School of Economics, Hiroshima University, Higashi-Hiroshima, Japan.
PLoS One. 2024 Nov 13;19(11):e0313687. doi: 10.1371/journal.pone.0313687. eCollection 2024.
Despite government efforts, the uptake of screening for breast and cervical cancers among Japanese women remains low. This study employs financial literacy and financial education as proxies for rational decision-making to explore their potential to enhance cancer screening practices in Japan. Using data from Osaka University's Preference Parameters Study, mean comparison tests and probit regression models are utilized to examine the association between breast and cervical cancer screening and financial literacy and financial education. The results of probit regression show that individuals with higher levels of financial education tend to participate in both breast and cervical cancer screening. In contrast, individuals with higher financial literacy are likely to participate in breast cancer screening, whereas no significant impact is observed for cervical cancer screening. Furthermore, our findings reveal that financial education positively influences both breast and cervical cancer screening. Factors such as employment, marriage, higher education, increased household income, and greater assets demonstrate robust positive relationships with breast and cervical cancer screening. Meanwhile, psychological factors including happiness, a myopic view of the future, anxiety about later life, and perceived health status have no significant associations, except for a positive association between anxiety about life and cervical cancer screening. Our study suggests the development of targeted educational programs that leverage financial literacy and financial education to raise awareness about the importance of breast and cervical cancer screening.
尽管政府做出了努力,但日本女性对乳腺癌和宫颈癌筛查的参与率仍然很低。本研究将财务知识和金融教育作为理性决策的替代指标,探讨它们在提高日本癌症筛查实践中的潜力。本研究利用大阪大学偏好参数研究的数据,采用均值比较检验和概率回归模型,检验乳腺癌和宫颈癌筛查与财务知识和金融教育之间的关系。概率回归的结果表明,金融教育水平较高的个体更倾向于参与乳腺癌和宫颈癌筛查。相比之下,财务知识水平较高的个体更有可能参与乳腺癌筛查,而对宫颈癌筛查则没有显著影响。此外,我们的研究结果表明,金融教育对乳腺癌和宫颈癌筛查都有积极的影响。就业、婚姻、高等教育、家庭收入增加和资产增加等因素与乳腺癌和宫颈癌筛查均呈稳健的正相关关系。而心理因素,如幸福感、短视的未来观、对晚年的焦虑以及对健康状况的感知,除了对生活的焦虑与宫颈癌筛查呈正相关外,与乳腺癌和宫颈癌筛查均无显著关联。本研究表明,应制定有针对性的教育计划,利用财务知识和金融教育来提高对乳腺癌和宫颈癌筛查重要性的认识。