目的:探讨经济因素对农村成人乙肝疫苗支付意愿的影响并且提供建议。方法:采用概率比例规模抽样方法在保定市2个县的6个村,抽取1 393名16~60岁无乙肝疫苗接种史的农村成人,进行问卷调查和数据分析。结果:家庭人均年收入水平、未来经济状况预期和时间成本影响其支付意愿,费用因素是第二位阻碍因素,随着每针次相应补贴金额,40%以上调查者愿意接受乙肝疫苗。结论:经济因素会影响农村成人乙肝疫苗支付意愿,应为弱势群体和高危人群提供补贴,将疫苗接种纳入新农合等医保支付等。 Objectives: To explore the impact of economic factors on the willingness to pay for rural adult hepatitis B vaccines and to provide advice. Methods: A total of 1 393 rural adults aged 16-60 years without history of hepatitis B vaccination were collected in 6 villages in 2 counties of Baoding using the probabilistic scale sampling method. Questionnaires and data analysis were conducted. Results: The per capita annual income of the family, future economic status and the time cost affect their willingness to pay. The cost factor is the second obstacle. With more subsidies per needle, more than 40% of the respondents are willing to accept the hepatitis B vaccine. Conclusion: Economic factors will affect the willingness of rural adults to pay for hepatitis B vaccine, provide subsidies to vulnerable groups and high-risk groups, and include vaccination in new rural cooperative medical insurance and other medical insurance payments.