Article

Cancer as Perceived by a Middle-Aged Jewish Urban Population in Israel

Orna Baron-Epel

Anat Klin

perceptions
ONF 2009, 36(6), E326-E334. DOI: 10.1188/09.E326-E334

Purpose/Objectives: To identify beliefs and attitudes of a Jewish urban population in Israel regarding cancer, in the context of the present medical knowledge among lay populations.

Research Approach: Qualitative analysis of focus groups.

Setting: Israel.

Participants: Men and women aged 50 years and older from the larger Tel-Aviv (Israel) metropolitan area.

Methodologic Approach: Nine focus group discussions were conducted including 41 men and 41 women. A structured discussion guide was developed to ensure that the groups were facilitated consistently. The discussions were transcribed verbatim.

Findings: Medical knowledge expressed in the focus groups was high. Cancer was regarded as many distinct diseases, each one with different chances of early detection and cure. Breast cancer and skin cancer were regarded as diseases from which the chances of recovery were high, compared to colon cancer, which was regarded as fatal. Both traditional fatalistic beliefs and views regarding cancer as a chronic disease were expressed. Genetics was expressed as having a fatalistic role and as prompting early detection. Participants expressed great fear of cancer, particularly fear of treatments and death.

Conclusions: The process of incorporating knowledge and experience into the present belief system of this Jewish, urban, middle-aged population has not eliminated barriers to early detection.

Interpretation: The notion of cancer as a chronic disease should be promoted. Interventions aimed at forming more positive attitudes toward colon cancer are needed to increase adherence to screening recommendations. Healthcare providers and the media should try to decrease fear of cancer treatments in general.

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    References

    Agurto, I., Bishop, A., Sanchez, G., Betancourt, Z., & Robles, S. (2004). Perceived barriers and benefits to cervical cancer screening in Latin America. Preventive Medicine, 39(1), 91-98.
    Baider, L., & Sarell, M. (1983). Perceptions and causal attributions of Israeli women with breast cancer concerning their illness: The effects of ethnicity and religiosity. Psychotherapy Psychosomatic, 39(3), 136-143.
    Barchana, M. (2000). Survival of patients from cancer. Israel National Cancer Registry Bulletin, 2, 2-4.
    Beeker, C., Kraft, J.M., Southwell, B.G., & Jorgensen, C.M. (2000). Colorectal cancer screening in older men and women: Qualitative research findings and implications for intervention. Journal of Community Health, 25(3), 263-278.
    Borrayo, E. A. (2007). Using a community readiness model to help overcome breast health disparities among U.S. Latinas. Substance Use Misuse, 42(4), 603-619.
    Central Bureau of Statistics. (2007). Statistical abstract of Israel 2007 [No. 58]. Jerusalem, Israel: Author.
    Chaffe, S.H., & Roser, C. (1986). Involvement and the consistency of knowledge, attitudes, and behaviors. Communication Research, 13(3), 373-399.
    Coronado, G.D., Thompson, B., Koepsell, T.D., Schwartz, S.M., & McLerran, D. (2004). Use of Pap test among Hispanics and non-Hispanic whites in a rural setting. Preventive Medicine, 38(6), 713-722.
    Curbow, B., Bowie, J., Garza, M.A., McDonnel, K., Scott, L.B., Coyne, C.A., et al. (2004). Community-based cancer screening programs in older populations: Making progress but can we do better? Preventive Medicine, 38(6), 676-693.
    Finnegan, J.R., & Viswanatha, K. (2002). Communication theory and health behavior change: The media studies framework. In K. Glantz, B.K. Rimer, & F.M. Lewis, (Eds.), Health behavior and health education: Theory, research, and practice (3rd ed., pp. 361-388). San Francisco: Jossey-Bass.
    Freeman, H.P. (1989). Cancer in the socioeconomically disadvantaged. CA: A Cancer Journal Clinicians, 39(5), 266-288.
    Gorin, S.S. (2005). Correlates of colorectal cancer screening compliance among urban Hispanics. Journal Behavioral Medicine, 28(2), 125-137.
    Greiner, K.A., Born, W., Nollen, N., & Ahluwalia, J.S. (2005). Knowledge and perceptions of colorectal cancer screening among urban African Americans. Journal of General Internal Medicine, 20(11), 977-983.
    Guidry, J.J., Matthews-Juarez, P., & Copeland, V.A. (2003). Barriers to breast cancer control for African-American women: The interdependence of culture and psychosocial issues. Cancer, 97(1, Suppl.), 318-323.
    Henderson, L., & Kitzinger, J. (1999). The human drama of genetics: "Hard" and "soft" media representations of inherited breast cancer. Sociology of Health and Illness, 21(5), 560-578.
    Ishida, D.N., Toomata-Mayer, T.F., & Braginsky, N.S. (2001). Beliefs and attitudes of Samoan women toward early detection of breast cancer and mammography utilization. Cancer, 91(1, Suppl.), 262-266.
    Israel Center for Disease Control. (2006). Israeli National Health Interview Survey (INHIS-1) 2003-4 [Publication 249]. Tel Hashomer, Israel: Author.
    Jones, K.O., Denham, B.E., & Springston, J.K. (2006). Effects of mass and interpersonal communication on breast cancer screening: Advancing age agenda-setting theory in health contexts. Journal of Applied Communication Research, 34(1), 94-113.
    Koten, A., Haim, N., Lev, E., & Weimann, G. (2004). The coverage of cancer in Israel. Journal of Clinical Oncology, 22(145), 6095-7001.
    Kwok, C., & Sullivan, G. (2006). Influence of traditional Chinese beliefs on cancer screening behaviour among Chinese-Australian women. Journal of Advanced Nursing, 54(6), 691-699.
    Langellier, K.M., & Sullivan, C.F. (1998). Breast talk in breast cancer narratives. Qualitative Health Research, 8(1), 76-94.
    Lee, M.C. (2000). Knowledge, barriers, and motivators related to cervical cancer screening among Korean-American Women—A focus group approach. Cancer Nursing, 23(3), 168-175.
    Liang, W., Wang, J.H., Chen, M.Y., Feng, S., Lee, M., Schwartz, M. D., et al. (2007). Developing and validating a measure of Chinese cultural views of health and cancer. Health Education Behavior, 35(3), 361-375.
    Liang, W., Yuan, E., Mandelblatt, J.S., & Pasick, R.J. (2004). How do older Chinese women view health and cancer screening? Results from focus groups and implications for interventions. Ethnicity and Health, 9(3), 283-304.
    Luquis, R.R., & Cruz, I.J.V. (2006). Knowledge, attitudes, and perceptions about breast cancer and breast cancer screening among Hispanic women residing in South Central Pennsylvania. Journal of Community Health, 31(1), 25-42.
    Mayo, R.M., Ureda, J.R., & Parker, V.G. (2001). Importance of fatalism in understanding mammography screening in rural elderly women. Journal of Women and Aging, 13(1), 57-72.
    Morse, J.M. (2008). Confusing categories and themes. Qualitative Health Research, 18(6), 727-728.
    Pasick, R.J., & Burke, N.J. (2007). A critical review of theory in breast cancer screening promotion across cultures. Annual Reviews Public Health, 29, 351-368.
    Powe, B.D. (1995). Fatalism among elderly African-Americans—Effects on colorectal cancer screening. Cancer Nursing, 18(5), 385-392.
    Powe, B.D. (2002). Promoting fecal occult blood testing in rural African American women. Cancer Practice, 10(3), 139-146.
    Powe, B.D., & Finnie, R. (2003). Cancer fatalism—The state of the science. Cancer Nursing, 26(6), 454-465.
    Powe, B.D., Hamilton, J., & Brooks, P. (2006). Perceptions of cancer fatalism and cancer knowledge: A comparison of older and younger African American women. Journal of Psychosocial Oncology, 24(4), 1-13.
    Remennick, L. (2003). "I have no time for potential troubles": Russian immigrant women and breast cancer screening in Israel. Journal of Immigrant Health, 5(4), 153-163.
    Russell, K.M., Perkins, S.M., Zollinger, T.W., & Champion, V.L. (2006). Sociocultural context of mammography screening use. Oncology Nursing Forum, 33(1), 105-112.
    Shankar, S., Selvin, E., & Alberg, A. J. (2002). Perceptions of cancer in an African-American community: A focus group report. Ethnicity and Disease, 12(2), 276-283.
    Shuval, J., & Anison, O. (2000). The main thing is health: Social structure and health in Israel. Jerusalem, Israel: Hebrew University, Magnes.
    Shvartzman, P., Rivkind, E., Neville, A., Friger, M., & Sperber, A.D. (2000). Screening intention and practice among first-degree relatives of colorectal cancer patients in southern Israel. Israel Medical Association Journal, 2(9), 675-678.
    Target Group Index. (2005). Exposure to newspapers in Israel. Retrieved April 28, 2007, from http://www.ice.co.il
    Tessaro, I., Mangone, C., Parkar, I., & Pawar, V. (2006). Knowledge, barriers, and predictors of colorectal cancer screening in an Appalachian church population. Prevention of Chronic Diseases, 3(4), A123.
    State Comptroller and Ombudsman. (2003). Annual report 2002 [53b, 450]. Jerusalem, Israel: Author.
    Unrau, Y., Coleman, H. (1997). Qualitative data analysis. In M. Grinnel (Ed.), Social work research and evaluation: quantitative and qualitative approaches (pp. 512-551). Itsaca, IL: Peacock.
    Valente, T.W., Paredes, P., & Poppe, P.R. (1998). Matching the message to the process: The relative ordering of knowledge, attitudes and practices in behavior change research. Human Communication Research, 24(3), 366-385.
    Vanslyke, J.G., Baum, J., Plaza, V., Otero, M., Wheeler, C., & Helitzer, D.L. (2008). HPV and cervical cancer testing and prevention: knowledge, beliefs, and attitudes among Hispanic women. Qualitative Health Research, 18(5), 584-596.
    Weimann, & Lev, E. (2006). Mass mediated medicine. Israel Medical Association Journal, 8(11), 757-762.
    Wolff, M., Bates, T., Beck, B., Young, S., Ahmed, S. M., & Maurana, C. (2003). Cancer prevention in underserved African American communities: Barriers and effective strategies—A review of the literature. Wisconsin Medical Journal, 102(5), 36-40.
    Yarchi, A. (2004). Media coverage of cancer illness in Israeli women's magazines [Master degree thesis]. Haifa, Israel: Department of Communication, University of Haifa.