IDEAS home Printed from https://ideas.repec.org/a/eee/jhecon/v58y2018icp228-252.html
   My bibliography  Save this article

Increasing breast-cancer screening uptake: A randomized controlled experiment

Author

Listed:
  • Goldzahl, Léontine
  • Hollard, Guillaume
  • Jusot, Florence

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.

Suggested Citation

  • Goldzahl, Léontine & Hollard, Guillaume & Jusot, Florence, 2018. "Increasing breast-cancer screening uptake: A randomized controlled experiment," Journal of Health Economics, Elsevier, vol. 58(C), pages 228-252.
    • Handle: RePEc:eee:jhecon:v:58:y:2018:i:c:p:228-252
    DOI: 10.1016/j.jhealeco.2017.12.004
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0167629617303090
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.jhealeco.2017.12.004?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to look for a different version below or search for a different version of it.

    Other versions of this item:

    References listed on IDEAS

    as
    1. John A. List & Azeem M. Shaikh & Yang Xu, 2019. "Multiple hypothesis testing in experimental economics," Experimental Economics, Springer;Economic Science Association, vol. 22(4), pages 773-793, December.
    2. Carrieri, Vincenzo & Wuebker, Ansgar, 2013. "Assessing inequalities in preventive care use in Europe," Health Policy, Elsevier, vol. 113(3), pages 247-257.
    3. repec:dau:papers:123456789/7402 is not listed on IDEAS
    4. Pedro Carneiro & James J. Heckman & Edward J. Vytlacil, 2011. "Estimating Marginal Returns to Education," American Economic Review, American Economic Association, vol. 101(6), pages 2754-2781, October.
    5. Ian Ayres & Sophie Raseman & Alice Shih, 2013. "Evidence from Two Large Field Experiments that Peer Comparison Feedback Can Reduce Residential Energy Usage," The Journal of Law, Economics, and Organization, Oxford University Press, vol. 29(5), pages 992-1022, October.
    6. Vincenzo Carrieri & Ansgar Wuebker, 2016. "Quasi-Experimental Evidence on the Effects of Health Information on Preventive Behaviour in Europe," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 78(6), pages 765-791, December.
    7. Bronchetti, Erin Todd & Huffman, David B. & Magenheim, Ellen, 2015. "Attention, intentions, and follow-through in preventive health behavior: Field experimental evidence on flu vaccination," Journal of Economic Behavior & Organization, Elsevier, vol. 116(C), pages 270-291.
    8. Matteo M. Galizzi, 2014. "What Is Really Behavioral in Behavioral Health Policy? And Does It Work?," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 36(1), pages 25-60.
    9. repec:dau:papers:123456789/14771 is not listed on IDEAS
    10. Ansgar Wübker, 2014. "Explaining variations in breast cancer screening across European countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(5), pages 497-514, June.
    11. Soohyung Lee & Azeem M. Shaikh, 2014. "Multiple Testing And Heterogeneous Treatment Effects: Re‐Evaluating The Effect Of Progresa On School Enrollment," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 29(4), pages 612-626, June.
    12. John Beshears & James J. Choi & David Laibson & Brigitte C. Madrian & Katherine L. Milkman, 2015. "The Effect of Providing Peer Information on Retirement Savings Decisions," Journal of Finance, American Finance Association, vol. 70(3), pages 1161-1201, June.
    13. Hongbin Cai & Yuyu Chen & Hanming Fang, 2009. "Observational Learning: Evidence from a Randomized Natural Field Experiment," American Economic Review, American Economic Association, vol. 99(3), pages 864-882, June.
    14. Daniel Kahneman, 2003. "Maps of Bounded Rationality: Psychology for Behavioral Economics," American Economic Review, American Economic Association, vol. 93(5), pages 1449-1475, December.
    15. Ananda Ganguly & Joshua Tasoff, 2017. "Fantasy and Dread: The Demand for Information and the Consumption Utility of the Future," Management Science, INFORMS, vol. 63(12), pages 4037-4060, December.
    16. Jeffrey R Kling & Jeffrey B Liebman & Lawrence F Katz, 2007. "Experimental Analysis of Neighborhood Effects," Econometrica, Econometric Society, vol. 75(1), pages 83-119, January.
    17. Marion Devaux, 2015. "Income-related inequalities and inequities in health care services utilisation in 18 selected OECD countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(1), pages 21-33, January.
    18. Florence Jusot & Zeynep Or & Nicolas Sirven, 2012. "Variations in preventive care utilisation in Europe," Post-Print hal-01593796, HAL.
    19. Bertrand, Marianne & Shafir, Eldar & Mullainathan, Sendhil, 2006. "Behavioral Economics and Marketing in Aid of Decision Making Among the Poor," Scholarly Articles 2962609, Harvard University Department of Economics.
    20. Russell Golman & David Hagmann & George Loewenstein, 2017. "Information Avoidance," Journal of Economic Literature, American Economic Association, vol. 55(1), pages 96-135, March.
    21. Saurabh Bhargava & Dayanand Manoli, 2015. "Psychological Frictions and the Incomplete Take-Up of Social Benefits: Evidence from an IRS Field Experiment," American Economic Review, American Economic Association, vol. 105(11), pages 3489-3529, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Rustam Romaniuc & Andrea Guido & Pierre Baudry & Cécile Bazart & Loïc Berger & Noémi Berlin & Aurélie Bonein & Imen Bouhlel & Kene Boun My & Michela Chessa & Paolo Crosetto & Etienne Dagorn & Quentin , 2024. "The limits of behavioral nudges to increase youth turnout: Experimental evidence from two French elections," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) hal-04677596, HAL.
    2. 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).
    3. Horn, Samantha & Litovsky, Yana & Loewenstein, George, 2024. "Using curiosity to counter health information avoidance," Social Science & Medicine, Elsevier, vol. 340(C).
    4. 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.
    5. Shelley I. White-Means & Ahmad Reshad Osmani, 2018. "Affordable Care Act and Disparities in Health Services Utilization among Ethnic Minority Breast Cancer Survivors: Evidence from Longitudinal Medical Expenditure Panel Surveys 2008–2015," IJERPH, MDPI, vol. 15(9), pages 1-26, August.
    6. 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).
    7. 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.
    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).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Bonan, Jacopo & Battiston, Pietro & Bleck, Jaimie & LeMay-Boucher, Philippe & Pareglio, Stefano & Sarr, Bassirou & Tavoni, Massimo, 2021. "Social interaction and technology adoption: Experimental evidence from improved cookstoves in Mali," World Development, Elsevier, vol. 144(C).
    2. Thomas C. Buchmueller & Léontine Goldzahl, 2018. "The effect of organized breast cancer screening on mammography use: Evidence from France," Health Economics, John Wiley & Sons, Ltd., vol. 27(12), pages 1963-1980, December.
    3. Natallia Gray & Gabriel Picone, 2018. "Evidence of Large-Scale Social Interactions in Mammography in the United States," Atlantic Economic Journal, Springer;International Atlantic Economic Society, vol. 46(4), pages 441-457, December.
    4. Liu, Jia & Sonntag, Axel & Zizzo, Daniel John, 2022. "Information defaults in repeated public good provision," Journal of Economic Behavior & Organization, Elsevier, vol. 197(C), pages 356-369.
    5. Thomas C. Buchmueller & Léontine Goldzahl, 2018. "The Effect of Organized Breast Cancer Screening on Mammography Use: Evidence from France," NBER Working Papers 24316, National Bureau of Economic Research, Inc.
    6. Anastasia Girshina & Thomas Y. Mathä & Michael Ziegelmeyer, 2019. "Peer effects in stock market participation: Evidence from immigration," BCL working papers 137, Central Bank of Luxembourg.
    7. John A. List & Robert D. Metcalfe & Michael K. Price & Florian Rundhammer, 2017. "Harnessing Policy Complementarities to Conserve Energy: Evidence from a Natural Field Experiment," NBER Working Papers 23355, National Bureau of Economic Research, Inc.
    8. Benito-Ostolaza, Juan Miguel & Echavarri, Rebeca & Garcia-Prado, Ariadna & Oses-Eraso, Nuria, 2021. "Using visual stimuli to promote healthy snack choices among children," Social Science & Medicine, Elsevier, vol. 270(C).
    9. Arouna, Aminou & Michler, Jeffrey D. & Lokossou, Jourdain C., 2021. "Contract farming and rural transformation: Evidence from a field experiment in Benin," Journal of Development Economics, Elsevier, vol. 151(C).
    10. Lucas Coffman & Clayton R. Featherstone & Judd B. Kessler, 2024. "A Model of Information Nudges," Boston College Working Papers in Economics 1077, Boston College Department of Economics.
    11. Rob Bauer & Inka Eberhardt & Paul Smeets, 2022. "A Fistful of Dollars: Financial Incentives, Peer Information, and Retirement Savings," The Review of Financial Studies, Society for Financial Studies, vol. 35(6), pages 2981-3020.
    12. Jeffrey D. Michler & Anna Josephson, 2022. "Recent developments in inference: practicalities for applied economics," Chapters, in: A Modern Guide to Food Economics, chapter 11, pages 235-268, Edward Elgar Publishing.
    13. Bhanot, Syon P., 2021. "Isolating the effect of injunctive norms on conservation behavior: New evidence from a field experiment in California," Organizational Behavior and Human Decision Processes, Elsevier, vol. 163(C), pages 30-42.
    14. van Ours, Jan C. & Williams, Jenny & Ward, Shannon, 2015. "Bad Behavior: Delinquency, Arrest and Early School Leaving," CEPR Discussion Papers 10755, C.E.P.R. Discussion Papers.
    15. Eric French & Elaine Kelly & Richard Cookson & Carol Propper & Miqdad Asaria & Rosalind Raine, 2016. "Socio‐Economic Inequalities in Health Care in England," Fiscal Studies, Institute for Fiscal Studies, vol. 37, pages 371-403, September.
    16. Goldzahl, Léontine, 2017. "Contributions of risk preference, time orientation and perceptions to breast cancer screening regularity," Social Science & Medicine, Elsevier, vol. 185(C), pages 147-157.
    17. Gary Bolton & Eugen Dimant & Ulrich Schmidt, 2018. "When a Nudge Backfires. Using Observation with Social and Economic Incentives to Promote Pro-Social Behavior," PPE Working Papers 0017, Philosophy, Politics and Economics, University of Pennsylvania.
    18. Mechtenberg, Lydia & Perino, Grischa & Treich, Nicolas & Tyran, Jean-Robert & Wang, Stephanie W., 2024. "Self-signaling in voting," Journal of Public Economics, Elsevier, vol. 231(C).
    19. Dolls, Mathias & Doerrenberg, Philipp & Peichl, Andreas & Stichnoth, Holger, 2018. "Do retirement savings increase in response to information about retirement and expected pensions?," Journal of Public Economics, Elsevier, vol. 158(C), pages 168-179.
    20. Steven F. Lehrer & R. Vincent Pohl & Kyungchul Song, 2016. "Targeting Policies: Multiple Testing and Distributional Treatment Effects," NBER Working Papers 22950, National Bureau of Economic Research, Inc.

    More about this item

    Keywords

    Cancer screening; Randomized controlled experiment; Behavioral interventions;
    All these keywords.

    JEL classification:

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

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:jhecon:v:58:y:2018:i:c:p:228-252. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/inca/505560 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.