This study examined the risk profile and preventive practices aimed at female reproductive cancer in a national sample of 620 women aged over 35, who immigrated to Israel from the former Soviet Union after 1989.
The study setting typifies a more general problem of the encounter between East European immigrants and western-type health cultures and medical systems.
It has shown that universal access to preventive care may not translate into its optimal utilization among marginalized population groups.
Specifically, while being at moderate to high cancer risk, Russian immigrants avoid screening activities ; gynecological check-ups, breast examination and mammography.
This is a reversal of the pre-emigration pattern : two thirds of respondents underwent cancer screening in their home country and only one third in Israel.
The risk groups for late detection of cancer are the women least integrated into the mainstream society : those over 60, unemployed or having unskilled jobs.
Women without regular primary care providers showed the lowest cancer awareness and minimal screening activity.
Even those who knew the key cancer facts, believed in their own susceptibility and in the benefit of early detection, in practice did little to avert the danger. (...)
Mots-clés Pascal : Tumeur maligne, Glande mammaire, Homme, Femelle, Immigrant, Russe, Dépistage, Facteur risque, Attitude, Utilisation, Connaissance, Israël, Asie, Epidémiologie, Surveillance sanitaire, Glande mammaire pathologie
Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Human, Female, Immigrant, Russian, Medical screening, Risk factor, Attitude, Use, Knowledge, Israel, Asia, Epidemiology, Sanitary surveillance, Mammary gland diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0313062
Code Inist : 002B30A03C. Création : 16/11/1999.