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Preferences for cervical cancer screening service attributes in rural China: a discrete choice experiment

Objectives: Compared with other cancers, screening for cervical cancer is highly cost-effective. However, due to limited awareness about cervical cancer and many other factors, women’s attendance rate in rural China for cervical cancer screening remains low. This study aimed to determine women’s pre...

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Autores principales: Li, Shunping, Liu, Shimeng, Ratcliffe, Julie, Gray, Alastair, Chen, Gang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6554707/
https://www.ncbi.nlm.nih.gov/pubmed/31239646
http://dx.doi.org/10.2147/PPA.S201913
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author Li, Shunping
Liu, Shimeng
Ratcliffe, Julie
Gray, Alastair
Chen, Gang
author_facet Li, Shunping
Liu, Shimeng
Ratcliffe, Julie
Gray, Alastair
Chen, Gang
author_sort Li, Shunping
collection PubMed
description Objectives: Compared with other cancers, screening for cervical cancer is highly cost-effective. However, due to limited awareness about cervical cancer and many other factors, women’s attendance rate in rural China for cervical cancer screening remains low. This study aimed to determine women’s preferences for cervical cancer screening, to help enhance screening uptake. Methods: A discrete choice experiment (DCE) was conducted among a population-based random sample of 420 women (30–65 years old) in August 2015. Attributes included the percentage of cervical cancer-related death reduction, screening interval, screening location, screening pain, waiting time for screening results and out-of-pocket costs. Mixed logit models were used to analyze the relative importance of each screening attribute. Results: When considering a screening program, the screening cost, location and the percentage of cervical cancer-related death reduction were of most concern to women. Among the presented attributes, the pain associated with the process of screening was of the least concern. Conclusions: All six attributes in our study were found to have a large influence on the preference for cervical cancer screening, and significant preference heterogeneity existed among participants. The findings indicate that the maintenance of a free screening program is essential to increasing screening uptake in this vulnerable population.
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spelling pubmed-65547072019-06-25 Preferences for cervical cancer screening service attributes in rural China: a discrete choice experiment Li, Shunping Liu, Shimeng Ratcliffe, Julie Gray, Alastair Chen, Gang Patient Prefer Adherence Original Research Objectives: Compared with other cancers, screening for cervical cancer is highly cost-effective. However, due to limited awareness about cervical cancer and many other factors, women’s attendance rate in rural China for cervical cancer screening remains low. This study aimed to determine women’s preferences for cervical cancer screening, to help enhance screening uptake. Methods: A discrete choice experiment (DCE) was conducted among a population-based random sample of 420 women (30–65 years old) in August 2015. Attributes included the percentage of cervical cancer-related death reduction, screening interval, screening location, screening pain, waiting time for screening results and out-of-pocket costs. Mixed logit models were used to analyze the relative importance of each screening attribute. Results: When considering a screening program, the screening cost, location and the percentage of cervical cancer-related death reduction were of most concern to women. Among the presented attributes, the pain associated with the process of screening was of the least concern. Conclusions: All six attributes in our study were found to have a large influence on the preference for cervical cancer screening, and significant preference heterogeneity existed among participants. The findings indicate that the maintenance of a free screening program is essential to increasing screening uptake in this vulnerable population. Dove 2019-05-30 /pmc/articles/PMC6554707/ /pubmed/31239646 http://dx.doi.org/10.2147/PPA.S201913 Text en © 2019 Li et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Li, Shunping
Liu, Shimeng
Ratcliffe, Julie
Gray, Alastair
Chen, Gang
Preferences for cervical cancer screening service attributes in rural China: a discrete choice experiment
title Preferences for cervical cancer screening service attributes in rural China: a discrete choice experiment
title_full Preferences for cervical cancer screening service attributes in rural China: a discrete choice experiment
title_fullStr Preferences for cervical cancer screening service attributes in rural China: a discrete choice experiment
title_full_unstemmed Preferences for cervical cancer screening service attributes in rural China: a discrete choice experiment
title_short Preferences for cervical cancer screening service attributes in rural China: a discrete choice experiment
title_sort preferences for cervical cancer screening service attributes in rural china: a discrete choice experiment
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6554707/
https://www.ncbi.nlm.nih.gov/pubmed/31239646
http://dx.doi.org/10.2147/PPA.S201913
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