Cervical cancer screening invitations in low and middle income countries: Evidence from Armenia

Antinyan, Armenak ORCID: https://orcid.org/0000-0001-9960-3618, Bertoni, Marco and Corazzini, Luca 2021. Cervical cancer screening invitations in low and middle income countries: Evidence from Armenia. Social Science & Medicine 273 , 113739. 10.1016/j.socscimed.2021.113739

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Abstract

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.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Business (Including Economics)
Publisher:	Elsevier
ISSN:	0277-9536
Date of Acceptance:	30 January 2021
Last Modified:	06 Jan 2024 02:15
URI:	https://orca.cardiff.ac.uk/id/eprint/146927

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