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英国宫颈癌筛查服务利用情况。

Cervical cancer screening service utilisation in UK.

机构信息

Department of Health Sciences, University of Leicester, Leicester, UK.

出版信息

Sci Rep. 2013;3:2362. doi: 10.1038/srep02362.

Abstract

This study investigates empirically how past screening behaviour, individual and household characteristics affect the current uptake of cervical cancer screening in UK. For the conceptual framework, we use a modified Grossman model which is extended for non-economic factors. A dynamic version of a random effects panel probit model with initial conditions is estimated on the balanced sub-sample of the data. The analysis sample is restricted to women of age 16 and older and grouped into different age categories with respect to the NHS Cervical Screening Programme (NHSCSP). As dataset a balanced panel data of 857 women with 11,998 observations from the British Household Panel Study (BHPS) for the period from 1992 to 2008 is used for the analysis. Results suggest show that previous screening uptake, age, partner status, employment status and a previous GP visit have a significant influence on the likelihood of the uptake of cervical cancer screening.

摘要

本研究通过实证研究,探讨了过去的筛查行为、个体和家庭特征如何影响英国当前的宫颈癌筛查率。在概念框架方面,我们使用了改进的 Grossman 模型,该模型扩展到了非经济因素。利用带有初始条件的动态随机效应面板概率模型对数据的均衡子样本进行了估计。分析样本仅限于年龄在 16 岁及以上的女性,并根据国民保健制度(NHS)宫颈癌筛查计划(NHSCSP)按不同年龄组进行了分类。作为数据集,我们使用了英国家庭面板研究(BHPS)的一个均衡面板数据,该数据包含 1992 年至 2008 年期间 857 名女性的 11998 个观测值,用于分析。结果表明,以前的筛查参与度、年龄、伴侣状况、就业状况和之前的全科医生就诊情况对宫颈癌筛查的参与率有显著影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a30b/3734438/b4064fcd1b77/srep02362-f1.jpg

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