Strategies for Reducing Cancer Incidence and Mortality in African American and Arab American and Chaldean Communities in the Detroit Metropolitan Area

Vicini, Frank A.; Shah, Chirag; Wallace, Michelle; Jones, Pamela M.; Dykes, Vicky A.; Tull, Joyce; Akhtar, Adil; Ballouz, Samer; Boxwala, Iqbal; Douglas-Nikitin, Vonda; Rivers, Aeisha; Clark, Roxanne; Jaiyesimi, Ishmael; Fakhouri, Monty

doi:10.1097/coc.0b013e318210f9b5

Cited by 9 publications

(5 citation statements)

References 16 publications

(17 reference statements)

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“…The barriers to screening and treatment of cancer among Arab Americans included lack of knowledge ( 100 – 103 ), religious and cultural beliefs about sickness ( 100 , 104 ), fear and embarrassment ( 98 , 103 ), language ( 101 , 104 ), lack of culturally sensitive healthcare providers ( 100 ), lack of access to healthcare ( 105 ), and a need to maintain secrecy of sickness or disease ( 99 ). Community based participatory research was conducted among Arab Americans to address cancer education, prevention, and screening ( 106 ). This type of research was successful and found to increase cancer screening rates among an Arab American community in Detroit and can be used in future studies aiming to improve education and screening of other diseases.…”

Section: Resultsmentioning

confidence: 99%

“…Recent studies have improved upon the past literature by providing estimates of depression and depression symptoms among larger groups of Arab Americans alongside the examination of the risk factors (and resiliency factors) associated with this improved mental health but very few studies report on interventions to reduce mental health outcomes. Studies of cancer among Arab Americans have also increased in number since the last review, with a number of studies identifying incidence of a variety of cancers in Arab Americans ( 106 – 110 ) and another set of studies identifying barriers to screening, care and treatment in this population ( 97 – 105 , 203 ). There have been more studies examining the risk of diabetes and cardiovascular disease in Arab Americans since 2009 ( 34 – 43 , 112 , 121 , 141 , 204 – 206 ), and more recent studies have examined successful targeted interventions to reduce risk factors for these diseases in ethnic enclaves ( 41 – 43 ).…”

Section: Discussionmentioning

confidence: 99%

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The Health of Arab Americans in the United States: An Updated Comprehensive Literature Review

Abuelezam

El-Sayed

Galea

2018

Front. Public Health

121

110

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Background: Arab Americans are a historically understudied minority group in the United States and their health needs and risks have been poorly documented. We aim to provide an updated comprehensive review of the literature on Arab American physical and mental health and provide suggestions for future work in this field.Methods: A comprehensive review of the English language medical and public health literature published prior to 2017 identified through multiple database searches was conducted with search terms describing Arab Americans and health outcomes and behaviors. The literature was qualitatively summarized by health behavior (vaccination, tobacco use, drug and alcohol use, and physical activity), health outcome (diabetes, mental health, cardiovascular disease, cancer, women's, and child health), and populations at increased risk of poor health outcomes (adolescents and the elderly).Results: The majority of studies identified exploring Arab American health have been published since 2009 with an increase in the number of longitudinal and intervention studies done with this population. The majority of research is being undertaken among individuals living in ethnic enclaves due to the lack of an ethnic or racial identifier that may help identify Arab Americans from population-based studies. Studies highlight the conflicting evidence in the prevalence of diabetes and cardiovascular disease based on study sample, an increased understanding of cancer incidence and barriers to identification, and an increased level of knowledge regarding mental health and sexual health needs in the population. Information on health behaviors has also increased, with a better understanding of physical activity, alcohol and drug use, and vaccination.Conclusion: More research on Arab American health is needed to identify risks and needs of this marginalized population given the current social and political climate in the United States, especially with regard to acculturation status and immigrant generation status. We provide recommendations on approaches that may help improve our understanding of Arab American health.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Health of Arab Americans in the United States: An Updated Comprehensive Literature Review

Abuelezam

El-Sayed

Galea

2018

Front. Public Health

121

110

View full text Add to dashboard Cite

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“…Members of the CCOP were present to help inform participants about the clinical trials currently available at WBH as well as the individual and societal/community benefits provided by participating in clinical trials. The success of the MOP in improving screening rates was published recently, and MOP forums leading to a relative increase in screening rates of 38.6% and 28.7% for breast cancer and prostate cancer, respectively, compared with historic controls of screening within minority populations 15…”

Section: Methodsmentioning

confidence: 99%

Increasing accrual in cancer clinical trials with a focus on minority enrollment

Vicini

Nancarrow-Tull

Shah

et al. 2011

Cancer

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BACKGROUND: The authors reviewed changes in accrual to cancer clinical trials over the last 2 decades at their institution with a focus on minority participation after the implementation of a community clinical oncology program (CCOP) and an aggressive, education‐orientated minority outreach program (MOP). METHODS: Data on patient enrollment in clinical trials for the years 1988 to 2010 was obtained from the William Beaumont Hospital (WBH) Cancer Clinical Trials Office. The type and number of cancers diagnosed and treated during the same period were obtained from the WBH tumor registry data. The MOP was initiated in the fall of 2003 with a focus on culture‐specific cancer education. RESULTS: With the development of the CCOP, clinical trials accrual increased significantly by 10‐fold (P = .001). The primary service area for the CCOP consistently averaged an 85% to 90% Caucasian population. During the same period, the minority population for the service area remained stable between 8.8% and 10% and did not change significantly. From 1999 to 2004, the WBH tumor registry data demonstrated that minorities represented 8.6% of cancers registered, whereas the average yearly minority enrollment from 2002 to 2004 was 5.4%. After initiation of the MOP, minority accrual doubled to 11% by 2010 with stable minority demographics. CONCLUSIONS: The current findings support the importance of a CCOP in supporting the accrual of patients to national clinical trials and increasing access to state‐of‐the art research. These data also strongly support focusing additional energy and educational efforts on targeting minority representation in clinical trials. Cancer 2011;. © 2011 American Cancer Society.

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“…Health forums in Michigan have been reported to be effective at increasing cancer screening estimates. For example, among Arab American men who attended a cancer forum, 28.9% obtained a PSA test (Vicini et al, 2012). Therefore, such educational forums may be useful in increasing screening estimates for other preventive behaviors, such as flu and pneumonia vaccines.…”

Section: Discussionmentioning

confidence: 99%

Disparities in Preventive Health Behaviors Among Non-Hispanic White Men

Dallo

Kindratt

2014

Am J Mens Health

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The objectives of this study were to estimate and compare the age-adjusted prevalence of not receiving a flu vaccine, pneumonia vaccine, or prostate cancer screening among U.S.- and foreign-born White men by region of birth (Europe/Russia and the Arab Nations) and examine these associations while controlling for potential confounders. Twelve years of restricted data from the National Health Interview Survey (NHIS) including 91,636 U.S.- and foreign-born men were used. Chi-squares were used to compare descriptive statistics, and odds ratios (ORs; 95% confidence intervals [CIs]) were used for inferential statistics. In crude and adjusted analyses, foreign-born Arab American men were less likely to report receiving a flu (OR = 0.38; 95% CI = 0.21, 0.67) and pneumonia (OR = 0.33; 95% CI = 0.16, 0.70) vaccine compared with U.S.-born White men. There were no statistically significant differences for PSA testing between Arab American and White men. This national study examining uptake of flu and pneumonia vaccines suggests estimates are lower for foreign-born Arab American men compared with U.S.-born White men. Future studies should collect qualitative data that assesses the cultural context surrounding prevention and screening behaviors among Arab Americans.

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Strategies for Reducing Cancer Incidence and Mortality in African American and Arab American and Chaldean Communities in the Detroit Metropolitan Area

Abstract: The results of this study suggest that implementing CBPPs are feasible in underscreened ethnic minority populations. Further studies need to be performed to determine the absolute benefit of CBPPs compared with baseline levels of screening within these ethnic minority populations.

Cited by 9 publications

References 16 publications

The Health of Arab Americans in the United States: An Updated Comprehensive Literature Review

The Health of Arab Americans in the United States: An Updated Comprehensive Literature Review

Increasing accrual in cancer clinical trials with a focus on minority enrollment

Disparities in Preventive Health Behaviors Among Non-Hispanic White Men

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