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Cervical cancer screening invitations in low and middle income countries: Evidence from Armenia


  • Antinyan, Armenak
  • Bertoni, Marco
  • Corazzini, Luca


Roughly 90 percent of cervical cancer deaths occur in low- and middle-income countries (LMICs), where the lack of adequate infrastructures hampers screening, while informational, cultural, and socio-economic barriers limit participation in the few programs that do exist. We conducted a field experiment with the Armenian cervical cancer screening program to determine whether, despite these barriers, the simple, economical invitation strategies adopted in high-income countries could enhance screening take-up in LMICs. We find that letters of invitation increase screening take-up, especially when there are follow-up reminders. Different ways of framing messages appear to have no impact. Finally, women in rural areas are more likely to respond to invitation by letter, helping to narrow the urban-rural screening gap.

Suggested Citation

  • Antinyan, Armenak & Bertoni, Marco & Corazzini, Luca, 2021. "Cervical cancer screening invitations in low and middle income countries: Evidence from Armenia," Social Science & Medicine, Elsevier, vol. 273(C).
  • Handle: RePEc:eee:socmed:v:273:y:2021:i:c:s027795362100071x
    DOI: 10.1016/j.socscimed.2021.113739

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    References listed on IDEAS

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    Cited by:

    1. Antinyan, Armenak & Asatryan, Zareh & Dai, Zhixin & Wang, Kezhi, 2021. "Does the frequency of reminders matter for their effectiveness? A randomized controlled trial," Journal of Economic Behavior & Organization, Elsevier, vol. 191(C), pages 752-764.
    2. Antinyan, Armenak & Baghdasaryan, Vardan & Grigoryan, Aleksandr, 2021. "Charitable giving, social capital and positional concerns," Cardiff Economics Working Papers E2021/33, Cardiff University, Cardiff Business School, Economics Section.
    3. Antinyan, Armenak & Bellio, Stefania & Bertoni, Marco & Corazzini, Luca & Narne, Elena, 2021. "Digital Access to Healthcare Services and Healthcare Utilization: A Quasi-Experiment," IZA Discussion Papers 14916, Institute of Labor Economics (IZA).

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    More about this item


    Cervical cancer screening; Randomized controlled trial; Invitation letters; Reminders;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • C93 - Mathematical and Quantitative Methods - - Design of Experiments - - - Field Experiments
    • D91 - Microeconomics - - Micro-Based Behavioral Economics - - - Role and Effects of Psychological, Emotional, Social, and Cognitive Factors on Decision Making


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