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Increasing breast-cancer screening uptake: A randomized controlled experiment

Author

Listed:
  • Léontine Goldzahl

    (EDHEC - EDHEC Business School)

  • Guillaume Hollard
  • Florence Jusot

    (Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres, LEDa - Laboratoire d'Economie de Dauphine - IRD - Institut de Recherche pour le Développement - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres - CNRS - Centre National de la Recherche Scientifique)

Abstract

Early screening increases the likelihood of detecting cancer, thereby improving survival rates. National screening programs have been established in which eligible women receive a letter containing a voucher for a free screening. Even so, mammography use is often considered as remaining too low. We test four behavioral interventions in a large-scale randomized experiment involving 26,495 women. Our main assumption is that, due to biases in decision-making, women may be sensitive to the content and presentation of the invitation letter they receive. None of our treatments had any significant impact on mammography use. Sub-sample analysis suggests that this lack of a significant impact holds also for women invited for the first time and low-income women.
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Suggested Citation

  • Léontine Goldzahl & Guillaume Hollard & Florence Jusot, 2018. "Increasing breast-cancer screening uptake: A randomized controlled experiment," Post-Print hal-03513020, HAL.
    • Handle: RePEc:hal:journl:hal-03513020
    DOI: 10.1016/j.jhealeco.2017.12.004
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    2. Stecher, Chad & Mukasa, Barbara & Linnemayr, Sebastian, 2021. "Uncovering a behavioral strategy for establishing new habits: Evidence from incentives for medication adherence in Uganda," Journal of Health Economics, Elsevier, vol. 77(C).
    3. White-Means, Shelley I. & Osmani, Ahmad Reshad, 2018. "Affordable Care Act and Disparities in Health Services Utilization among Ethnic Minoritiy Breast Cancer Survivors: Evidence from Longitudinal Medical Expenditure Panel Surveys 2008-2015," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 15(9), pages 1-26.
    4. Bertoni, Marco & Corazzini, Luca & Robone, Silvana, 2019. "Promoting Breast Cancer Screening Take-Ups with Zero Cost: Evidence from an Experiment on Formatting Invitation Letters in Italy," IZA Discussion Papers 12193, Institute of Labor Economics (IZA).
    5. Hervelin Jérémy, 2022. "Directing young dropouts via SMS: evidence from a field experiment," IZA Journal of Labor Policy, Sciendo & Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 12(1), pages 1-12, January.
    6. Horn, Samantha & Litovsky, Yana & Loewenstein, George, 2024. "Using curiosity to counter health information avoidance," Social Science & Medicine, Elsevier, vol. 340(C).
    7. Carrera, Mariana & Royer, Heather & Stehr, Mark & Sydnor, Justin & Taubinsky, Dmitry, 2018. "The limits of simple implementation intentions: Evidence from a field experiment on making plans to exercise," Journal of Health Economics, Elsevier, vol. 62(C), pages 95-104.
    8. Lamiraud, Karine & Patris, Julien & Vranceanu, Radu, 2024. "Can attentional nudges improve efficiency of bilateral multi-attribute negotiations?," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 110(C).
    9. Gallegos, Sebastian & Roseth, Benjamin & Cuesta, Ana & Sánchez, Mario, 2023. "Increasing the take-up of public health services: An at-scale experiment on digital government," Journal of Public Economics, Elsevier, vol. 227(C).

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    More about this item

    JEL classification:

    • D03 - Microeconomics - - General - - - Behavioral Microeconomics: Underlying Principles
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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