Knowledge Assessment and Screening Barriers for Breast Cancer in an Arab American Community in Dearborn, Michigan

Ayyash, Mariam; Ayyash, Marwa; Bahroloomi, Sheena; Hamade, Hiam; Makki, Mona; Hassouneh, Samar; Blackwood, R. Alexander

doi:10.1007/s10900-019-00671-4

Cited by 15 publications

(6 citation statements)

References 9 publications

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“…The average level of knowledge in all three domains (BC risk factors, BC signs and symptoms, and mammogram use) we explored in this study is considered low. Other studies conducted on immigrant Arab and Muslim women reported similar levels of knowledge [ 6 , 20 , 21 ]. Williams et al [ 21 ] reported a low level of knowledge among immigrant Arab women for BC screenings.…”

Section: Discussionmentioning

confidence: 62%

“…Those who have reported biennial mammogram rates lower than the Healthy People 2030 target, which is 77.1% [ 5 ]. Ayyash et al [ 6 ] and Schwartz et al [ 7 ] reported that in the preceding two years, 58% ( n = 365) and 51% ( n = 102) of IMAW, respectively, had undergone a mammogram. A significant proportion of the immigrant Muslim women in Chicago were IMAW, with a biannual rate of 37% ( n = 240) [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Studies that quantitively explored the relationship between immigrant Arab and Muslim women’s level of knowledge about BC and BC screenings and their mammogram use are scarce. To date, only three studies (in California, Illinois, and Michigan) have revealed positive associations between immigrant Muslim and Arab women’s levels of knowledge and whether they have ever obtained a mammogram, the regularity with which they obtain mammograms, or their intention to obtain a mammogram [ 6 , 14 , 15 ]. Our results expand the body of the literature by exploring the association between the level of knowledge of BC signs and symptoms, BC risk factors and mammograms, and IMAW’s mammogram utilization in California.…”

Section: Introductionmentioning

confidence: 99%

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Association between Breast Cancer Knowledge and Mammogram Utilization among Immigrant Muslim Arab Women in California: Cross-Sectional Design

Alkhaifi

Badr

2022

Healthcare

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Background: Regular mammogram screenings have contributed to early breast cancer (BC) diagnoses and lowered the mortality rate by 40% in the United States of America (USA). Nonetheless, ethnic women living in developed countries, such as immigrant Muslim Arab women (IMAW), are less likely to get mammograms. Aim of the study: In our study, we aimed to understand health behaviors among IMAWs as understudied populations in the USA. Methods: We conducted a cross-sectional study on a convenience sample of IMAW living in southern California. We used logistic regression and multivariate logistic regressions to analyze the data. Results: The total number of participants who completed the survey was 184 IMAW. Participants who had a higher level of knowledge about BC signs and symptoms and mammogram knowledge were more likely to have obtained a mammogram at some point compared with their counterparts (OR = 1.23, p = 0.03, CI: 1.07–1.42; OR = 2.23, p = 0.23, CI: 1.11–4.46, respectively). Conclusions: Our results provide more evidence emphasizing the important influence of BC and mammogram knowledge on immigrant women’s behavior regarding mammogram utilization. The average level of knowledge in all three domains (BC risk factors, BC signs and symptoms, and mammogram use) reported in this study is considered low.

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Section: Discussionmentioning

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between Breast Cancer Knowledge and Mammogram Utilization among Immigrant Muslim Arab Women in California: Cross-Sectional Design

Alkhaifi

Badr

2022

Healthcare

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“…[35] Another study conducted by trained bilingual survey administrators assessed the health-related behavior of the organization's clients, specifically breast cancer knowledge and screening barriers of 100 healthy women, 50 breast cancer women survivors and 25 healthy men. [36] The results of the study indicate that there is a gap in the knowledge of breast cancer among Arab Americans in the community. In our study, the bilingual staff coordinator used direct and indirect recruitment methods, which are essential for recruiting Arabs to participate in the program.…”

Section: Discussionmentioning

confidence: 89%

Participants’ perspectives of a fall prevention exercise program in older Arab Americans: A focus group study

Yao

Kridli²,

Kishek³

2021

JNEP

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Background and objective: Physical exercise is an important intervention to maintain health, reduce falls and improve quality-of-life outcomes in older adults. Falls are the leading cause of fatal and non-fatal injuries, and the use of Tai Chi exercise is well-supported by the general older population. Currently, there is little evidence to support the acceptance of Tai Chi by Arab Americans who have no cultural ties to Tai Chi. It is important to understand the perspective of participants in order to gain insight into the attitudes and opinions of the target group. Purpose: To explore participants' perspectives in a small group setting about the implementation of a culturally sensitive Tai Chi fall prevention group exercise program.Methods: Participants were eight older Arab American women who completed a 12-week Tai Chi fall prevention exercise program at a non-for-profit Arab community center. A semi-structured interview and focus group study was conducted with the participants and was audiotaped. The audio recordings were translated into English, transcribed, and analyzed for emergent themes.Results: Participants’ views of the program were positive. The key elements that contributed to the positive outcomes reported by participants were the characteristics of Tai Chi, the Tai Chi instructor, and the use of bilingual staff as a facilitator. The data showed three themes of self-reported benefits, including prevention awareness, physical benefits and mental health benefits, and two program-related factors: program barriers and promoters.Conclusions: Findings indicated that the Tai Chi program implemented in a culturally sensitive manner can be accepted by older Arab American women. Collaborating with a community-based organization and using bilingual staff from the same culture are key factors to promote the success of the program.

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“…There has been increasing interest in understanding the prevalence and correlates of health and health behaviors among the MENA population [5][6][7][8][9][10][11][12]. Ethnic identity (EI) [13][14][15] and acculturation [16][17][18][19] [20] are two potentially important predictors of health status and health behavior, widely examined in other ethnic/racial subgroups, that have recently begun to be studied in MENA populations.…”

Section: Introductionmentioning

confidence: 99%

Development of an Ethnic Identity Measure for Americans of Middle Eastern and North African Descent: Initial Psychometric Properties, Sociodemographic, and Health Correlates

Resnicow

Patel

Green

et al. 2020

J. Racial and Ethnic Health Disparities

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Background Southeast Michigan is home to the second largest Middle Eastern and North African (MENA) US population. There is increasing interest in understanding correlates of psychosocial outcomes and health behaviors in this growing population. One potentially important health correlate is ethnic identity (EI). This paper reports the development, validity, and initial correlates of a new measure of MENA identity named the MENA-IM. Methods We used convenience sampling at locations frequented by individuals of MENA descent in southeast Michigan. We also measured EI centrality, religiosity, cultural mistrust, substance use, and health status to assess convergent and divergent validity. Exloratory and Confirmatory Factor Analysis identified three subscales, which were valid for both Arab and Chaldean respondents and were named (1) MENA cultural affiliation, (2) MENA media use, and (3) multicultural affiliation. We also created and tested a 20-item, single-factor version. Results We obtained data from 378 adults, 73% of whom identified as Arab and 27% as Chaldean. MENA-IM scores were higher among older, lower-educated, lower-income, non-US born, and Arabic-speaking respondents. Arab respondents reported significantly higher scores than Chaldeans. MENA-IM scores were positively associated with EI centrality and religiosity. Higher MENA-IM scores were found among those not reporting use of marijuana, alcohol, and opiates. Higher MENA-IM scores were also found among those without a self-reported history of heart disease and among those with better mental health status. Discussion The MENA-IM has strong psychometric properties and demonstrated initial evidence of convergent and discriminant validity. In general, values on the measure were associated with better psychosocial and health status. How the measure performs with MENA populations outside of Michigan and how it may relate to other health outcomes merit investigation.

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Knowledge Assessment and Screening Barriers for Breast Cancer in an Arab American Community in Dearborn, Michigan

Cited by 15 publications

References 9 publications

Association between Breast Cancer Knowledge and Mammogram Utilization among Immigrant Muslim Arab Women in California: Cross-Sectional Design

Association between Breast Cancer Knowledge and Mammogram Utilization among Immigrant Muslim Arab Women in California: Cross-Sectional Design

Participants’ perspectives of a fall prevention exercise program in older Arab Americans: A focus group study

Development of an Ethnic Identity Measure for Americans of Middle Eastern and North African Descent: Initial Psychometric Properties, Sociodemographic, and Health Correlates

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