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Determinants of the demand for breast cancer screening among women veterans in the United States

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  • Lairson, David R.
  • Chan, Wenyaw
  • Newmark, Georgina R.

Abstract

Demand theory has been applied to use of breast exams for cancer prevention, but not since widespread promotion of mammography screening and managed care. Previous economic analyses may be biased due to inclusion of diagnostic exams and generally fail to consider perceived risk and time costs. The objective was to identify and measure the effect of economic, demographic, and behavioral factors that influence the use of mammography screening among US women veterans aged 50 years and older. Data are from a 2000-2001 national mail survey with telephone follow-up of a random sample of women veterans. There were a maximum of 3415 respondents aged 50 and over with no history of breast cancer. Maximum likelihood probit models were used to estimate the effects of the independent variables on the probability that a woman will have had a mammogram in the past year. Education, income, insurance, and perceived risk of breast cancer are directly related to use of mammography screening. Age, smoking, travel and waiting time are inversely related to the likelihood of mammography screening. Mammography use among women veterans is generally consistent with the theory of the demand for health and medical care, and also consistent with previous national studies on the demand for breast exams. Findings highlight the role of perceived risk and non-price barriers to mammography use in the context of widespread insurance coverage for mammography screening.

Suggested Citation

  • Lairson, David R. & Chan, Wenyaw & Newmark, Georgina R., 2005. "Determinants of the demand for breast cancer screening among women veterans in the United States," Social Science & Medicine, Elsevier, vol. 61(7), pages 1608-1617, October.
    • Handle: RePEc:eee:socmed:v:61:y:2005:i:7:p:1608-1617
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    1. Sarah Hoeck & Johan Van der Heyden & Joanna Geerts & Guido Van Hal, 2013. "Preventive Care Use among the Belgian Elderly Population: Does Socio-Economic Status Matter?," IJERPH, MDPI, vol. 11(1), pages 1-18, December.
    2. 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.
    3. Carrieri, Vincenzo & Wuebker, Ansgar, 2013. "Assessing inequalities in preventive care use in Europe," Health Policy, Elsevier, vol. 113(3), pages 247-257.
    4. Alexander Labeit & Frank Peinemann, 2015. "Breast and cervical cancer screening in Great Britain: Dynamic interrelated processes," Health Economics Review, Springer, vol. 5(1), pages 1-17, December.
    5. Cheah, Yong Kang, 2018. "The utilization of diagnostic tests among the elderly: Evidence from Malaysia," Socio-Economic Planning Sciences, Elsevier, vol. 62(C), pages 121-128.
    6. repec:zbw:rwirep:0370 is not listed on IDEAS
    7. Hale Koç & Owen O’Donnell & Tom Van Ourti, 2018. "What Explains Education Disparities in Screening Mammography in the United States? A Comparison with The Netherlands," IJERPH, MDPI, vol. 15(9), pages 1-13, September.
    8. Ansgar Wübker, 2012. "Explaining Variations in Breast Cancer Screening Across European Countries," Ruhr Economic Papers 0370, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
    9. Alexander Michael Labeit & Frank Peinemann, 2017. "Determinants of a GP visit and cervical cancer screening examination in Great Britain," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-14, April.
    10. Ritesh Banerjee & Ethan Cohen-Cole & Giulio Zanella, 2007. "Demonstration effects in preventive care," Supervisory Research and Analysis Working Papers QAU07-7, Federal Reserve Bank of Boston.
    11. Vogt, Verena & Siegel, Martin & Sundmacher, Leonie, 2014. "Examining regional variation in the use of cancer screening in Germany," Social Science & Medicine, Elsevier, vol. 110(C), pages 74-80.
    12. Carrieri, V. & Wuebker, A., 2012. "Assessing inequalities in preventive care use in Europe: A special case of health-care inequalities?," Health, Econometrics and Data Group (HEDG) Working Papers 12/25, HEDG, c/o Department of Economics, University of York.
    13. Gil Lacruz, Ana Isabel & Gil Lacruz, Marta & Gorgemans, Sophie, 2014. "Female preventive practices: Breast and smear tests," Health Policy, Elsevier, vol. 118(1), pages 135-144.
    14. Yong Kang Cheah & Chor Foon Tang, 2017. "Factors Influencing the use of Preventive Medical Care in Malaysia: Evidence from National Health and Morbidity Survey Data," Asian Economic Journal, East Asian Economic Association, vol. 31(2), pages 119-137, June.
    15. 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.
    16. repec:zbw:rwirep:0371 is not listed on IDEAS

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