Quasi-Experimental Evidence on the Effects of Health Information on Preventive Behaviour in Europe

Quasi-Experimental Evidence on the Effects of Health Information on Preventive Behaviour in Europe
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DOI:
10.1111/obes.12134
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发表时间:
2016-12-01
影响因子:
2.5
通讯作者:
Wuebker, Ansgar
Wuebker, Ansgar
中科院分区:
经济学3区
文献类型:
--
作者:
Carrieri, Vincenzo;Wuebker, Ansgar

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我们在准实验环境中调查了信息对预防决策的影响,这些决策是由欧洲当地乳腺癌筛查项目的实施引起的。为了确定邀请对预防性吸收的因果关系,我们将区域筛查政策的行政公共数据与欧洲健康老龄化和退休调查(SHARE)的个人数据联系起来,并利用筛查政策可用性和年龄资格标准的区域差异。我们发现家庭邀请增加了约24%的乳房x光检查。当邀请函覆盖到至少50%的人口时,效果显著。健康信息的储备和处理收到的信息的能力似乎起着重要作用,因为邀请的影响在受教育程度低的妇女中较高,在认知受损的妇女中较低。
We investigate the effect of information on preventive decisions in a quasi-experimental setting arising from the implementation of local breast cancer screening programmes in Europe. To identify the causal effect of invitation on preventive uptake, we link administrative public data on regional screening policies to individual data from the Survey of Health Ageing and Retirement in Europe (SHARE) and exploit regional variation in the availability of screening policies and in age eligibility criteria. We find home invitation increases mammography uptakes by around 24%. Significant effects are found when at least 50% of the population is reached by the invitation letter. The stock of health information and the ability to process the information received seem to play a significant role, as the effects of invitation are higher among low educated and lower among cognitively impaired women.