Validity of self-reported mammography in a multicultural population in Israel

Prev Med. 2008 Jun;46(6):489-91. doi: 10.1016/j.ypmed.2008.03.003. Epub 2008 Mar 18.


Objective: To validate self-reported mammography against claims records in women aged 52-74 living in Israel and belonging to the Jewish (non-orthodox pre-1989 native or former Soviet Union immigrant or ultra-orthodox) or Arab populations.

Methods: In a spring 2007 random telephone survey, 1550 women receiving healthcare at Maccabi Health Services were asked whether they had had a mammography during the previous 2 years. The same information was obtained from claims records and treated as the gold standard.

Results: Self-reported mammography and claims records disagreed for 17.4%. Compared to the other populations, Arab women tended to report more often that they had obtained a mammogram when it was not registered in the claims data (specificity=47.3%, 95% CI%=38.4, 56.3). Ultra-orthodox women more often failed to report having had the mammogram while the claims records indicated they had had (sensitivity=90.3%, 95% CI%=86.1, 93.6).

Conclusion: Agreement between self-reported mammography and claims records depends on cultural and socioeconomic factors.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Aged
  • Arabs
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / prevention & control
  • Cultural Diversity
  • Culture*
  • Health Care Surveys
  • Humans
  • Israel
  • Jews
  • Mammography / statistics & numerical data*
  • Middle Aged
  • Patient Acceptance of Health Care
  • Self-Assessment*
  • Socioeconomic Factors
  • Surveys and Questionnaires