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The role of education in the uptake of preventative health care: The case of cervical screening in Britain

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  • Sabates, Ricardo
  • Feinstein, Leon
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    Abstract

    This paper reports findings on the relationship between education and the take-up of screening for cervical cancer, as an example of preventative health-care activity. Theoretically, education can enhance the demand for preventative health services by raising awareness of the importance of undertaking regular health check-ups and may also improve the ways in which individuals understand information regarding periodical tests, communicate with the health practitioner, and interpret results. Furthermore, education enhances the inclusion of individuals in society, improving self-efficacy and confidence. All these factors may increase service uptake. The empirical analysis uses data from the British Household Panel Survey (BHPS) and applies techniques for discrete panel data to estimate the parameters of the model. Results show that adult learning leading to qualifications is statistically associated with an increase in the uptake of screening. The marginal effect indicates that participation in courses leading to qualifications increases the probability of having a smear test between 4.3 and 4.4 percentage points. This estimate is strongly robust to time-invariant selectivity bias in education and the inclusion of income, class, occupation, and parental socio-economic status. These findings enrich existing evidence on the socio-economic determinants of screening for cervical cancer and enable policy makers to better understand barriers to service uptake.

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    File URL: http://www.sciencedirect.com/science/article/B6VBF-4HYV0B3-1/2/f867adb5e8acb3debfd86674b445d00b
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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 62 (2006)
    Issue (Month): 12 (June)
    Pages: 2998-3010

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    Handle: RePEc:eee:socmed:v:62:y:2006:i:12:p:2998-3010

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    Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description

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    Related research

    Keywords: Britain Education Screening Cancer;

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    Cited by:
    1. Hackl, Franz & Halla, Martin & Hummer, Michael & Pruckner, Gerald J., 2012. "The Effectiveness of Health Screening," IZA Discussion Papers 6310, Institute for the Study of Labor (IZA).
    2. Vogt, Verena & Siegel, Martin & Sundmacher, Leonie, 2014. "Examining regional variation in the use of cancer screening in Germany," Social Science & Medicine, Elsevier, vol. 110(C), pages 74-80.

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