ABSTRACT
The Bedouin Arab population in the southern Negev region of Israel has faced health problems as a result of transitioning rapidly from a nomadic agricultural lifestyle to a more modern urban lifestyle. Like many populations around the world, the Bedouins have changed their diets and become more sedentary and this has led to a high rate of diabetes. In this case report, we examine how diabetes has affected the life of an influential man in the Bedouin community and the significance this case has in the greater context of a global rise in chronic disease.
Subject(s)
Arabs/psychology , Diabetes Mellitus/ethnology , Culture , Diabetes Mellitus/drug therapy , Dietary Sucrose , Humans , Hypoglycemic Agents/therapeutic use , Insulin/therapeutic use , Israel , Male , Metformin/therapeutic use , Middle Aged , Patient Compliance/psychology , Sedentary Behavior/ethnologyABSTRACT
OBJECTIVES: Individuals with limited literacy have low rates of cancer screening and more advanced cancer when cancer is detected. We implemented breast cancer screening at an adult literacy center to see if students would participate and determine the rate of abnormalities detected. METHODS: The Anchorage Literacy Project (ALP), in collaboration with Providence Cancer Center (PCC), offered breast cancer screening, including mammograms, on site at ALP to all 40 female ALP students aged > or =40. Prior to screening, PCC and ALP staff provided education to students about breast cancer screening and mammograms, and information about the Alaska Breast and Cervical Health Check program that would pay for treatment if cancer was detected. RESULTS: Twenty-one women underwent screening. Three (14%) had significant abnormalities. CONCLUSIONS: Cancer screening can be provided on site in adult literacy programs. The rate of abnormalities detected through such screening may be higher than the rate in the general population.
