P = 0.006) and internalised stigma ( P = 0.002) were significant factors associated with willingness to pay for COVID-19 vaccine in healthy controls. Conclusions To conclude, psychiatric patients in Chongqing, China, showed high acceptance and willingness to pay for the COVID-19 vaccine. Factors associated with willingness to pay for the COVID-19 vaccine differed between psychiatric patients and healthy controls.
【저자키워드】 COVID-19, Vaccine, Anxiety, Depression, Insomnia, 【초록키워드】 COVID-19 vaccine, cross-sectional, children, severity, Mental Disorders, China, COVID-19 vaccines, Health, COVID-19 vaccination, Patient, acceptance, Psychiatric, Factor, healthy control, healthy controls, Stress Scale, multivariate adjustment, disorder, Chongqing, Result, significantly, proportion, reported, eight, significantly higher, receive, Psychiatric symptom, were assessed, 【제목키워드】 Mental disorder, China, COVID-19 vaccination, Attitude,