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An analysis of mammography decisions with a focus on educational differences

  • Aniko Biro;

I analyze the decisions on undertaking breast screening by women aged 50-64 in the UK. I provide estimation results on the discounting of the potential future benefits of screening. I also analyze the education di¤erences in mammography decisions,and examine the underlying mechanism how education in‡uences breast screening attendance. The reduced form estimation results suggest that the observed education gradient is mainly due to di¤erences in health behaviors and health care attitudes.Using the institutional settings of the UK, I estimate a structural model, which reveals that although there are di¤erences in the disutility of breast screening along the education level, there is no such di¤erence in the estimated discount factor. I also …nd some evidence that women are forward looking when deciding on mammography attendance,and might even overestimate the potential bene…ts of mammography.

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Paper provided by HEDG, c/o Department of Economics, University of York in its series Health, Econometrics and Data Group (HEDG) Working Papers with number 12/11.

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Date of creation: Jul 2012
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Handle: RePEc:yor:hectdg:12/11
Contact details of provider: Postal: HEDG/HERC, Department of Economics and Related Studies, University of York, York, YO10 5DD, United Kingdom
Phone: (0)1904 323776
Fax: (0)1904 323759
Web page: http://www.york.ac.uk/economics/postgrad/herc/hedg/Email:


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  1. Hotz, V Joseph & Miller, Robert A, 1993. "Conditional Choice Probabilities and the Estimation of Dynamic Models," Review of Economic Studies, Wiley Blackwell, vol. 60(3), pages 497-529, July.
  2. Sirven, Nicolas & Or, Zeynep & Jusot, Florence, 2012. "Variations in preventive care utilisation in Europe," Economics Papers from University Paris Dauphine 123456789/7402, Paris Dauphine University.
  3. repec:ese:iserwp:2008-05 is not listed on IDEAS
  4. Picone, Gabriel & Uribe, Martin & Mark Wilson, R., 1998. "The effect of uncertainty on the demand for medical care, health capital and wealth," Journal of Health Economics, Elsevier, vol. 17(2), pages 171-185, April.
  5. Hanming Fang & Yang Wang, 2010. "Estimating Dynamic Discrete Choice Models with Hyperbolic Discounting, with an Application to Mammography Decisions," NBER Working Papers 16438, National Bureau of Economic Research, Inc.
  6. Thierry Magnac & David Thesmar, 2002. "Identifying Dynamic Discrete Decision Processes," Econometrica, Econometric Society, vol. 70(2), pages 801-816, March.
  7. Cutler, David M. & Lleras-Muney, Adriana, 2010. "Understanding differences in health behaviors by education," Journal of Health Economics, Elsevier, vol. 29(1), pages 1-28, January.
  8. Maurer, Jürgen, 2009. "Who has a clue to preventing the flu? Unravelling supply and demand effects on the take-up of influenza vaccinations," Journal of Health Economics, Elsevier, vol. 28(3), pages 704-717, May.
  9. Marjon van der Pol, 2011. "Health, education and time preference," Health Economics, John Wiley & Sons, Ltd., vol. 20(8), pages 917-929, 08.
  10. Jason M. Fletcher & David E. Frisvold, 2009. "Higher Education and Health Investments: Does More Schooling Affect Preventive Health Care Use?," Journal of Human Capital, University of Chicago Press, vol. 3(2), pages 144-176.
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