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Gender differences in colonoscopy screening behavior and implications for public policy / Brian M. Collopy.

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Format:
Book
Thesis/Dissertation
Author/Creator:
Collopy, Brian M., author.
Contributor:
Todd, Petra, degree supervisor.
University of Pennsylvania. Department of Economics, degree granting institution.
Language:
English
Subjects (All):
Public health.
Oncology.
Gender studies.
Economics--Penn dissertations.
Penn dissertations--Economics.
Local Subjects:
Public health.
Oncology.
Gender studies.
Economics--Penn dissertations.
Penn dissertations--Economics.
Genre:
Academic theses.
Physical Description:
1 online resource (85 pages)
Contained In:
Dissertations Abstracts International 82-07B.
Place of Publication:
[Philadelphia, Pennsylvania] : University of Pennsylvania ; Ann Arbor : ProQuest Dissertations & Theses, 2020.
Language Note:
English
System Details:
Mode of access: World Wide Web.
text file
Summary:
Most American colorectal cancer deaths can be prevented with colonoscopies. Colorectal cancer (CRC) killed 28,000 men and 25,000 women in 2017. Men undergo fewer colonoscopies than women, but it is ex ante unclear whether women or men take the risk of CRC more seriously. On one hand, women are expected to live longer, increasing their benefit from a colonoscopy, and on the other hand, women are at lower risk of CRC, decreasing their benefit from a colonoscopy. I estimate a dynamic discrete-choice life-cycle model that controls for gender-based differences in lifespan and how CRC develops. The model also factors in how screening and CRC history affect the probability of developing CRC. I find that women act as if they take the risk of colorectal cancer more seriously than men and that if men had the disutility parameters women act as if they have, it would save an additional 174,000 life-years for American men who are currently at age 50, a 39% improvement. This is larger than the gains from all men getting screened at the rate of college-educated men who live with another adult (89,000 life-years, a 20% improvement) or the gains from making colonoscopies mandatory for men at age 60 (111,000 life-years, a 25% improvement). I conclude by discussing the impact of offering monetary incentives and propose policies informed by behavioral economics to increase the rate of colorectal cancer screening.
Notes:
Source: Dissertations Abstracts International, Volume: 82-07, Section: B.
Advisors: Todd, Petra E.; Committee members: Jesus Fernandez-Villaverde; David Abrams.
Department: Economics.
Ph.D. University of Pennsylvania 2020.
Local Notes:
School code: 0175
ISBN:
9798557045735
Access Restriction:
Restricted for use by site license.
This item is not available from ProQuest Dissertations & Theses.
This item must not be sold to any third party vendors.

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