Religious Values and Healthcare Accommodations: Voices from the American Muslim Community

Padela, Aasim I.; Gunter, Kathryn E.; Killawi, Amal; Heisler, Michele

doi:10.1007/s11606-011-1965-5

Cited by 116 publications

(83 citation statements)

References 14 publications

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“…Thus, our data do not corroborate qualitative studies that report modesty concerns as preventing Muslim women from obtaining cancer screening 17,24,47–49 and suggest that interactions between modesty concerns and Muslim health behaviors may require more detailed pathway-focused studies. Our null finding may be explained in different ways.…”

Section: Discussioncontrasting

confidence: 99%

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Associations Between Religion-Related Factors and Cervical Cancer Screening Among Muslims in Greater Chicago

Padela

Peek

Johnson‐Agbakwu³

et al. 2014

Journal of Lower Genital Tract Disease

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Objective This study aimed to assess rates of Papanicolaou (Pap) testing and associations between religion-related factors and these rates among a racially and ethnically diverse sample of American Muslim women. Materials and Methods A community-based participatory research design was used in partnering with the Council of Islamic Organizations of Greater Chicago to recruit Muslim women attending mosque and community events. These participants self-administered surveys incorporating measures of fatalism, religiosity, perceived discrimination, Islamic modesty, and a marker of Pap test use. Results A total of 254 survey respondents were collected with nearly equal numbers of Arabs, South Asians, and African American respondents. Of these respondents, 84% had obtained a Pap test in their lifetime, with individuals who interpret disease as a manifestation of God’s punishment having a lower odds of having had Pap testing after controlling for sociodemographic factors (odds ratio [OR] = 0.87, 95% CI = 0.77–1.0). In multivariate models, living in the United States for more than 20 years (OR = 4.7, 95% CI = 1.4–16) and having a primary care physician (OR = 7.7, 95% CI = 2.5–23.4) were positive predictors of having had a Pap test. Ethnicity, fatalistic beliefs, perceived discrimination, and modesty levels were not significantly associated with Pap testing rates. Conclusions To our knowledge, this is the first study to assess Pap testing behaviors among a diverse sample of American Muslim women and to observe that negative religious coping (e.g., viewing health problems as a punishment from God) is associated with a lower odds of obtaining a Pap test. The relationship between religious coping and cancer screening behaviors deserves further study so that religious values can be appropriately addressed through cancer screening programs.

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Section: Discussioncontrasting

confidence: 99%

“…23 Illustratively, diverse groups of Muslims have reported that a God-centered framework of health and disease shapes their health care–seeking attitudes, that they look to Islamic ethicolegal guidance when considering therapeutics, and that they share concerns for maintaining modesty during clinical encounters. 24,25 …”

mentioning

confidence: 99%

Associations Between Religion-Related Factors and Cervical Cancer Screening Among Muslims in Greater Chicago

Padela

Peek

Johnson‐Agbakwu³

et al. 2014

Journal of Lower Genital Tract Disease

Self Cite

View full text Add to dashboard Cite

show abstract

“…Most are highly educated, fluent in English, politically astute, and hold a similar economic status to the main population; the majority are employed, one-fourth hold bachelor degrees, and one-fourth live in households with annual incomes of $75,000 or more (Read, 2008). This population growth increases the likelihood of American health care professionals encountering Muslim patients with specific culturally influenced health care needs (Padela, Gunter, Killawi, & Heisler, 2012).…”

Section: The Muslim American Populationmentioning

confidence: 99%

“…Historic and present social contexts, prejudice, and bias may also influence discriminatory behaviors among providers (Ray, 2010;Smedley, Stith, & Nelson, 2002). Muslim Americans are an underserved, understudied minority of ethnic and racial diversity that may pose challenges for health care providers unfamiliar with Islamic health influences; Muslim patients may have expectations in the health care setting that, if not met, may generate feelings of discrimination or poor clinical experiences (Padela, Gunter, Killawi, & Heisler, 2012).…”

Section: Problem Statementmentioning

confidence: 99%

Perceived Discrimination of Muslims in Health Care

Martin¹

2015

Journal of Muslim Mental Health

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Discrimination is not only a human and civil rights offense, but also a detrimental influence on the health outcomes of affected populations. The Muslim population in the United States is a growing religious minority increasingly encountered by health care professionals in the clinical setting. This group has been subject to heightened discrimination since the tragic events of September 11, 2001 and often is misunderstood within the context of American society today. While research has been conducted on discrimination against Muslims in the employment and educational segments of society, more studies are needed which quantify the extent and type of discrimination faced by this group in the health care setting. This inquiry focused on the crossover of anti-Muslim discrimination from society to the health care setting. A newly developed tool to measure anti-Muslim discrimination in health care and an established perceived discrimination scale were used to create the questionnaire employed in this investigation. The items of this newly created tool addressed culturally congruent care practices based on principles of cultural safety within the nurse-patient relationship and the cultural care beliefs of the Muslim patient/family to ascertain discriminatory occurrences in the health care setting. Ray's (2010)

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“…Gender-concordant care may also lessen the embarrassment, discomfort, or sociocultural taboo that may occur during physical examination of "private" areas, such as genitals. For example, there are religious norms that prohibit some patients (e.g., some Muslims, Orthodox Jewish persons) from being touched by gender-discordant physicians [13][14][15]. Among some men seeking care for issues related to sexual health, there may be a sense that being examined by women is "impolite" and that discussing issues such as sexual behaviors or erectile dysfunction is improper with female students [16][17][18].…”

mentioning

confidence: 99%

How Should Physicians Respond When Patients Distrust Them Because of Their Gender?

Peek¹,

Fernández

2017

AMA Journal of Ethics

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There are many reasons why gender-concordant care benefits patients and is requested by them. For training hospitals, however, such requests present challenges as well as opportunities in providing patient-centered care. Responding to a case in which a female patient who is having a routine exam refuses care from a male medical student, we discuss ethical principles involved in gender-concordant care requests, when it is appropriate to question such requests, and a team-based approach to responding to them. CaseA male medical student on his obstetrics-gynecology clerkship is assigned a 35-year-old female patient in the outpatient clinic who comes in for a routine well-woman exam, including a pelvic examination and Pap test, clinical breast examination, and discussion about contraception management. The student enters the examination room and introduces himself, but the patient straightforwardly tells him that she would prefer a woman student. The student feels conflicted and confused. He is committed to patientcentered care and wants to be respectful of the patient's wishes, but he also feels some frustration at not being able to conduct clinical activities that are a routine part of education in the rotation. He is unclear about what is appropriate to discuss with patients, or even with the attending physician, about his involvement in the care of this particular patient. When he emerges from the room and lets the attending physician know that the patient refused his exam, she simply instructs him to wait for the next patient.

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Religious Values and Healthcare Accommodations: Voices from the American Muslim Community

Cited by 116 publications

References 14 publications

Associations Between Religion-Related Factors and Cervical Cancer Screening Among Muslims in Greater Chicago

Associations Between Religion-Related Factors and Cervical Cancer Screening Among Muslims in Greater Chicago

Perceived Discrimination of Muslims in Health Care

How Should Physicians Respond When Patients Distrust Them Because of Their Gender?

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