The impact of individuals’ preventive behaviours on health and healthcare utilisation

IF 2.2 3区 医学 Q2 ECONOMICS
Aarushi Dhingra , Gianluca Fiorentini , Luke Connelly
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引用次数: 0

Abstract

We investigate the impact of preventative health behaviour of an individual, colon screening, on health outcomes and healthcare utilisation. We employ an instrumental variable approach to address the circularity in this relationship, using eye examination as our instrument. Our instrument exploits the fact that individuals who comply with recommendations or exhibit positive health behaviours tend to cluster and comply with recommendations for other positive health behaviours as well. We use two-stage least square regressions using data from the Survey of Health, Ageing and Retirement in Europe. The results show that undertaking colon screening increases the probability of hospitalisations, especially those that are planned. It also leads to an increase in the probability of a diagnosis of cancer and colon cancer, while reducing the probability of death in the subsequent period. Heterogeneity checks provide evidence that these results are driven mostly by females, unmarried individuals, people with more than two co-morbidities and people with lower education and income. The results highlight the need to promote targeted information and preventive medicine to enhance early detection of cancer which may increase the probability of survival, and reduce avoidable burden on the healthcare system, especially, amongst the vulnerable groups.
个人预防行为对健康和医疗使用的影响
我们调查个人的预防性健康行为,结肠筛查,对健康结果和医疗保健利用的影响。我们采用工具变量方法来解决这种关系中的循环性,使用眼睛检查作为我们的工具。我们的工具利用了这样一个事实,即遵守建议或表现出积极健康行为的个人也倾向于聚集并遵守其他积极健康行为的建议。我们使用来自欧洲健康、老龄化和退休调查的数据,使用两阶段最小二乘回归。结果表明,进行结肠筛查增加了住院的可能性,特别是那些计划住院的可能性。它还会增加癌症和结肠癌的诊断概率,同时降低随后时期的死亡概率。异质性检查提供的证据表明,这些结果主要是由女性、未婚个体、患有两种以上合并症的人以及受教育程度和收入较低的人造成的。结果强调,需要促进有针对性的信息和预防医学,以提高癌症的早期发现,这可能会增加生存的可能性,并减少医疗保健系统,特别是在弱势群体中可避免的负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Economics & Human Biology
Economics & Human Biology 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.50
自引率
12.00%
发文量
85
审稿时长
61 days
期刊介绍: Economics and Human Biology is devoted to the exploration of the effect of socio-economic processes on human beings as biological organisms. Research covered in this (quarterly) interdisciplinary journal is not bound by temporal or geographic limitations.
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