Government Recommendations and Health Behaviours: Evidence from Breast Cancer Screening Guidelines

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ID: 328377
2026
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Abstract
Abstract We provide novel evidence on how healthcare decision-making responds to government recommendations by examining the 2009 revision to the United States Preventive Services Task Force’s mammography guidelines. Using a difference-in-differences design, we find the revision reduced mammography among women aged 40–49 by 6–10%. We also find spillover effects among women aged 30–39, who became substantially less likely to receive mammogram recommendations or screenings, despite not being the guideline’s target population. Declines were greatest among groups with higher baseline screening rates. We also find evidence of reduced overdiagnosis of early-stage tumors and increased confusion about cancer prevention recommendations.
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openalex_W7212712955 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Brandyn F Churchill, Emily C. Lawler
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Journal the economic journal
Year 2026
DOI
10.1093/ej/ueag110
URL
https://doi.org/10.1093/ej/ueag110
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