Willingness to pay for a hypothetical HIV/AIDS insurance in Iran
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Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Student Research Community, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Submission date: 2021-12-30
Final revision date: 2022-04-01
Acceptance date: 2022-04-04
Online publication date: 2024-05-18
Corresponding author
Mehdi Basakha   

University of Social Welfare and Rehabilitation Sciences
HIV & AIDS Review 2024;23(2):160-166
In contrast to regional trend, human immunodeficiency virus (HIV) continues to be a serious health concern in Iran. Access to antiretroviral therapy is free in the country, and can result in a heavy economic burden for public sector in the near future. The purpose of this study was to investigate the willingness to pay for hypothetical HIV/acquired immunodeficiency syndrome (AIDS) insurance in people living in Tehran.

Material and methods:
A cross-sectional survey was conducted among 400 participants, aged over 23 years in 2018. The survey was conducted using multi-stage cluster sampling, and included questions on socio-demographics, exposure to HIV risk, and willingness to pay for a hypothetical insurance scheme.

The majority of participants expressed a willingness to pay for hypothetical insurance coverage within the 3-6 million IRR range, with the largest group (20.1%) willing to pay between 1-2 million IRR ($US 66-133). Fewer than half of the participants (45.3%) were willing to pay for insurance coverage, with significant variations observed among socio-demographic subgroups. The primary reason cited by participants for declining to purchase insurance was their perception of the low risk of HIV infection. After investigating socio-demographic factors, exposure to HIV risk was associated with a 9.1% higher odds of WTP (OR = 0.913; 95% CI: 816-0.968%, p < 0.01).

This analysis provided initial estimations of willingness to pay for HIV/AIDS insurance in Iran. The findings can provide evidences, which can contribute to planning for a sustainable delivery of HIV treatment.

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