Why worry about awareness in choice problems? Econometric analysis of screening for cervical cancer

被引:21
作者
Belkar, R
Fiebig, DG [1 ]
Haas, M
Viney, R
机构
[1] Univ New S Wales, Sch Econ, Sydney, NSW 2052, Australia
[2] Univ Technol Sydney, CHERE, Sydney, NSW 2007, Australia
关键词
cervical screening; choice modelling; censored probit;
D O I
10.1002/hec.1013
中图分类号
F [经济];
学科分类号
02 [经济学];
摘要
The decision to undertake a screening test is conditional upon awareness of screening. From an econometric perspective there is a potential selection problem, if no distinction is made between aware and unaware non-screeners. This paper explores this problem through analysis of the determinants of cervical screening in Australia. Cervical cancer is one of the most preventable and curable forms of cancer. Since 1991 there has been a concerted effort in Australia to recommend and encourage women to have Pap smears every two years. The success of this program can be partly gauged by exploring the determinants of screening for cervical cancer. Using unit record data from the 1995 National Health Survey, an econometric model is developed for whether women have ever screened or not. A proportion of women in the sample contend that they have never heard of a Pap test. The analysis characterizes this group of women and accounts for their presence in the modelling. The paper demonstrates failing to model awareness can result in inconsistent parameter estimates even when the degree of censoring in the sample is relatively small. Copyright (c) 2005 John Wiley & Sons, Ltd.
引用
收藏
页码:33 / 47
页数:15
相关论文
共 25 条
[1]
*AUSTR GOV, 1998, NAT CERV SCREEN PROG
[2]
COUGHLIN S, 2002, CANC DETECT PREV, V26
[3]
MARKET INSURANCE, SELF-INSURANCE, AND SELF-PROTECTION [J].
EHRLICH, I ;
BECKER, GS .
JOURNAL OF POLITICAL ECONOMY, 1972, 80 (04) :623-648
[4]
Greene W.H., 2000, ECONOMETRIC ANAL
[5]
CONCEPT OF HEALTH CAPITAL AND DEMAND FOR HEALTH [J].
GROSSMAN, M .
JOURNAL OF POLITICAL ECONOMY, 1972, 80 (02) :223-225
[6]
Misclassification of the dependent variable in a discrete-response setting [J].
Hausman, JA ;
Abrevaya, J ;
Scott-Morton, FM .
JOURNAL OF ECONOMETRICS, 1998, 87 (02) :239-269
[7]
Hsiao C, 1999, J ECONOMETRICS, V89, P15
[8]
JONES AM, 2000, HDB HLTH EC, pCH6
[9]
[10]
THE DEMAND FOR PREVENTIVE MEDICAL-CARE [J].
KENKEL, DS .
APPLIED ECONOMICS, 1994, 26 (04) :313-325