title: Cancer screening among older women in a culturally insular community.
abstract: BACKGROUND
  "Culturally insular communities" are defined by a religious or ethnic orientation that effectively places them outside mainstream sources of information on health promotion. We investigated whether older women in one such community were less likely to be screened for breast, cervical, and colorectal cancer than other women in the same geographic area.
  
  
  METHODS
  A random sample of older orthodox Jewish women in Borough Park, Brooklyn, was compared to white women of the same age in the New York metropolitan area who were surveyed in the Behavioral Risk Factors Surveillance System (BRFSS).
  
  
  RESULTS
  Borough Park women aged 50-69 were less likely to report they had been screened for colorectal cancer, and women over age 70 were less likely to report screening for all three cancer prevention modalities. Among Borough Park women, functional and cognitive deficits, elicited by self-report, also reduced the likelihood of screening.
  
  
  CONCLUSIONS
  Cultural and religious prescriptions are important to consider in health promotion. These factors should be taken into account in designing strategies to promote cancer screening.
authors.affiliation: Gertrude H. Sergievsky Center, Columbia University, New York, NY 10032, USA. sma10@columbia.edu
authors.forename: Steven M
authors.initials: SM
authors.lastname: Albert
authors.forename: Susan
authors.initials: S
authors.lastname: Harlap
authors.forename: Lee
authors.initials: L
authors.lastname: Caplan
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis; D015179:Colorectal Neoplasms / Q000175:diagnosis; D005260:Female; D006801:Humans; D007585:Jews; D008403:Mass Screening; D008875:Middle Aged; D015999:Multivariate Analysis; D009369:Neoplasms / Q000175:diagnosis*; D009518:New York; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis