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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.

Suggested Citation

  • Aniko Biro;, 2012. "An analysis of mammography decisions with a focus on educational differences," Health, Econometrics and Data Group (HEDG) Working Papers 12/11, HEDG, c/o Department of Economics, University of York.
  • Handle: RePEc:yor:hectdg:12/11

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    1. repec:dau:papers:123456789/7402 is not listed on IDEAS
    2. Hanming Fang & Yang Wang, 2015. "Estimating Dynamic Discrete Choice Models With Hyperbolic Discounting, With An Application To Mammography Decisions," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 56, pages 565-596, May.
    3. Thierry Magnac & David Thesmar, 2002. "Identifying Dynamic Discrete Decision Processes," Econometrica, Econometric Society, vol. 70(2), pages 801-816, March.
    4. V. Joseph Hotz & Robert A. Miller, 1993. "Conditional Choice Probabilities and the Estimation of Dynamic Models," Review of Economic Studies, Oxford University Press, vol. 60(3), pages 497-529.
    5. 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.
    6. 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.
    7. 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.
    8. Marjon van der Pol, 2011. "Health, education and time preference," Health Economics, John Wiley & Sons, Ltd., vol. 20(8), pages 917-929, August.
    9. 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.
    10. Uhrig, S.C. Noah, 2008. "The nature and causes of attrition in the British Household Panel Study," ISER Working Paper Series 2008-05, Institute for Social and Economic Research.
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    Cited by:

    1. Carrieri, Vincenzo & Wuebker, Ansgar, 2013. "Assessing inequalities in preventive care use in Europe," Health Policy, Elsevier, vol. 113(3), pages 247-257.
    2. Vincenzo Carrieri & Ansgar Wübker, 2012. "Assessing Inequalities in Preventive Care Use in Europe," Ruhr Economic Papers 0371, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
    3. repec:zbw:rwirep:0371 is not listed on IDEAS

    More about this item


    mammography; health discount rate; education gradient;

    JEL classification:

    • C25 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions; Probabilities
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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