Opening cultural doors: Providing culturally sensitive healthcare to Arab American and American Muslim patients
TL;DR: Insight into the behaviors, requirements, and preferences of Arab American and American Muslim patients, especially as they apply to women's health are offered.
About: This article is published in American Journal of Obstetrics and Gynecology.The article was published on 2005-10-01. It has received 136 citations till now. The article focuses on the topics: Cultural diversity & Health care.
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TL;DR: Attitudes and experiences were more positive among students trained with MPathic-VR, who valued its providing immediate feedback, teaching nonverbal communication skills, and preparing them for emotion-charged patient encounters.
102 citations
TL;DR: To reach the goals of Healthy People 2010, an effective and meaningful educational initiative to raise awareness about breast and cervical cancer of AMW will require specific interventions consistent with their cultural and religious traditions.
Abstract: In this exploratory study I investigated the participation status in breast and cervical cancer screening of a group of American immigrant Arab Muslim women (AMW). Perceived knowledge of and barriers to screening participation, relationships among demographic variables, health practice and beliefs, and self-reports of traditionalism and acculturation also are studied. Factors including religious and cultural beliefs, economic concerns, and modesty and embarrassment were considered. To reach the goals of Healthy People 2010 (HP 2010), an effective and meaningful educational initiative to raise awareness about breast and cervical cancer of AMW will require specific interventions consistent with their cultural and religious traditions.
97 citations
Cites background from "Opening cultural doors: Providing c..."
...Of this number, about 3–4 million are identified as Arab people (Al-Omari & Scheibmeir, 2009 ; El-Sayed & Galea, 2009 ; Hammoud, White, & Fetters, 2005 )....
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...These practices may affect a woman’s decision to have a physical exam, especially if the health provider is a male; some women who are very strict in observing their faith may refuse treatment by a male provider regardless of the seriousness of their health conditions (Hammoud et al., 2005)....
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TL;DR: Barriers to cervical cancer screening vary by religious affiliations, and interventions to increase cervical cancer awareness and screening uptake in multicultural and multireligious communities need to take into consideration the varying cultural and religious beliefs.
Abstract: Objectives To explore the barriers to cervical cancer screening, focusing on religious and cultural factors, in order to inform group-specific interventions that may improve uptake of cervical cancer screening programmes. Design We conducted four focus group discussions among Muslim and Christian women in Nigeria. Setting Discussions were conducted in two hospitals, one in the South West and the other in the North Central region of Nigeria. Participants 27 Christian and 22 Muslim women over the age of 18, with no diagnosis of cancer. Results Most participants in the focus group discussions had heard about cervical cancer except Muslim women in the South Western region who had never heard about cervical cancer. Participants believed that wizardry, multiple sexual partners and inserting herbs into the vagina cause cervical cancer. Only one participant knew about the human papillomavirus. Among the Christian women, the majority of respondents had heard about cervical cancer screening and believed that it could be used to prevent cervical cancer. Participants mentioned religious and cultural obligations of modesty, gender of healthcare providers, fear of disclosure of results, fear of nosocomial infections, lack of awareness, discrimination at hospitals, and need for spousal approval as barriers to uptake of screening. These barriers varied by religion across the geographical regions. Conclusions Barriers to cervical cancer screening vary by religious affiliations. Interventions to increase cervical cancer awareness and screening uptake in multicultural and multireligious communities need to take into consideration the varying cultural and religious beliefs in order to design and implement effective cervical cancer screening intervention programmes.
95 citations
Cites background from "Opening cultural doors: Providing c..."
...decision not to have a physical examination or other healthcare interventions if the health provider is a male regardless of the severity of the health conditions.(28) All participants agreed that, if it was absolutely necessary for them to be attended to by a male healthcare provider, then it would be helpful to have a female chaperone present....
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TL;DR: Healthcare partnerships with religious leaders and their institutions may be an important means to enhance the health of American Muslims and suggest several challenges for imams stemming from medical uncertainty and ethical conflicts.
Abstract: American Muslims are a diverse and growing population, numbering nearly 200,000 in Southeast Michigan Little empirical work exists on the influence of Islam upon the healthcare behaviors of American Muslims, and there is to date limited research on the roles that imams, Muslim religious leaders, play in the health of this community Utilizing a community-based participatory research (CBPR) model through collaboration with four key community organizations, we conducted semi-structured interviews with 12 community leaders and explored their perceptions about the roles imams play in community health Respondents identified four central roles for imams in healthcare: (1) encouraging healthy behaviors through scripture-based messages in sermons; (2) performing religious rituals around life events and illnesses; (3) advocating for Muslim patients and delivering cultural sensitivity training in hospitals; and (4) assisting in healthcare decisions for Muslims Our analysis also suggests several challenges for imams stemming from medical uncertainty and ethical conflicts Imams play key roles in framing concepts of health and disease and encouraging healthy lifestyles outside of the healthcare system, as well as advocating for Muslim patient needs and aiding in healthcare decisions within the hospital Healthcare partnerships with these religious leaders and their institutions may be an important means to enhance the health of American Muslims
85 citations
Cites background from "Opening cultural doors: Providing c..."
...…Muslim health behaviors is largely noted through expert commentaries and opinion pieces, as there exist relatively few empirical studies on this topic (Hammoud et al. 2005; Johnson et al. 1999; Laird et al. 2007; Matin and LeBaron 2004; Moazam 2001; Simpson and Carter 2008; Underwood et al. 1999)....
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...Much of what is accessible to practicing clinicians through Medline about the influence of Islamic beliefs and/or practices on American Muslim health behaviors is largely noted through expert commentaries and opinion pieces, as there exist relatively few empirical studies on this topic ( Hammoud et al. 2005; Johnson et al. 1999; Laird et al. 2007; Matin and LeBaron 2004; Moazam 2001; Simpson and Carter 2008; Underwood et al. 1999)....
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TL;DR: An overview of issues related to cultural competence in health care with an emphasis on the pharmacy profession is presented, along with definitions for cultural competence and related terms, a brief overview of health disparities and challenges to the common morality.
Abstract: Pharmacists are caring for more individuals of diverse age, gender, race, ethnicity, socioeconomic status, religion, sexual orientation, and health beliefs than in previous decades. Not all residents of the United States equally experience long life spans and good health. Health disparities in various cultures have been documented. One critical aspect of reducing health disparities is moving health care providers, staff, administrators, and practices toward increased cultural competence and proficiency. Effective delivery of culturally and linguistically appropriate service in cross-cultural settings is identified as cultural competence. Culture is a dynamic process, with people moving in and out of various cultures throughout their lives. The failure to understand and respect individuals and their cultures could impede pharmaceutical care. Incongruent beliefs and expectations between the patient and pharmacist could lead to misunderstandings, confusion, and ultimately to drug misadventures. Models and frameworks have been developed that provide descriptions of the process by which individuals, practice settings, and organizations can become culturally competent and proficient. This article, the first in a five-part series, presents an overview of issues related to cultural competence in health care with an emphasis on the pharmacy profession. Also provided are definitions for cultural competence and related terms, a brief overview of health disparities and challenges to the common morality, and a discussion of models and frameworks that describe pathways to cultural competence and proficiency.
83 citations
Cites background from "Opening cultural doors: Providing c..."
...For example, only 10–30% of Arab-Americans practice the Islamic faith.(47) Many of the American Muslims are of African heritage....
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References
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01 Jan 1996
TL;DR: Based on the author's seminal article in "Foreign Affairs", Samuel P. Huntington's "The Clash of Civilizations and the Remaking of World Order" is a provocative and prescient analysis of the state of world politics after the fall of communism.
Abstract: Based on the author's seminal article in "Foreign Affairs", Samuel P. Huntington's "The Clash of Civilizations and the Remaking of World Order" is a provocative and prescient analysis of the state of world politics after the fall of communism. In this incisive work, the renowned political scientist explains how "civilizations" have replaced nations and ideologies as the driving force in global politics today and offers a brilliant analysis of the current climate and future possibilities of our world's volatile political culture.
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TL;DR: In this article, a panel of experts documents this evidence and explores how persons of color experience the health care environment, examining how disparities in treatment may arise in health care systems and looking at aspects of the clinical encounter that may contribute to such disparities.
Abstract: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients’ and providers’ attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider–patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
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432 citations
TL;DR: The doctrine of informed consent to medical treatment or research is grounded in the ethical principle of respect for persons that regards individuals as autonomous agents "capable of deliberation about personal goals and of acting under the direction of such deliberation."
Abstract: The doctrine of informed consent to medical treatment or research is grounded in the ethical principle of respect for persons that regards individuals as autonomous agents "capable of deliberation about personal goals and of acting under the direction of such deliberation."1International ethical codes and human rights law appear to accept informed consent as a universal expression of respect for persons. The Nuremberg Code, Helsinki IV, and the Council of International Organizations of Medical Sciences' ethical guidelines focus on the need for full disclosure to enable individuals to make free and informed decisions. Informed consent is also thought to be incorporated into the right to security of the person recognized in the International Bill of Human Rights. The right to autonomy or self-determination, then, is broadly perceived to be a morally necessary method of demonstrating genuine respect for human integrity. See also pp 820 and 826. But is the
155 citations
TL;DR: The author makes the practical contribution of describing key themes and components of culture in health care for incorporation into undergraduate medical education.
Abstract: Medical educators across the United States are addressing the topics of culture, race, language, behavior, and social status through the development of cross-cultural coursework. Dramatic demographic changes and nationwide attention to eliminating racial and ethnic health disparities make ed
118 citations