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Heterogeneous effects of blood pressure screening

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  • Kämpfen, Fabrice
  • Mosca, Irene

Abstract

This is the first study that investigates the heterogeneous effects of blood pressure (BP) screening on subsequent changes in BP in a high-income country. We use data from clinical health assessments carried out in 2010 (baseline) and 2014 (follow-up) as part of a nationally-representative longitudinal study on ageing in Ireland. We focus on individuals who at baseline do not report a previous hypertension diagnosis and employ a Regression Discontinuity Design by comparing outcomes at follow-up on either side of the BP cutoff that separates normal to abnormal BP at baseline. We find that the BP screening reduces BP at follow-up, with larger and more precisely estimated effects for males, middle-age individuals (as opposed to older individuals), and individuals without public health insurance coverage.

Suggested Citation

  • Kämpfen, Fabrice & Mosca, Irene, 2024. "Heterogeneous effects of blood pressure screening," Economics Letters, Elsevier, vol. 242(C).
  • Handle: RePEc:eee:ecolet:v:242:y:2024:i:c:s016517652400329x
    DOI: 10.1016/j.econlet.2024.111845
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    References listed on IDEAS

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    1. Ciancio, Alberto & Kämpfen, Fabrice & Kohler, Hans-Peter & Kohler, Iliana V., 2021. "Health screening for emerging non-communicable disease burdens among the global poor: Evidence from sub-Saharan Africa," Journal of Health Economics, Elsevier, vol. 75(C).
    2. Sebastian Calonico & Matias D. Cattaneo & Max H. Farrell & Roc ́ıo Titiunik, 2017. "rdrobust: Software for regression-discontinuity designs," Stata Journal, StataCorp LP, vol. 17(2), pages 372-404, June.
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    More about this item

    Keywords

    Health screening; Hypertension; Blood pressure; Undiagnosed individuals; Non-communicable diseases; Regression discontinuity design; Ireland; High-income country;
    All these keywords.

    JEL classification:

    • C21 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Cross-Sectional Models; Spatial Models; Treatment Effect Models
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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