Skip to main content

Advertisement

Log in

Cancer Screening Differences Among Muslims and Non-Muslims: Insights from the Chicago Multiethnic Prevention and Surveillance Study

  • Published:
Journal of Racial and Ethnic Health Disparities Aims and scope Submit manuscript

Abstract

Background

While cancer screening disparities along socioeconomic and racial/ethnic lines are well studied, differences based on religious affiliation are under-researched. Though diverse in terms of race/ethnicity, Muslim Americans appear to share values and beliefs that similarly inform their health and healthcare seeking behaviors. Cancer screening disparities among Muslim Americans are also understudied.

Methods

To examine differences in cancer screening behaviors based on Muslim affiliation, we analyzed data from a longitudinal cohort study examining lifestyle, healthcare access, environmental, and genetic factors on the health of Chicagoans.

Results

Of 7552 participants, 132 (1.7%) were Muslim. Between Muslim and non-Muslims, there were no significant differences in prostate, cervical, and breast cancer screening rates, but Muslims were less likely to undergo colorectal cancer screening. When differences in obesity and insurance status were accounted for in a multivariate regression model, religious affiliation was no longer significantly associated with screening rates.

Discussion

Religious values can influence cancer screening behaviors; hence, tracking cancer screening along religious lines may illuminate previously unknown disparities. Our analysis of a predominately African American cohort of Chicagoans, however, did not reveal religious affiliation to predict cancer screening disparities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Landy R, et al. Impact of cervical screening on cervical cancer mortality: estimation using stage-specific results from a nested case-control study. Br J Cancer. 2016;115(9):1140–6.

    Article  Google Scholar 

  2. Seely JM, Alhassan T. Screening for breast cancer in 2018-what should we be doing today? Curr Oncol. 2018;25(Suppl 1):S115–24.

    Article  CAS  Google Scholar 

  3. Yoshida Y, et al. The impact of screening on cancer incidence and mortality in Missouri, USA, 2004–2013. Public Health. 2018;154:51–8.

    Article  CAS  Google Scholar 

  4. Zauber AG. The impact of screening on colorectal cancer mortality and incidence: has it really made a difference? Dig Dis Sci. 2015;60(3):681–91.

    Article  Google Scholar 

  5. Crawford J, et al. Cancer screening behaviours among South Asian immigrants in the UK, US and Canada: a scoping study. Health Soc Care Community. 2016;24(2):123–53.

    Article  Google Scholar 

  6. Sewali B, et al. Understanding cancer screening service utilization by Somali men in Minnesota. J Immigr Minor Health. 2015;17(3):773–80.

    Article  Google Scholar 

  7. Ahmed, A.T., et al., Racial disparities in screening mammography in the United States: a systematic review and meta-analysis. J Am Coll Radiol, 2017. 14(2): p. 157–165 e9.

  8. DeSantis CE, et al. Cancer statistics for African Americans, 2016: progress and opportunities in reducing racial disparities. CA Cancer J Clin. 2016;66(4):290–308.

    Article  Google Scholar 

  9. Hasnain M, et al. Breast cancer screening practices among first-generation immigrant muslim women. J Womens Health (Larchmt). 2014;23(7):602–12.

    Article  Google Scholar 

  10. Padela AI, Curlin FA. Religion and disparities: considering the influences of Islam on the health of American Muslims. J Relig Health. 2013;52(4):1333–45.

    Article  Google Scholar 

  11. Zorogastua K, et al. Breast and cervical cancer screening among US and non US born African American Muslim women in New York City. AIMS Public Health. 2017;4(1):78–93.

    Article  Google Scholar 

  12. Lofters AK, Slater M, Vahabi M. Cancer screening among patients who self-identify as Muslim: combining self-reported data with medical records in a family practice setting. J Immigr Minor Health. 2018;20(1):44–50.

    Article  CAS  Google Scholar 

  13. Padela AI, et al. The development and validation of a modesty measure for diverse muslim populations. J Relig Health. 2019;58(2):408–25.

    Article  Google Scholar 

  14. Padela AI, Zaidi D. The Islamic tradition and health inequities: A preliminary conceptual model based on a systematic literature review of Muslim health-care disparities. Avicenna J Med. 2018;8(1):1–13.

    Article  Google Scholar 

  15. Lipka, M. Muslims and Islam: key findings in the U.S. and around the world. Pew Research Center. 2015 Available from: https://www.pewresearch.org/fact-tank/2017/08/09/muslims-and-islam-key-findings-in-the-u-s-and-around-the-world/. Accessed 7 Sept 2021.

  16. Muslim Population by State 2020. Available from: https://worldpopulationreview.com/state-rankings/muslim-population-by-state. Accessed 28 Sept 2020.

  17. Alatrash, M., Determinants of breast cancer screening in three Arab American women subgroups. J Transcult Nurs, 2021: p. 10436596211008215.

  18. Islam, N., et al., Understanding barriers and facilitators to breast and cervical cancer screening among Muslim women in New York City: perspectives from key informants. SM J Community Med, 2017. 3(1).

  19. Padela AI, et al. Religious beliefs and mammography intention: findings from a qualitative study of a diverse group of American Muslim women. Psychooncology. 2016;25(10):1175–82.

    Article  Google Scholar 

  20. Vahabi M, Lofters A. Muslim immigrant women’s views on cervical cancer screening and HPV self-sampling in Ontario, Canada. BMC Public Health. 2016;16(1):868.

    Article  Google Scholar 

  21. Kazi, E., et al., Promoting colorectal cancer screening in South Asian Muslims living in the USA. J Cancer Educ, 2020.

  22. Tackett S, et al. Barriers to healthcare among Muslim women: a narrative review of the literature. Women’s Studies International Forum. 2018;69:190–4.

    Article  Google Scholar 

  23. Padela AI, et al. Associations between religion-related factors and breast cancer screening among American Muslims. J Immigr Minor Health. 2015;17(3):660–9.

    Article  Google Scholar 

  24. Samari G, Alcala HE, Sharif MZ. Islamophobia, health, and public health: a systematic literature review. Am J Public Health. 2018;108(6):e1–9.

    Article  Google Scholar 

  25. Shirazi M, et al. Afghan immigrant women’s knowledge and behaviors around breast cancer screening. Psychooncology. 2013;22(8):1705–17.

    Article  Google Scholar 

  26. Colorectal Cancer Screening | Cancer trends progress report. 2020. Available from: https://progressreport.cancer.gov/detection/colorectal_cancer. Accessed 28 Sept 2020.

  27. Gallup, I. Muslim Americans exemplify diversity, Potential. 2020; Available from: https://news.gallup.com/poll/116260/muslim-americans-exemplify-diversity-potential.aspx. Accessed 28 Sept 2020.

  28. Aschebrook-Kilfoy, B., et al., Cohort profile: the ChicagO Multiethnic Prevention and Surveillance Study (COMPASS). BMJ Open, 2020. 10(9): p. e038481.

  29. Padela AI, Pruitt L, Mallick S. The types of trust involved in American Muslim healthcare decisions: An exploratory qualitative study. J Relig Health. 2017;56(4):1478–88.

    Article  Google Scholar 

  30. Arozullah AM, et al. Causes and means of healing: an Islamic ontological perspective. J Relig Health. 2020;59(2):796–803.

    Article  Google Scholar 

  31. Padela AI, et al. American Muslim perceptions of healing: key agents in healing, and their roles. Qual Health Res. 2012;22(6):846–58.

    Article  Google Scholar 

  32. Padela AI, et al. Reducing Muslim mammography disparities: Outcomes from a religiously tailored mosque-based intervention. Health Educ Behav. 2018;45(6):1025–35.

    Article  Google Scholar 

  33. Salman KF. Health beliefs and practices related to cancer screening among Arab Muslim women in an urban community. Health Care Women Int. 2012;33(1):45–74.

    Article  Google Scholar 

  34. Johnson JL, et al. South Asian womens’ views on the causes of breast cancer: images and explanations. Patient Educ Couns. 1999;37(3):243–54.

    Article  CAS  Google Scholar 

  35. Shah SM, et al. Arab American immigrants in New York: health care and cancer knowledge, attitudes, and beliefs. J Immigr Minor Health. 2008;10(5):429–36.

    Article  Google Scholar 

  36. White PM, Itzkowitz SH. Barriers driving racial disparities in colorectal cancer screening in African Americans. Curr Gastroenterol Rep. 2020;22(8):41.

    Article  Google Scholar 

  37. Lee D-C, Liang H, Shi L. The convergence of racial and income disparities in health insurance coverage in the United States. International Journal for Equity in Health. 2021;20(1):96.

    Article  Google Scholar 

  38. Sohn H. Racial and ethnic disparities in health insurance coverage: dynamics of gaining and losing coverage over the life-course. Popul Res Policy Rev. 2017;36(2):181–201.

    Article  Google Scholar 

  39. Cokkinides, V.E., et al., Correlates of underutilization of colorectal cancer screening among U.S. adults, age 50 years and older. Prev Med, 2003. 36(1): p. 85–91.

  40. James TM, et al. Disparities in colorectal cancer screening: a guideline-based analysis of adherence. Ethn Dis. 2006;16(1):228–33.

    Google Scholar 

Download references

Acknowledgements

We thank the dedicated COMPASS field staff and community partners for their support of this work. We also thank the IPPH research team, including Paul Zakin, Sameep Shah, and in particular Andrew Craver for their support with the data and analysis.

Funding

This research was supported by funding from the University of Chicago Medicine Comprehensive Cancer Center and the University of Chicago Institute for Population and Precision Health.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Aasim I. Padela.

Ethics declarations

The authors have no conflict(s) of interest to disclose. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants listed in the study. All study procedures and materials were reviewed and approved by the University of Chicago Biological Sciences Division Institutional Review Board Committee A (approval IRB12-1660).

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Majeed, A.M., Khan, Z.A., Aschebrook-Kilfoy, B. et al. Cancer Screening Differences Among Muslims and Non-Muslims: Insights from the Chicago Multiethnic Prevention and Surveillance Study. J. Racial and Ethnic Health Disparities 10, 176–182 (2023). https://doi.org/10.1007/s40615-021-01208-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40615-021-01208-z

Keywords

Navigation