The Effect of Education on Health Behavior after Screening for Colorectal Cancer

Eline Aas, Tor Iversen and Geir Hoff

A chapter in Human Capital and Health Behavior, 2017, vol. 25, pp 207-242 from Emerald Group Publishing Limited

Abstract: Misinterpretation of a negative test results in health screening may initiate less preventive effort and more future lifestyle-related disease. We predict that misinterpretation occurs more frequently among individuals with a low level of education compared with individuals with a high level of education. The empirical analyses are based on unique data from a randomized controlled screening experiment in Norway, NORCCAP (NORwegian Colorectal Cancer Prevention). The dataset consists of approximately 50,000 individuals, of whom 21,000 were invited to participate in a once only screening with sigmoidoscopy. For all individuals, we also have information on outpatient consultations and inpatient stays and education. The result of health behaviour is mainly measured by lifestyle-related diseases, such as COPD, hypertension and diabetes type 2, identified by ICD-10 codes. The results according to intention-to-treat indicate that screening does not increase the occurrence of lifestyle related diseases among individuals with a high level of education, while there is an increase for individuals with low levels of education. These results are supported by the further analyses among individuals with a negative screening test.

Keywords: Disease; cancer; colorectal cancer; cancer prevention; screening (search for similar items in EconPapers)
Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:eme:aheszz:s0731-219920170000025007

DOI: 10.1108/S0731-219920170000025007

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