Journal of Immigrant and Minority Health

, Volume 17, Issue 3, pp 660–669 | Cite as

Associations Between Religion-Related Factors and Breast Cancer Screening Among American Muslims

  • Aasim I. Padela
  • Sohad Murrar
  • Brigid Adviento
  • Chuanhong Liao
  • Zahra Hosseinian
  • Monica Peek
  • Farr Curlin
Original Paper

Abstract

American Muslims have low rates of mammography utilization, and research suggests that religious values influence their health-seeking behaviors. We assessed associations between religion-related factors and breast cancer screening in this population. A diverse group of Muslim women were recruited from mosques and Muslim organization sites in Greater Chicago to self-administer a survey incorporating measures of fatalism, religiosity, discrimination, and Islamic modesty. 254 surveys were collected of which 240 met age inclusion criteria (40 years of age or older). Of the 240, 72 respondents were Arab, 71 South Asian, 59 African American, and 38 identified with another ethnicity. 77 % of respondents had at least one mammogram in their lifetime, yet 37 % had not obtained mammography within the past 2 years. In multivariate models, positive religious coping, and perceived religious discrimination in healthcare were negatively associated with having a mammogram in the past 2 years, while having a PCP was positively associated. Ever having a mammogram was positively associated with increasing age and years of US residency, and knowing someone with breast cancer. Promoting biennial mammography among American Muslims may require addressing ideas about religious coping and combating perceived religious discrimination through tailored interventions.

Keywords

Mammography Islam Fatalism Modesty Cancer screening disparities 

References

  1. 1.
    DeSantis C, et al. Breast cancer statistics, 2011. CA Cancer J Clin. 2011;61(6):409–18.CrossRefPubMedGoogle Scholar
  2. 2.
    Brawley OW. Risk-based mammography screening: an effort to maximize the benefits and minimize the harms. Ann Intern Med. 2012;156(9):662–3.CrossRefPubMedGoogle Scholar
  3. 3.
    Humphrey LL, et al. Breast cancer screening: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2002;137(5 Part 1):347–60.CrossRefPubMedGoogle Scholar
  4. 4.
    Gotzsche PC, Nielsen M. Screening for breast cancer with mammography. Cochrane Database Syst Rev. 2009;4:CD001877.PubMedGoogle Scholar
  5. 5.
    Centers for Disease Control and Prevention. Cancer screening—United States, 2010. Morb Mortal Wkly Rep. 2012;61(3):41–5.Google Scholar
  6. 6.
    Henson RM, Wyatt SW, Lee NC. The national breast and cervical cancer early detection program: a comprehensive public health response to two major health issues for women. J Public Health Manag Pract. 1996;2(2):36–47.PubMedGoogle Scholar
  7. 7.
    Yabroff KR, O’Malley A, Mangan P, Mandelblatt J. Inreach and outreach interventions to improve mammography use. J Am Med Womens Assoc 2001; 56(4):166–73, 88.Google Scholar
  8. 8.
    Peek ME, Han JH. Disparities in screening mammography: current status, interventions and implications. J Gen Intern Med. 2004;19(2):184–94.CrossRefPubMedCentralPubMedGoogle Scholar
  9. 9.
    Masi CM, Blackman DJ, Peek ME. Interventions to enhance breast cancer screening, diagnosis, and treatment among racial and ethnic minority women. Med Care Res Rev. 2007;64(5 Suppl):195S–242S.CrossRefPubMedCentralPubMedGoogle Scholar
  10. 10.
    Muslim Americans: a national portrait—an in-depth analysis of America’s most diverse religious community. 2009. Washington DC. GALLUP, Inc. http://www.gallup.com/strategicconsulting/153572/report-muslim-americans-national-portrait.aspx. Accessed 13 Feb 2014.
  11. 11.
    Muslim American Demographic Facts. 2000. http://www.allied-media.com/AM/. Accessed 13 Feb 2014.
  12. 12.
    Smith TW. The Muslim population of the United States: the methodology of estimates. Public Opin Q. 2002;66:404–17.CrossRefGoogle Scholar
  13. 13.
    Ba-Yunus I. Muslims of Illinois, a demographic report. Chicago: East-West University; 1997.Google Scholar
  14. 14.
    Obama B. Remarks by the President on a New Beginning. 2009. Cairo, Egypt: The White House. http://www.whitehouse.gov/the_press_office/remarks-by-the-president-at-cairo-university-6-04-09/. Accessed 13 Feb 2014.
  15. 15.
    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.Google Scholar
  16. 16.
    Padela AI, et al. Religious values and healthcare accommodations: voices from the American Muslim community. J Gen Intern Med. 2012;27(6):708–15.Google Scholar
  17. 17.
    Rajaram SS, Rashidi A. Asian-Islamic women and breast cancer screening: a socio-cultural analysis. Women Health. 1999;28(3):45–58.CrossRefPubMedGoogle Scholar
  18. 18.
    2020 Topics and Objectives: Cancer. 2012. Washington DC: U.S. Department of Health and Human Services. http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=5. Accessed 13 Feb 2014.
  19. 19.
    Health, United States, 2011: with special feature on socioeconomic status and health. 2012. Hyattsville, Maryland: National Center for Health Statistics; 2012.Google Scholar
  20. 20.
    Hasnain M, Memon U, Ferrans C, Szalacha L. Breast cancer knowledge, attitudes, beliefs, and screening practices among first-generation immigrant Muslim women. Abstracts from Women’s Health 2012: The 20th Annual Congress. Washington, DC. J Women’s Health 2012;34.Google Scholar
  21. 21.
    Shirazi M, Champeau D, Talebi A. Predictors of breast cancer screening among immigrant Iranian women in California. J Womens Health (Larchmt). 2006;15(5):485–506.CrossRefGoogle Scholar
  22. 22.
    Shaheen MA, Galal OM, Salahi L, Aman Y. Utilization of mammography among Muslim women in Southern California. In: 133rd annual meeting and exposition. Philadelphia: American Public Health Association; 2005.Google Scholar
  23. 23.
    Boxwala FI, et al. Factors associated with breast cancer screening in Asian Indian women in metro-Detroit. J Immigr Minor Health. 2010;12(4):534–43.CrossRefPubMedCentralPubMedGoogle Scholar
  24. 24.
    Gomez SL, et al. Disparities in mammographic screening for Asian women in California: a cross-sectional analysis to identify meaningful groups for targeted intervention. BMC Cancer. 2007;7:201.CrossRefPubMedCentralPubMedGoogle Scholar
  25. 25.
    Ponce N, Gatchell M, Brown R. Health Policy Fact Sheet: cancer screening rates among Asian ethnic groups. Berkeley, CA: University of California; 2003.Google Scholar
  26. 26.
    Kagawa-Singer M, et al. Breast and cervical cancer screening rates of subgroups of Asian American women in California. Med Care Res Rev. 2007;64(6):706–30.CrossRefPubMedGoogle Scholar
  27. 27.
    Schwartz K, et al. Mammography screening among Arab American women in metropolitan Detroit. J Immigr Minor Health. 2008;10(6):541–9.CrossRefPubMedGoogle Scholar
  28. 28.
    Talbert PY. The relationship of fear and fatalism with breast cancer screening among a selected target population of African American middle class women. J Soc Behav Health Sci. 2008;2(1):96–110.Google Scholar
  29. 29.
    Hall AG, et al. Breast cancer fatalism: the role of women’s perceptions of the health care system. J Health Care Poor Underserved. 2008;19(4):1321–35.CrossRefPubMedGoogle Scholar
  30. 30.
    Powe BD, Finnie R. Cancer fatalism: the state of the science. Cancer Nurs. 2003;26(6):454–65 quiz 66-7.CrossRefPubMedGoogle Scholar
  31. 31.
    Gullatte MM, et al. Religiosity, spirituality, and cancer fatalism beliefs on delay in breast cancer diagnosis in African American women. J Relig Health. 2010;49(1):62–72.CrossRefPubMedGoogle Scholar
  32. 32.
    Spurlock WR, Cullins LS. Cancer fatalism and breast cancer screening in African American women. ABNF J. 2006;17(1):38–43.PubMedGoogle Scholar
  33. 33.
    Straughan PT, Seow A. Fatalism reconceptualized: a concept to predict health screening behavior. J Gend Cult Health. 1998;3(2):85–100.CrossRefGoogle Scholar
  34. 34.
    Mayo RM, Ureda JR, Parker VG. Importance of fatalism in understanding mammography screening in rural elderly women. J Women Aging. 2001;13(1):57–72.CrossRefPubMedGoogle Scholar
  35. 35.
    Peek ME, Sayad JV, Markwardt R. Fear, fatalism and breast cancer screening in low-income African-American women: the role of clinicians and the health care system. J Gen Intern Med. 2008;23(11):1847–53.CrossRefPubMedCentralPubMedGoogle Scholar
  36. 36.
    Tolma E. Is breast cancer fatalism a factor for adherence to mammography screening among American Indian women? In: [Abstract] 139th annual meeting and exposition of the American Public Health Association. Washington, DC; 2011.Google Scholar
  37. 37.
    Padela AI, Gunter K, Killawi A. Meeting the healthcare needs of American Muslims: challenges and strategies for healthcare settings. Washington, DC: The Institute for Social Policy and Understanding; 2011.Google Scholar
  38. 38.
    Matin M, LeBaron S. Attitudes toward cervical cancer screening among Muslim women: a pilot study. Women Health. 2004;39(3):63–77.CrossRefPubMedGoogle Scholar
  39. 39.
    Yosef AR. Health beliefs, practice, and priorities for health care of Arab Muslims in the United States. J Transcult Nurs. 2008;19(3):284–91.CrossRefPubMedGoogle Scholar
  40. 40.
    Facione NC, et al. The self-reported likelihood of patient delay in breast cancer: new thoughts for early detection. Prev Med. 2002;34(4):397–407.CrossRefPubMedGoogle Scholar
  41. 41.
    Daley CM, et al. Breast cancer screening beliefs and behaviors among American Indian women in Kansas and Missouri: a qualitative inquiry. J Cancer Educ. 2012;27(Suppl 1):S32–40.CrossRefPubMedGoogle Scholar
  42. 42.
    Thorburn S, et al. Medical mistrust and discrimination in health care: a qualitative study of Hmong women and men. J Community Health. 2012;37(4):822–9.CrossRefPubMedCentralPubMedGoogle Scholar
  43. 43.
    Logan JR. America’s newcomers. Lewis Mumford Center for Comparative Urban and Regional Research: University at Albany; 2003.Google Scholar
  44. 44.
    Israel BA, Eng E, Schulz AJ, Parker EA, Satcher D. Methods in community-based participatory research for health. San Francisco: Jossey-Bass; 2005.Google Scholar
  45. 45.
    Abdel-Khalek A. Happiness, health, and religiosity: significant relations. Ment Health Relig Cult. 2006;9(1):321–34.CrossRefGoogle Scholar
  46. 46.
    Hill PC, Hood RW. Measures of religiosity. Birmingham, AL: Religious Education Press; 1999.Google Scholar
  47. 47.
    Raiya HA, et al. Lessons learned and challenges faced in developing the psychological measure of Islamic religiousness. J Muslim Ment Health. 2007;2(2):133–54.CrossRefGoogle Scholar
  48. 48.
    Raiya HA, et al. A psychological measure of Islamic religiousness: development and evidence for reliability and validity. Int J Psychol Relig. 2008;18(4):291–315.CrossRefGoogle Scholar
  49. 49.
    Bird ST, Bogart LM. Perceived race-based and socioeconomic status (SES)-based discrimination in interactions with health care providers. Ethn Dis. 2001;11(3):554–63.PubMedGoogle Scholar
  50. 50.
    Williams DR, et al. Racial differences in physical and mental health: socio-economic status, stress and discrimination. J Health Psychol. 1997;2:335–51.CrossRefPubMedGoogle Scholar
  51. 51.
    Franklin MD, Schlundt DG, Wallston KA. Development and validation of a religious health fatalism measure for the African-American faith community. J Health Psychol. 2008;13(3):323–35.CrossRefPubMedGoogle Scholar
  52. 52.
    Powe BD, Johnson A. Fatalism as a barrier to cancer screening among African-Americans: philosophical perspectives. J Relig Health. 1995;34(2):119–25.CrossRefPubMedGoogle Scholar
  53. 53.
    Brownstein JN, et al. Breast and cervical cancer screening in minority populations: a model for using lay health educators. J Cancer Educ. 1992;7(4):321–6.CrossRefPubMedGoogle Scholar
  54. 54.
    McCance KL, et al. Validity and reliability of a breast cancer knowledge test. Am J Prev Med. 1990;6(2):93–8.PubMedGoogle Scholar
  55. 55.
    Harris PA, et al. Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–81.CrossRefPubMedCentralPubMedGoogle Scholar
  56. 56.
    Samari G, Kobeissi L, Telesca D, Esfandiari M, Galal O. Screening and early detection of breast cancer among Muslim immigrant women: differences among ethnic groups. In: [Abstract] American Public Health Association 139th annual meeting and exposition. Washington DC; 2011.Google Scholar
  57. 57.
    Smedley BD, Stith AY, Nelson AR. Unequal treatment: confronting racial and ethnic disparities in health care. Washington, DC: National Academies Press; 2003.Google Scholar
  58. 58.
    Mouton CP, et al. Impact of perceived racial discrimination on health screening in black women. J Health Care Poor Underserved. 2010;21(1):287–300.CrossRefPubMedCentralPubMedGoogle Scholar
  59. 59.
    Benjamins MR. Race/ethnic discrimination and preventive service utilization in a sample of Whites, Blacks, Mexicans, and Puerto Ricans. Med Care. 2012;50(10):870–6.CrossRefPubMedGoogle Scholar
  60. 60.
    Dailey AB, et al. Perceived racial discrimination and nonadherence to screening mammography guidelines: results from the race differences in the screening mammography process study. Am J Epidemiol. 2007;165(11):1287–95.CrossRefPubMedGoogle Scholar
  61. 61.
    Crawley LM, Ahn DK, Winkleby MA. Perceived medical discrimination and cancer screening behaviors of racial and ethnic minority adults. Cancer Epidemiol Biomark Prev. 2008;17(8):1937–44.CrossRefGoogle Scholar
  62. 62.
    Allen JD, et al. Dimensions of religiousness and cancer screening behaviors among church-going Latinas. J Relig Health. 2014;53(1):190–203.Google Scholar
  63. 63.
    Rashidi A, Rajaram SS. Culture care conflicts among Asian-Islamic immigrant women in US hospitals. Holist Nurs Pract. 2001;16(1):55–64.CrossRefPubMedGoogle Scholar
  64. 64.
    AHC joins Komen Race for the Cure registration. 2012. http://www.asianhealth.org/site/epage/137936_794.htm Accessed 13 Feb 2014.
  65. 65.
    Greiner KA, et al. Knowledge and perceptions of colorectal cancer screening among urban African Americans. J Gen Intern Med. 2005;20(11):977–83.CrossRefPubMedCentralPubMedGoogle Scholar
  66. 66.
    Powe BD. Cancer fatalism among African-Americans: a review of the literature. Nurs Outlook. 1996;44(1):18–21.CrossRefPubMedGoogle Scholar
  67. 67.
    Hamdy SF. Islam, fatalism, and medical intervention: lessons from Egypt on the cultivation of forbearance (sabr) and reliance on God (tawakkul). Anthropol Q. 2009;82(1):173–96.CrossRefGoogle Scholar
  68. 68.
    Florez KR, et al. Fatalism or destiny? A qualitative study and interpretative framework on Dominican women’s breast cancer beliefs. J Immigr Minor Health. 2009;11(4):291–301.CrossRefPubMedCentralPubMedGoogle Scholar
  69. 69.
    Greer S, Morris T, Pettingale KW. Psychological response to breast cancer: effect on outcome. Lancet. 1979;2(8146):785–7.CrossRefPubMedGoogle Scholar
  70. 70.
    Soler-Vila H, Kasl SV, Jones BA. Cancer-specific beliefs and survival: a population-based study of African-American and White breast cancer patients. Cancer Causes Control. 2005;16(2):105–14.CrossRefPubMedGoogle Scholar
  71. 71.
    Mohamed IE, et al. Understanding locally advanced breast cancer: what influences a woman’s decision to delay treatment? Prev Med. 2005;41(2):399–405.CrossRefPubMedGoogle Scholar
  72. 72.
    Pew Research Center. Muslim Americans: no signs of growth in alienation or support for extremism. Washington, DC; 2011.Google Scholar
  73. 73.
    Vernon SW, et al. Interventions to promote repeat breast cancer screening with mammography: a systematic review and meta-analysis. J Natl Cancer Inst. 2010;102(14):1023–39.CrossRefPubMedCentralPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Aasim I. Padela
    • 1
    • 2
    • 3
    • 4
  • Sohad Murrar
    • 1
  • Brigid Adviento
    • 1
  • Chuanhong Liao
    • 5
  • Zahra Hosseinian
    • 1
  • Monica Peek
    • 3
  • Farr Curlin
    • 6
  1. 1.Initiative on Islam and Medicine, Program on Medicine and Religion, Department of MedicineUniversity of ChicagoChicagoUSA
  2. 2.Section of Emergency Medicine, Department of MedicineUniversity of ChicagoChicagoUSA
  3. 3.Section of General Internal Medicine, Department of MedicineUniversity of ChicagoChicagoUSA
  4. 4.Comprehensive Cancer CenterUniversity of ChicagoChicagoUSA
  5. 5.Department of Health StudiesUniversity of ChicagoChicagoUSA
  6. 6.Trent Center for Bioethics, Humanities & History of MedicineDuke UniversityDurhamUSA

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