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. © 2008 Elsevier Inc. All rights reserved.

mammography Jews Self-reports Claims records Arabs Validity

Cultural Diversity validity breast cancer Israel Health Care Surveys human Self Report middle aged Self Assessment (Psychology) health service controlled study priority journal cancer risk Aged cancer screening Arabs Humans Breast Neoplasms Mammography female Socioeconomic Factors Jews Article Questionnaires major clinical study adult Patient Acceptance of Health Care Culture health survey