Between traditional and modern perceptions of breast and cervical cancer screenings: a qualitative study of Arab women in Israel
Between traditional and modern perceptions of breast and cervical cancer screenings: a qualitative study of Arab women in Israel
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DOI：
10.1002/pon.1180
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发表时间：
2008-01-01
期刊：
影响因子：
3.6
通讯作者：
Cohen, Miri
中科院分区：
文献类型：
--
作者：
Azaiza, Faisal;Cohen, Miri
阿拉伯妇女近年来经历了重大的现代化进程，这些进程对对筛查的态度的影响应该加以审查。51名以色列阿拉伯妇女参加了五个代表性社区的焦点小组。这些妇女对与癌症有关的风险和预防因素表达了传统信仰和现代生物医学知识的结合。特别重视分娩和母乳喂养作为保护因素，将现代观点与作为妇女在社会中的主要作用的母性的传统观念结合起来。关于谁或什么对一个人的健康负责的主要主题出现了，意见包括命运和上帝的意志、医生和保健服务，或者如许多与会者所断言的那样，个人对自己的健康负责。一个相关的主题是，人们认为癌症要么是一种惩罚，要么是上帝设计的一种考验。他们表达了对与乳房或妇科检查有关的耻辱的恐惧，担心一旦发现肿块配偶的反应，以及担心违反宗教和文化对谦虚的要求。然而，有一个坚定的共识是，尽管这些造成了情感上的困难，但它们的重要性不足以导致妇女放弃筛查。版权所有(C) 2007约翰威利父子有限公司
Arab women have undergone major modernization processes in recent years and the effect of these processes on attitudes to screening should be examined. Fifty-one Israeli Arab women participated in focus groups in five representative communities. The women expressed a combination of traditional beliefs and modern biomedical knowledge concerning risk and preventive factors related to cancer. Special importance was given to birth and breast-feeding as protective factors, integrating modern views with traditional concepts of motherhood as a woman's principal role in society. A major theme on who or what was responsible for one's health emerged, opinions ranging across fate and God's will, physicians and health services, or, as a substantial number of participants asserted, taking personal responsibility for one's health. A related theme that emerged was the perception of cancer as either a punishment or as a test devised by God. Fears of stigma related to breast or gynecological examinations, worries about the spouse's reaction once a lump is detected, and worries regarding the violation of religious and cultural requirements of modesty, were expressed. However, there was firm agreement that although these created emotional difficulties, they were not sufficiently important to cause women to forgo screenings. Copyright (C) 2007 John Wiley & Sons, Ltd.