Wenlan School of Business, Zhongnan University of Economics and Law, Nanhu Avenue 182, 430073, Wuhan, PR China.
Department of Economics and Management "Marco Fanno", University of Padova, Via Del Santo 33, 35123, Padova, Italy.
Soc Sci Med. 2021 Mar;273:113739. doi: 10.1016/j.socscimed.2021.113739. Epub 2021 Feb 7.
Roughly 90 percent of cervical cancer deaths occur in low- and middle-income countries (LMICs), where the lack of adequate infrastructures hampers screening, while informational, cultural, and socio-economic barriers limit participation in the few programs that do exist. We conducted a field experiment with the Armenian cervical cancer screening program to determine whether, despite these barriers, the simple, economical invitation strategies adopted in high-income countries could enhance screening take-up in LMICs. We find that letters of invitation increase screening take-up, especially when there are follow-up reminders. Different ways of framing messages appear to have no impact. Finally, women in rural areas are more likely to respond to invitation by letter, helping to narrow the urban-rural screening gap.
大约 90%的宫颈癌死亡发生在中低收入国家（LMICs），这些国家缺乏足够的基础设施，阻碍了筛查的开展，而信息、文化和社会经济障碍限制了为数不多的现有项目的参与。我们在亚美尼亚宫颈癌筛查项目中进行了一项现场实验，以确定尽管存在这些障碍，高收入国家采用的简单、经济的邀请策略是否可以提高 LMICs 的筛查参与度。我们发现，邀请函增加了筛查的参与度，尤其是在有后续提醒的情况下。不同的信息传达方式似乎没有影响。最后，农村地区的妇女更有可能通过信件回应邀请，这有助于缩小城乡筛查差距。
