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

Orna Baron-Epel, Nurit Friedman, Omri Lernau

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)489-491
Number of pages3
JournalPreventive Medicine
Issue number6
StatePublished - Jun 2008


  • Arabs
  • Claims records
  • Jews
  • Mammography
  • Self-reports
  • Validity

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology


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