Abstract
In Japan, cancer screening is provided as a public service for the most part. Although most of these programs are effective, the participation rate has reached a plateau and new participants seem to be rare. In this article, we analyzed factors influencing participation of cancer screening using an original questionnaire survey. In the whole sample, age, income, current outpatient consultation, education and health insurance are related to participation.
The Analysis using the whole sample includes both supply side and demand side factors. To concentrate on analyzing the demand side factors and cancer screening provided as a pure public service, we limited the samples to those involved in national insurance. As a result, residents of towns and villages have higher participation and invitation cards by mail realize increased participation rate, but public announcements using papers, posters, and circulating notices have no effect.
