Cultural Beliefs and Attitudes About Breast Cancer and Screening Practices Among Arabic Women in Australia

Kwok, Cannas; Endrawes, Gihane; Lee, Chun Fan

doi:10.1097/ncc.0000000000000325

Cited by 29 publications

(33 citation statements)

References 36 publications

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“…As previously found in the context of Arabic-speaking women [41], knowledge barriers were not associated with screening participation for any cultural group. Compared with English- and Italian-speaking women, Arabic-speaking women reported more emotional and structural barriers to breast screening, even when considering whether or not they reported receiving a screening invitation.…”

Section: Discussionsupporting

confidence: 64%

Barriers to Breast Cancer Screening among Diverse Cultural Groups in Melbourne, Australia

O’Hara

McPhee

Dodson

et al. 2018

IJERPH

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This study explored the association between health literacy, barriers to breast cancer screening, and breast screening participation for women from culturally and linguistically diverse (CALD) backgrounds. English-, Arabic- and Italian-speaking women (n = 317) between the ages of 50 to 74 in North West Melbourne, Australia were recruited to complete a survey exploring health literacy, barriers to breast cancer screening, and self-reported screening participation. A total of 219 women (69%) reported having a breast screen within the past two years. Results revealed that health literacy was not associated with screening participation. Instead, emotional barriers were a significant factor in the self-reported uptake of screening. Three health literacy domains were related to lower emotional breast screening barriers, feeling understood and supported by healthcare providers, social support for health and understanding health information well enough to know what to do. Compared with English- and Italian-speaking women, Arabic-speaking women reported more emotional barriers to screening and greater challenges in understanding health information well enough to know what to do. Interventions that can improve breast screening participation rates should aim to reduce emotional barriers to breast screening, particularly for Arabic-speaking women.

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Section: Discussionsupporting

confidence: 64%

Barriers to Breast Cancer Screening among Diverse Cultural Groups in Melbourne, Australia

O’Hara

McPhee

Dodson

et al. 2018

IJERPH

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“…Traditional societies such as the Arab society sometimes retain certain beliefs and fatalistic attitudes towards illness, in general, and cancer, in particular (Azaiza & Cohen, 2008;Kwok, Endrawes, & Lee, 2016). Hence, the distress and vulnerability of parents in the context of Arab culture may be high due to the added stigma carried by the child's illness and the cultural beliefs held regarding the illness's origin and curability.…”

Section: The Context: Arab Society In Israelmentioning

confidence: 99%

Mastery and social support moderate the effects of educational level on adjustment of Arab mothers of children diagnosed with cancer

2018

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The study explored the adjustment of Arab mothers of children diagnosed with cancer, as shown by the mothers' distress and quality of life. The aim was twofold: to examine the associations between educational level, psychosocial resources and adjustment indices and to assess the moderating effects of psychosocial resources on the education and adjustment association. The sample consisted of 100 Arab mothers who completed questionnaires assessing demographic and illness variables, mastery, social support, psychological distress and quality of life. High levels of education and psychosocial resources contributed to low distress and high levels of quality of life. Mastery and social support moderated the effects of education on adjustment: Under low levels of education, higher mastery was related to lower distress and higher quality of life, and higher social support was related to lower distress. Education, mastery and social support are important resources in the context of adjustment to cancer. In addition, psychosocial resources are important factors for adjustment under low levels of education and should be taken into consideration when developing intervention programmes for Arab parents coping with their child's cancer.

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“…The participation rate of women who speak a language other than English at home is <49%, compared to around 55% in English‐speaking women . Screening rates in women from Arabic‐speaking countries is one of the lowest among migrant women in Australia . However, women born in Arab countries had a higher rate of DCIS than the other groups, which would not be expected for a higher proportion of cancers present outside of the screening setting.…”

Section: Discussionmentioning

confidence: 91%

“…While there exists a large amount of data on breast cancer trends in the Australian population overall, there is less information available about immigrant women. Participation in the national screening programme is lower among the immigrant population in Australia compared to Australian‐born women . One of the major barriers to screening identified in the Arab‐Australian population is the paradigm in which one must be sick to consult a health professional, so attending for preventive health reasons is not viewed as important …”

Section: Introductionmentioning

confidence: 99%

“…Participation in the national screening programme is lower among the immigrant population in Australia compared to Australian-born women. [3][4][5] One of the major barriers to screening identified in the Arab-Australian population is the paradigm in which one must be sick to consult a health professional, so attending for preventive health reasons is not viewed as important. 5 Western Sydney has the highest immigrant population in Australia, and it is increasing.…”

Section: Introductionmentioning

confidence: 99%

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Presentation, tumour and treatment features in immigrant women from Arabic‐speaking countries treated for breast cancer in Australia

Heilat

Brennan

Kanesalingam

et al. 2019

ANZ Journal of Surgery

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Background Australia has a large population of immigrant women from Arabic‐speaking countries. The aim of this study was to examine breast cancer tumour and surgical treatment features for women born in Arabic‐speaking countries and compare them to women born in Australia and other countries. Another aim was to consider how this information can inform clinical care for this multicultural population. Methods This is a retrospective audit of an institutional breast cancer database. Demographic, tumour and surgical treatment data were extracted for the Arab women and compared to Australian‐born women (comparison 1) and to women born in all other countries (comparison 2); chi‐squared analysis was performed to test for differences between groups. Results A total of 2086 cases with country of birth information were identified, of whom 139 women (6.7%) were born in Arabic‐speaking countries, 894 (42.8%) were born in Australia and 1053 (50.4%) were born in other countries (71 nations). Arab women tended to be younger (P = 0.013), more disadvantaged (P < 0.001), were more likely to have symptomatic rather than screen‐detected breast cancer (P < 0.001), had a higher rate of high grade (P = 0.021), HER2‐positive (P = 0.025) breast cancer compared to Australian‐born women or others. There was no difference in tumour (pT) stage, rate of breast conservation versus mastectomy, re‐excision and contralateral prophylactic mastectomy between groups. Australian‐born women were more likely to undergo breast reconstruction after mastectomy (P < 0.001); reconstruction rate was >29% in all groups. Conclusion Women born in Arabic‐speaking countries were younger, more disadvantaged and showed more aggressive tumour features. This has implications for supportive care during treatment and survivorship.

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Cultural Beliefs and Attitudes About Breast Cancer and Screening Practices Among Arabic Women in Australia

Abstract: To fully understand barriers discouraging Arabic Australian women from participating in breast cancer screening practices, efforts should be focused on specific subgroup (ie, working group) of Arabic Australian women.

Cited by 29 publications

References 36 publications

Barriers to Breast Cancer Screening among Diverse Cultural Groups in Melbourne, Australia

Barriers to Breast Cancer Screening among Diverse Cultural Groups in Melbourne, Australia

Mastery and social support moderate the effects of educational level on adjustment of Arab mothers of children diagnosed with cancer

Presentation, tumour and treatment features in immigrant women from Arabic‐speaking countries treated for breast cancer in Australia

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