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Shunping Li,12 Shimeng Liu,12 Julie Ratcliffe,3 Alastair Gray,4 Gang Chen5
1School of Health Care Management, Shandong University, Jinan 250012, People's Republic of China; 2Health Economics and Policy Research Laboratory of NHC (Shandong University), Jinan, 250012, People's Republic of China; 3Health Economics Group, College of Nursing and Health, Flinders University, Adelaide, South Australia 5042, Australia; 4Center for Health Economics Research, Department of Population Health, Nuffield University, Oxford University, Oxford, United Kingdom; 5Flinders Center for Innovation in Cancer, College of Medicine and Public Health, Flinders University, Adelaide, South Australia 5042, Australia
objectives: Compared to other cancers, screening for cervical cancer is very cost effective. However, because of limited knowledge of cervical cancer and many other factors, the rate of participation of women in rural China in cervical cancer screening remains low. This study aimed to determine women's preferences for cervical cancer screening to improve the uptake of screening.
The methods: A discrete choice experiment (DCE) was conducted on a random sample of 420 women (aged 30 to 65) in the population in August 2015. Among the attributes were the percentage reduction in cervical cancer mortality. uterine, interval screening, location of screening and screening for pain. , waiting time for screening results and the costs incurred. Mixed logit models were used to badyze the relative importance of each filtering attribute.
Results: When considering a screening program, the cost, location, and percentage reduction in cervical cancer mortality was of greatest concern to women. Among the attributes presented, the pain badociated with the screening process was the least of concern.
conclusions: We found that the six attributes of our study had a strong influence on the preference for cervical cancer screening, and there was significant heterogeneity among the participants. The results indicate that maintaining a free screening program is essential to increase screening participation in this vulnerable population.
Keywords: discrete choice experience, cervical cancer, screening, preference, China
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