Muslim Women and Disparities in Cancer Diagnosis: A Retrospective Study

Namoos, Asmaa; Abosamak, Nour Eldin; Abdelkarim, Maryam; Ramadan, Rana; Phillips, Briona; Ramadan, Dina A.; Abdou, Mostafa; Gal, Tamas S.

doi:10.1080/13602004.2021.2008868

Cited by 6 publications

(5 citation statements)

References 16 publications

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“…The same ethnic disparity with a significantly higher risk of advanced stage for minorities was found in Texas, where the risks for African American and Hispanic women for advanced stage diagnosis were OR 1.32 (95% CI 1.15–1.51) and OR 1.18 (95% CI 1.08–1.30), respectively, compared with non‐Hispanic white patients 8 . Minority disparity in stage was also evident in other studies, including Māori women compared with “Other” (mainly European) women, 20 Muslim women compared with non‐Muslim women in Virginia, USA, 21 and others 22,23 . Race and ethnic disparities exist in other tumors as well, but have been repeatedly reported in women's cancers 23–25 …”

Section: Discussionmentioning

confidence: 67%

“…In other countries, insurance issues might play a role in minority healthcare availability, 25 yet in Israel there is a free public healthcare system, accessible to all. In Arabs, many of whom are Muslims, religious beliefs are at times coupled with certain perceptions of women's roles, illness, and death that might reduce healthcare service use 21 . Embarrassment or having uncomfortable feelings towards gynecologic examinations have been pointed out as frequent barriers leading to advanced‐stage cancer diagnosis 26 .…”

Section: Discussionmentioning

confidence: 99%

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Ethnic disparity in cervical cancer stage at diagnosis: A retrospective study in an Israeli referral‐center

Cohen

Brandt

Kogan

et al. 2023

Intl J Gynecology & Obste

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Objective To compare stage and survival of cervical cancer between Jewish and Arab women in a tertiary medical center in Israel. Methods Retrospective study of consecutive women diagnosed with cervical cancer in a single institution between 2010 and 2021. We compared Jewish and Arab patients using univariate, multivariable, and survival curves analysis. Results Overall, 207 Jewish women and 45 Arab women were included with a median follow up of 20 months (interquartile range 7–46 months). The groups did not differ in median body mass index, mean age at diagnosis, or menopausal status. Arab women had higher parity. Arab women were at a higher risk to be diagnosed with advanced stage disease (≥2b) (84.4% vs. 57% Arab and Jewish women, respectively, P < 0.001). In a multivariable regression analysis, Arab descent was found to be the only independent factor associated with advanced stage disease (odds ratio 3.95, 95% confidence interval 1.54–10.10). Overall survival and stage‐specific survival were not different between the ethnic groups. Conclusions Advanced stage at diagnosis was more prevalent in Arab women compared with Jewish women with cervical cancer, whereas stage‐specific survival was similar. Further studies addressing possible contributing factors to inequality should be undertaken to find corrective measures.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Ethnic disparity in cervical cancer stage at diagnosis: A retrospective study in an Israeli referral‐center

Cohen

Brandt

Kogan

et al. 2023

Intl J Gynecology & Obste

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“…For some populations, such as Arab Muslims, families’ and couples’ experiences with cancer are different due to cultural and religious beliefs [ 15 ]. The lack of consideration of the cultural needs of this population affects the quality of care [ 16 , 17 , 18 ]. There is a scarcity of literature available to understand the experience of spouses within Arab Muslim couples affected by cancer.…”

Section: Introductionmentioning

confidence: 99%

The Role of Islamic Beliefs in Facilitating Acceptance of Cancer Diagnosis

Benidir,

Levert,

Bilodeau

2023

Current Oncology

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Although survival rates for patients with cancer have increased, this disease continues to affect couples significantly. Religion and culture seem to be part of the therapeutic process for people with cancer. Despite the abundance of the Arab Muslim community in Western countries, there is a lack of documented data on Arab Muslim couples experiencing cancer. A simple exploratory qualitative study was conducted through semi-structured interviews on six married couples (n = 12) identifying with the Arab Muslim culture and being affected by cancer. An iterative data analysis was performed. Results were reported under the following themes: accepting illness through coping strategies provided by Muslim religious beliefs and practices, experiencing problems with the expression of needs and feelings within the couple, experiencing closeness within the family, and experiencing illness in the hospital setting as Muslims. Our results show that Islamic beliefs can facilitate acceptance of a cancer diagnosis. It is also noted that religion seems to unite spouses in supporting each other and maintaining hope in a difficult context. Communication issues may persist between a couple due to stressors related to cancer. The results of this study could raise awareness about the importance of exploring religious and spiritual beliefs when supporting couples affected by cancer.

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“…Due to religion-related reasons, Muslim women have been linked to delayed healthcare-seeking behaviour, attributed to poor health outcomes (Vu et al, 2016). In addition, Muslim women were more likely to get preventable female cancers than non-Muslim women, and were more likely to be detected at an advanced stage (Namoos et al, 2021). This finding corresponded to a study in a different location, which discovered that Muslim women had nearly twice the likelihood of being diagnosed late when compared to women of other religions (Niu et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

The Acceptance of Human Papillomavirus Self-Sampling Test among Muslim Women:A Systematic Review

Amir

Idris

Yusoff

2022

Asian Pac J Cancer Prev

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Introduction: Human Papillomavirus (HPV) self-sampling test has the potential to increase cervical cancer screening rate. Although every screening test has its own advantages and disadvantages, culture and religion can be significant predictors for the acceptability of screening tests among patients, including the HPV self-sampling test. This systematic review intends to identify and review published literature on the acceptance of HPV self-sampling test among Muslim women globally. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) review protocol was utilised to guide this systematic review. We also used the Mixed Method Appraisal Tool (MMAT) for the evaluation of articles, and data from selected papers were retrieved and analysed using thematic analysis. Results: This systematic review includes seven publications that discussed on Muslim women’s perceptions of HPV self-sampling test. This comprises articles that revealed Muslim women’s acceptance of the HPV self-sampling test, including considerable positive factors that influenced their approval. On the other hand, the test’s disadvantages were mentioned, which served as barriers for these women’s participation. Convenience, cultural sensitivity, and availability were positive features, whereas religious taboo, low self-confidence, and perceived cost were some of the negative factors that were discussed. Conclusion: This review emphasises the positive and negative aspects that have an impact on the acceptance of HPV self-sampling test among Muslim women. Identifying the elements that influence HPV self-sampling test acceptance will help policymakers to better understand cervical cancer screening programmes and further guide future plans in reducing the incidence of cervical cancer.

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Muslim Women and Disparities in Cancer Diagnosis: A Retrospective Study

Cited by 6 publications

References 16 publications

Ethnic disparity in cervical cancer stage at diagnosis: A retrospective study in an Israeli referral‐center

Ethnic disparity in cervical cancer stage at diagnosis: A retrospective study in an Israeli referral‐center

The Role of Islamic Beliefs in Facilitating Acceptance of Cancer Diagnosis

The Acceptance of Human Papillomavirus Self-Sampling Test among Muslim Women:A Systematic Review

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