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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. Subar, A.F. & Harlan, L.C. & Mattson, M.E., 1990. "Food and nutrient intake differences between smokers and non-smokers in the US," American Journal of Public Health, American Public Health Association, vol. 80(11), pages 1323-1329.
    2. Chang, Fwu-Ranq, 1996. "Uncertainty and investment in health," Journal of Health Economics, Elsevier, vol. 15(3), pages 369-376, June.
    3. Cropper, M L, 1977. "Health, Investment in Health, and Occupational Choice," Journal of Political Economy, University of Chicago Press, vol. 85(6), pages 1273-1294, December.
    4. Urban, N. & Anderson, G.L. & Peacock, S., 1994. "Mammography screening: How important is cost as a barrier to use?," American Journal of Public Health, American Public Health Association, vol. 84(1), pages 50-55.
    5. Victor R. Fuchs, 1982. "Economic Aspects of Health," NBER Books, National Bureau of Economic Research, Inc, number fuch82-1.
    6. Acton, Jan Paul, 1975. "Nonmonetary Factors in the Demand for Medical Services: Some Empirical Evidence," Journal of Political Economy, University of Chicago Press, vol. 83(3), pages 595-614, June.
    7. Taplin, S.H. & Anderman, C. & Grothaus, L. & Curry, S. & Montano, D., 1994. "Using physician correspondence and postcard reminders to promote mammography use," American Journal of Public Health, American Public Health Association, vol. 84(4), pages 571-574.
    8. Kenkel, Donald S, 1991. "Health Behavior, Health Knowledge, and Schooling," Journal of Political Economy, University of Chicago Press, vol. 99(2), pages 287-305, April.
    9. King, E.S. & Rimer, B.K. & Trock, B. & Balshem, A. & Engstrom, P., 1990. "How valid are mammography self-reports?," American Journal of Public Health, American Public Health Association, vol. 80(11), pages 1386-1388.
    10. Dardanoni, Valentino & Wagstaff, Adam, 1990. "Uncertainty and the demand for medical care," Journal of Health Economics, Elsevier, vol. 9(1), pages 23-38, June.
    11. Gabriel Picone & Frank Sloan & Donald Taylor, 2004. "Effects of Risk and Time Preference and Expected Longevity on Demand for Medical Tests," Journal of Risk and Uncertainty, Springer, vol. 28(1), pages 39-53, January.
    12. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    13. Fuchs, Victor R. (ed.), 1982. "Economic Aspects of Health," National Bureau of Economic Research Books, University of Chicago Press, number 9780226267852.
    14. Grossman, Michael, 2000. "The human capital model," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 7, pages 347-408, Elsevier.
    15. Rosanna M. Coffey, 1983. "The Effect of Time Price on the Demand for Medical-Care Services," Journal of Human Resources, University of Wisconsin Press, vol. 18(3), pages 407-424.
    16. Makuc, D.M. & Freid, V.M. & Kleinman, J.C., 1989. "National trends in the use of preventive health care by women," American Journal of Public Health, American Public Health Association, vol. 79(1), pages 21-26.
    17. Victor R. Fuchs, 1982. "Time Preference and Health: An Exploratory Study," NBER Chapters, in: Economic Aspects of Health, pages 93-120, National Bureau of Economic Research, Inc.
    18. Muurinen, Jaana-Marja, 1982. "Demand for health: A generalised Grossman model," Journal of Health Economics, Elsevier, vol. 1(1), pages 5-28, May.
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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. 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.
    4. Carrieri, Vincenzo & Wuebker, Ansgar, 2013. "Assessing inequalities in preventive care use in Europe," Health Policy, Elsevier, vol. 113(3), pages 247-257.
    5. 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.
    6. 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.
    7. repec:zbw:rwirep:0370 is not listed on IDEAS
    8. 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.
    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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