Journal of Immigrant and Minority Health

, Volume 18, Issue 6, pp 1449–1454 | Cite as

A Health Profile of Arab Americans in Michigan: A Novel Approach to Using a Hospital Administrative Database

  • Florence J. DalloEmail author
  • Julie J. Ruterbusch
  • Joseph David Kirma
  • Kendra Schwartz
  • Monty Fakhouri
Original Paper


The objectives of this study were to estimate and compare the prevalence of heart disease, cancer, chronic lower respiratory disease, stroke, Alzheimer’s, diabetes, nephrosis, flu/pneumonia, hypertension, and atherosclerosis between Arab Americans and whites attending a large, metropolitan hospital system. The sample included 68,047 patients, 18 years of age or older, who visited the hospital during 2012. Demographic and disease variables were electronically abstracted. Demographic characteristics were compared between Arab Americans and whites using Chi square tests. Sex specific, age-adjusted prevalence ratios (PR) and 95 % confidence intervals were estimated for these two groups using a log-binomial regression model. Compared to white men, Arab American men had a higher prevalence of diabetes (PR 1.40, 95 % CI 1.29–1.52) and hypertension (PR 1.07, 95 % CI 1.04–1.10), and a lower prevalence of chronic lower respiratory disease (PR 0.74, 95 % CI 0.66–0.83). Compared to white women, Arab American women had a higher prevalence of chronic lower respiratory disease (PR 1.12, 95 % CI 1.01–1.25), diabetes (PR 1.49, 95 % CI 1.38–1.60), influenza/pneumonia (PR 1.26, 95 % CI 1.05–1.51) and hypertension (PR 1.04, 95 % CI 1.01–1.08). This study supports previous findings that health disparities exist for Arab Americans, who are classified as “white” in health statistics. Standard inclusion of Arab American as a separate ethnicity category will aid researchers in assessing the health care needs of this growing minority community.


Arab American Causes of death Hospital database 


Compliance with Ethical Standards

Conflict of interest

None of the authors have any financial or non-financial conflicts of interest with this research study.

Human and animal rights

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

Because this is a retrospective chart review, formal consent is not required.

Supplementary material

10903_2015_296_MOESM1_ESM.xlsx (14 kb)
Supplementary material 1 (XLSX 14 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Florence J. Dallo
    • 1
    Email author
  • Julie J. Ruterbusch
    • 2
  • Joseph David Kirma
    • 1
  • Kendra Schwartz
    • 3
  • Monty Fakhouri
    • 4
  1. 1.School of Health SciencesOakland UniversityRochesterUSA
  2. 2.Department of OncologyWayne State UniversityDetroitUSA
  3. 3.Department of Family Medicine and Public Health SciencesWayne State UniversityDetroitUSA
  4. 4.Minority Outreach ProgramBeaumont Cancer InstituteRoyal OakUSA

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