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The Effect of Education on Health Behavior after Screening for Colorectal Cancer

In: Human Capital and Health Behavior

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  • Eline Aas
  • Tor Iversen
  • Geir Hoff

Abstract

Misinterpretation of a negative test results in health screening may initiate less preventive effort and more future lifestyle-related disease. We predict that misinterpretation occurs more frequently among individuals with a low level of education compared with individuals with a high level of education. The empirical analyses are based on unique data from a randomized controlled screening experiment in Norway, NORCCAP (NORwegian Colorectal Cancer Prevention). The dataset consists of approximately 50,000 individuals, of whom 21,000 were invited to participate in a once only screening with sigmoidoscopy. For all individuals, we also have information on outpatient consultations and inpatient stays and education. The result of health behaviour is mainly measured by lifestyle-related diseases, such as COPD, hypertension and diabetes type 2, identified by ICD-10 codes. The results according to intention-to-treat indicate that screening does not increase the occurrence of lifestyle related diseases among individuals with a high level of education, while there is an increase for individuals with low levels of education. These results are supported by the further analyses among individuals with a negative screening test.

Suggested Citation

  • Eline Aas & Tor Iversen & Geir Hoff, 2017. "The Effect of Education on Health Behavior after Screening for Colorectal Cancer," Advances in Health Economics and Health Services Research, in: Human Capital and Health Behavior, volume 25, pages 207-242, Emerald Group Publishing Limited.
    • Handle: RePEc:eme:aheszz:s0731-219920170000025007
    DOI: 10.1108/S0731-219920170000025007
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