Age In, Age Out: The (Un)intended Consequences of Targeted Screening Programs

Christine Sevilla-Dedieu, Nathalie Billaudeau, Morgane Le Guern, Audrey Arnaud and Alain Paraponaris
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Christine Sevilla-Dedieu: Fondation MGEN pour la santé publique
Nathalie Billaudeau: Fondation MGEN pour la santé publique
Morgane Le Guern: Fondation MGEN pour la santé publique
Audrey Arnaud: Assistance Publique - Hôpitaux de Paris
Alain Paraponaris: AMSE - Aix-Marseille Sciences Economiques - EHESS - École des hautes études en sciences sociales - AMU - Aix Marseille Université - ECM - École Centrale de Marseille - CNRS - Centre National de la Recherche Scientifique

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Abstract: Tis paper examines the efectiveness of France's organized cancer screening programs by leveraging age-based eligibility thresholds to identify causal efects on screening uptake. Using 2019 telephone survey data matched with medico-administrative records from 1,411 women insured by MGEN, we employ a fuzzy regression discontinuity design to estimate Local Average Treatment Efects at program entry and exit ages. Our results reveal dramatic discontinuities in screening behavior: entering mammography screening eligibility at age 50 increases uptake probability by 59 percentage points (pp) (p

Keywords: Cancer screening test uptake; fuzzy regression discontinuity; atitude towards risk (search for similar items in EconPapers)
Date: 2025-12
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