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Why worry about awareness in choice problems? Econometric analysis of screening for cervical cancer

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  • Rosalie Viney
  • Marion Haas
  • Rochelle Belkar
  • Denzil G. Fiebig

Abstract

Cervical cancer is one of the most preventable and curable forms of cancer. Since 1991 there has been a concerted effort in Australia to recommend and encourage women to have Pap smears every two years. Part of the success of this National Cervical Screening Program can be gauged by exploring the determinants of screening for cervical cancer among high-risk women and by addressing the specific question of whether screening is associated with socio-economic status. Accessibility to health services remains a core goal in health policy in Australia but evidence on whether the goal is being met is limited. Using unit record data from the 1995 National Health Survey, an econometric model is developed for whether women have ever screened or not. A proportion of women in the sample contend that they have never heard of a Pap test. The analysis characterizes this group of women and accounts for their presence in our modelling

Suggested Citation

  • Rosalie Viney & Marion Haas & Rochelle Belkar & Denzil G. Fiebig, 2004. "Why worry about awareness in choice problems? Econometric analysis of screening for cervical cancer," Econometric Society 2004 Australasian Meetings 109, Econometric Society.
    • Handle: RePEc:ecm:ausm04:109
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    Cited by:

    1. Maximilien Nayaradou & Célia Berchi & Olivier Dejardin & Guy Launoy, 2010. "Eliciting Population Preferences for Mass Colorectal Cancer Screening Organization," Medical Decision Making, , vol. 30(2), pages 224-233, March.
    2. Esther W. de Bekker‐Grob & Mandy Ryan & Karen Gerard, 2012. "Discrete choice experiments in health economics: a review of the literature," Health Economics, John Wiley & Sons, Ltd., vol. 21(2), pages 145-172, February.
    3. Katherine Carman & Ilaria Mosca, 2014. "Who Takes Up Free Flu Shots? Examining the Effects of an Expansion in Coverage," De Economist, Springer, vol. 162(1), pages 1-17, March.
    4. Fiebig, Denzil G. & Haas, Marion & Hossain, Ishrat & Street, Deborah J. & Viney, Rosalie, 2009. "Decisions about Pap tests: What influences women and providers?," Social Science & Medicine, Elsevier, vol. 68(10), pages 1766-1774, May.
    5. Meliyanni Johar & Denzil Fiebig & Marion Haas & Rosalie Viney, 2009. "Evaluating changes in women's attitudes towards cervical screening following a screening promotion campaign and a free vaccination program. CHERE Working Paper 2009/3," Working Papers 2009/3, CHERE, University of Technology, Sydney.
    6. Carman, K.G. & Mosca, I., 2011. "Who Takes Advantage of Free Flu Shots? Examining the Effects of an Expansion in Coverage," Discussion Paper 2011-024, Tilburg University, Center for Economic Research.
    7. BOUCKAERT, Nicolas & SCHOKKAERT, Erik, 2013. "Differing types of medical prevention appeal to different individuals," LIDAM Discussion Papers CORE 2013038, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
    8. Belkar, R. & Fiebig, D.G., 2008. "A Monte Carlo comparison of estimators for a bivariate probit model with selection," Mathematics and Computers in Simulation (MATCOM), Elsevier, vol. 78(2), pages 250-256.
    9. Carman, K.G. & Kooreman, P., 2010. "Flu Shots, Mammogram, and the Perception of Probabilities," Other publications TiSEM fba970b8-6fc7-449b-acf9-9, Tilburg University, School of Economics and Management.
    10. Alessandro Mengoni & Chiara Seghieri & Sabina Nuti, 2013. "The application of discrete choice experiments in health economics: a systematic review of the literature," Working Papers 201301, Scuola Superiore Sant'Anna of Pisa, Istituto di Management.
    11. Denzil G. Fiebig & Rosalie Viney & Stephanie Knox & Marion Haas & Deborah J. Street & Arne R. Hole & Edith Weisberg & Deborah Bateson, 2017. "Consideration Sets and Their Role in Modelling Doctor Recommendations About Contraceptives," Health Economics, John Wiley & Sons, Ltd., vol. 26(1), pages 54-73, January.
    12. Whynes, David K. & Philips, Zoe & Avis, Mark, 2007. "Why do women participate in the English cervical cancer screening programme?," Journal of Health Economics, Elsevier, vol. 26(2), pages 306-325, March.
    13. Cheah, Yong Kang, 2018. "The utilization of diagnostic tests among the elderly: Evidence from Malaysia," Socio-Economic Planning Sciences, Elsevier, vol. 62(C), pages 121-128.
    14. Yong Kang Cheah & Chor Foon Tang, 2017. "Factors Influencing the use of Preventive Medical Care in Malaysia: Evidence from National Health and Morbidity Survey Data," Asian Economic Journal, East Asian Economic Association, vol. 31(2), pages 119-137, June.
    15. Katherine Carman & Peter Kooreman, 2014. "Probability perceptions and preventive health care," Journal of Risk and Uncertainty, Springer, vol. 49(1), pages 43-71, August.
    16. Meliyanni Johar & Denzil G. Fiebig & Marion Haas & Rosalie Viney, 2013. "Using repeated choice experiments to evaluate the impact of policy changes on cervical screening," Applied Economics, Taylor & Francis Journals, vol. 45(14), pages 1845-1855, May.

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    More about this item

    Keywords

    Screening choice; Awareness; Censored probit; Cervical cancer;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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    This paper has been announced in the following NEP Reports:

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