Modesty Matters: Cultural Sensitivity and Cervical Cancer Prevention in Muslim Women in the United States

Guimond, Mary Elizabeth; Salman, Khlood

doi:10.1111/1751-486x.12034

Cited by 32 publications

(22 citation statements)

References 16 publications

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“…Many Arab people understand cancer as a fatal disease and consider it to be a death judgement. AMW often avoid the word “cancer”, and more likely identify the disease by words such as “that malignant disease” (Guimond & Salman, ). This supports the early sociological literature on cancer, which suggests that disease is a taboo worldwide, for as long as little is known about the cause of illness and in contexts where it is perceived to be incurable (Sontag & Broun, ).…”

Section: Discussionmentioning

confidence: 99%

Integrative review of cervical cancer screening in Western Asian and Middle Eastern Arab countries

Ali

Skirton

Clark

et al. 2017

Nursing & Health Sciences

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Population-based screening programs have resulted in minimizing mortality and morbidity from cervical cancer. The aim of this integrative review was to explore the factors influencing access of women from Western Asian and Middle Eastern Arab countries to cervical cancer screening. A systematic search for studies conducted in Arab countries in those regions, and published in English between January 2002 and January 2017, was undertaken. Thirteen papers were selected and subjected to quality appraisal. A three step analysis was used, which involved a summary of the evidence, analysis of both quantitative and qualitative data, and integration of the results in narrative form. Few population-based cervical cancer screening programs had been implemented in the relevant countries, with low knowledge of, and perceptions about, cervical screening among Arab women, the majority of whom are Muslim. Factors affecting the uptake of cervical cancer screening practices were the absence of organized, systematic programs, low screening knowledge among women, healthcare professionals' attitudes toward screening, pain and embarrassment, stigma, and sociocultural beliefs. Policy changes are urgently needed to promote population-based screening programs. Future research should address the promotion of culturally-sensitive strategies to enable better access of Arab Muslim women to cervical cancer screening.

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Section: Discussionmentioning

confidence: 99%

Integrative review of cervical cancer screening in Western Asian and Middle Eastern Arab countries

Ali

Skirton

Clark

et al. 2017

Nursing & Health Sciences

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“…A Muslim woman or man may require that the treating clinician be the same sex as themselves. 40 Honoring such a preference, a preference that may be shared by non-Muslims as well, will allow for optimal patient assessment and relief of suffering in advanced illness. Although a religious context may be discussed here, a patient's requirement or preference for gender concordance may reflect his/her culture, religion, or simply preference.…”

Section: Modestymentioning

confidence: 99%

Supporting Muslim Patients During Advanced Illness

Boucher

Siddiqui

Koenig

2017

TPJ

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Religion is an important part of many patients' cultural perspectives and value systems that influence them during advanced illness and toward the end of life when they directly face mortality. Worldwide violence perpetrated by people identifying as Muslim has been a growing fear for people living in the US and elsewhere. This fear has further increased by the tense rhetoric heard from the recent US presidential campaign and the new presidential administration. For many, this includes fear of all Muslims, the second-largest religious group in the world with 1.6 billion adherents and approximately 3.5 million in the US alone. Patient-centered care requires health professionals to look past news headlines and unchecked social media so they can deliver high-quality care to all patients. This article explores areas of importance in the context of advanced illness for practitioners of Islam. These include the conditions needed for prayer, the roles of medical treatment and religious authority, the importance of modesty, the religious concordance of clinicians, the role of family in medical decision making, advance care planning, and pain and symptom management. Initial recommendations to optimize care for Muslim patients and their families, informed by the described tenets of Muslim faith, are provided for clinicians and health systems administrators. These include Islamic cultural awareness training for staff, assessment of patients and families to determine needs, health education and decision-making outreach, and community health partnerships with local Islamic institutions.

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“…Probably foremost among the factors are psychosocial barriers such as affordances, beliefs, fears, and sociocultural constraints, amongst others. [7][8][9][10] For instance, discussion around HPV vaccination noted in:…”

Section: Introductionmentioning

confidence: 99%

“…• United States of America-that cultural sensitivity among Muslim women is necessary strategy to improve acceptance. 10 • Gwagwalada of Nigeria-low level of knowledge about HPV vaccination and perception that cervical cancer is not preventable were major barriers. 11 • Canada-a publicly funded HPV vaccination program was disallowed at a Catholic school based on belief that the exercise would send a wrong message of early sexual intercourse being allowed.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing the acceptance of HPV vaccine among civil servants in Delta State Secretariat

Okwe¹,

Chime²,

Nwose³

2019

Int J Reprod Contracept Obstet Gynecol

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Background: The importance of cervical screening and HPV vaccination cannot be overemphasized. Yet, the level of uptake of HPV vaccination has never been evaluated among Secretariat personnel in Delta State of Nigeria. This part-of-four piece of study aimed to identify the barriers to the acceptance of HPV vaccination in Delta State, Nigeria.Methods: A cross-sectional, descriptive survey method was adopted using a structured questionnaire. 285 participants were included. The structured questionnaire included questions on acceptance of HPV vaccination and the factors influencing acceptability. Statistical analysis included percentage proportions of respondents. Absolute and relative frequencies of the factors were also determined. Chi-squared analysis was performed based on dichotomy of participants based on yes/no response to being vaccinated.Results: Less than 8% of respondents have completed the HPV vaccination program. Low income earners have accepted the vaccination more than the high income group (p <0.003). Nature of work implying time constraints was an absolute factor. Accessibility is one of four factors that were significantly associated (p <0.002).Conclusions: Given the observation on nature of work and associated implication of time constraints and also inaccessibility as potentially major factors; it suffices to suggest that acceptance of HPV vaccination may be improved by expounding the days and sites of vaccination programs to be closer to the offices and scheduled around lunch-break times.

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Modesty Matters: Cultural Sensitivity and Cervical Cancer Prevention in Muslim Women in the United States

Cited by 32 publications

References 16 publications

Integrative review of cervical cancer screening in Western Asian and Middle Eastern Arab countries

Integrative review of cervical cancer screening in Western Asian and Middle Eastern Arab countries

Supporting Muslim Patients During Advanced Illness

Factors influencing the acceptance of HPV vaccine among civil servants in Delta State Secretariat

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