Evidence map›Paper›PMID 41191277›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2026

Are there differences in health state preferences between urban and rural respondents? a comparison using time trade-off and discrete choice experiment.

Shitong Xie, Jing Wu, Feng Xie

Abstract readComparative Study
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Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

Shitong XieSchool of Pharmaceutical Science and Technology, Tianjin University, Tianjin, China.
Jing WuSchool of Pharmaceutical Science and Technology, Tianjin University, Tianjin, China. jingwu@tju.edu.cn.ORCID http://orcid.org/0000-0002-6012-2785
Feng XieDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.

Funding

National Natural Science Foundation of China 72174142National Natural Science Foundation of China 72404205Natural Science Foundation of Tianjin Municipal Science and Technology Commission 23JCQNJC01650
6 · The paper itself

Abstract

objectivesTo compare health state preferences elicited using composite time trade-off (cTTO) and discrete choice experiment with duration (DCE

methodsRespondents from the general population were recruited in urban and rural areas across China. Responses of 8 cTTO tasks and 10 DCE

resultsOf 3,320 respondents (50.3% male, age range 18-90 years) included, 1,980 (59.6%) resided in urban areas. The mean cTTO value was significantly different between urban and rural respondents across all 295 evaluated states, with the mean (SD) difference of 0.014 (0.119) (range: -0.283 to 0.375). After adjustment, urban respondents assigned significantly higher cTTO values (Coef. = 0.021, p = 0.034). In cTTO value set, the MAD between urban and rural was 0.0276 for states with mean value > 0.5, 0.0327 for states with mean value 0-0.5, and 0.0300 for those states with negative values. For DCE

conclusionRural respondents tended to assign a lower utility value than urban respondents when evaluating the same state, reflecting an observable urban-rural preference gap.

Indexed as

Choice BehaviorHealth StatusRural PopulationUrban PopulationAdolescentAdultAgedAged, 80 and overChinaFemaleHumansInterviews as TopicMaleMiddle AgedSocioeconomic FactorsTime FactorsDiscrete choice experimentPreferenceRuralSF-6DTime trade-offUrbanUtility

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