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Arab, Middle Eastern, and North African Health Disparities Research: A Scoping Review

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Abstract

Background

Research in health disparities and how they affect underserved populations continues to grow and expand. However, the experiences of Arab/Middle Eastern and North African (MENA) Americans often go unnoticed, and yet, preliminary data suggests there are significant disparities between this population and other groups. The purpose of this scoping review is to examine and synthesize the extent of available literature on health disparities and outcomes for this group.

Methods

A scoping review was conducted to investigate the current state of research on health disparities and outcomes among Arab/MENA individuals within the USA. The PRISMA protocol for scoping reviews was utilized.

Results

Through the use of PubMed and PsychInfo databases, the search identified 43 articles that were eligible for inclusion in the final review. Five themes emerged: prevalence and health outcomes, factors impacting health, comparison studies, barriers, and health literacy and beliefs. Extant data was equivocal, suggesting the need for further research.

Conclusions

Research on Arab/MENA health disparities and outcomes is in the detection phase, indicating that more research is needed to elucidate the state of Arab/MENA health in the USA. These findings can help healthcare professionals and researchers understand the emerging literature on health disparities within the Arab/MENA community and inform further research and clinical practice within this population.

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References

  1. Arab American Institute. National Arab American Demographics. 2021. Retrieved from: https://www.aaiusa.org/demographics

  2. Awad GH, Abuelezam NN, Ajrouch KJ, Stiffler MJ. Lack of Arab or Middle Eastern and North African health data undermines assessment of health disparities. Am J Public Health. 2022;112(2):209–12.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Jones NA, Bentley M. Overview of 2015 national content test analysis report on race & ethnicity. US Census Bureau, Suitland-Silver Hill, MD. 2017.

  4. Braveman P. What are health disparities and health equity? We need to be clear. Public Health Rep. 2014;129(Suppl 2):5–8. https://doi.org/10.1177/00333549141291S203.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Centers for Disease Control and Prevention. Defining health disparities. 2020. Retrieved from: https://www.cdc.gov/nchhstp/healthdisparities/default.htm

  6. Awad GH, Kia-Keating M, Amer MM. A model of cumulative racial–ethnic trauma among Americans of Middle Eastern and North African (MENA) descent. Am Psychol. 2019;74(1):76.

    Article  PubMed  Google Scholar 

  7. Abboud S, Chebli P, Rabelais E. The contested whiteness of Arab identity in the United States: implications for health disparities research. Am J Public Health. 2019;109(11):1580–3.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Assari S. Health disparities due to diminished return among black Americans: public policy solutions. Soc Issues Policy Rev. 2019;12(1):112–45.

    Article  MathSciNet  Google Scholar 

  9. Wilkins CH, Schindler SE, Morris JC. Addressing health disparities among minority populations: why clinical trial recruitment is not enough. JAMA Neurol. 2020;77(9):1063–4.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Kilbourne AM, Switzer G, Hyman K, Crowley-Matoka M. Fine, MJ Advancing health disparities research within the health care system: a conceptual framework. Am J Public Health. 2006;96(12):2113–21.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19–32.

    Article  Google Scholar 

  12. Munn Z, Peters MDJ, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol. 2018; 18.

  13. Abou-Mediene S, Rice VH, Jamil H, Templin T, Hammad A, … Thompson F. A comparison of psychosocial factors and tobacco use among Arab and Arab-American adolescents: preliminary findings. EthnicityDis. 2005; 15(1 Suppl 1), S1–60–1.

  14. Abuelezam NN, El-Sayed AM, Galea S. Differences in health behaviors and health outcomes among non-Hispanic Whites and Arab Americans in a population-based survey in California. BMC Public Health. 2019;19:1–7.

    Article  Google Scholar 

  15. Abuelezam NN, Cuevas AG, Galea S, Hawkins SS. Maternal health behaviors and infant health outcomes among Arab American and non-Hispanic White mothers in Massachusetts, 2012–2016. Public Health Rep. 2020;135(5):658–67.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Ajrouch KJ. Health disparities and Arab-American elders: does intergenerational support buffer the inequality–health link? J Soc Issues. 2007;63(4):745–58.

    Article  Google Scholar 

  17. Alatrash M. Prevalence, perceived benefits, and perceived barriers regarding breast cancer screening among three Arab American women subgroups. J Transcult Nurs. 2020;31(3):242–9.

    Article  PubMed  Google Scholar 

  18. Albqoor MA, Chen JL, Weiss S, Waters C, Choi J. Self-rated health of Middle Eastern immigrants in the US: a national study. Public Health. 2020;180:64–73.

    Article  Google Scholar 

  19. Al-Dahir S, Brakta F, Khalil A, Benrahla M, Jack L Jr, Kennedy K. The impact of acculturation on diabetes risk among Arab Americans in Southeastern Louisiana. J Health Care Poor Underserved. 2013;24(1):47–63.

    Article  PubMed  Google Scholar 

  20. Arfken CL, Arnetz BB, Fakhouri M, Ventimiglia MJ, Jamil H. Alcohol use among Arab Americans: what is the prevalence? J Immigr Minor Health. 2011;13:713–8.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Arshad S, Williams KP, Mabiso A, Dey S, Soliman AS. Evaluating the knowledge of breast cancer screening and prevention among Arab-American women in Michigan. J Cancer Educ. 2011;26:135–8.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Ayyash M, Ayyash M, Bahroloomi S, Hamade H, Makki M, Hassouneh S, Blackwood RA. Knowledge assessment and screening barriers for breast cancer in an Arab American Community in Dearborn. Michigan J Commun Health. 2019;44:988–97.

    Article  Google Scholar 

  23. Dallo FJ, Borrell LN. Self-reported diabetes and hypertension among Arab Americans in the United States. Ethn Dis. 2006;16(3):699–705.

    PubMed  Google Scholar 

  24. Dallo FJ, Kindratt TB. Disparities in preventive health behaviors among non-Hispanic White men: heterogeneity among foreign-born Arab and European Americans. Am J Mens Health. 2015;9(2):124–31.

    Article  PubMed  Google Scholar 

  25. Dallo FJ, Kindratt TB. Disparities in vaccinations and cancer screening among US-and foreign-born Arab and European American non-Hispanic White women. Womens Health Issues. 2015;25(1):56–62.

    Article  PubMed  Google Scholar 

  26. Elwell D, Junker S, Sillau S, Aagaard E. Refugees in Denver and their perceptions of their health and health care. J Health Care Poor Underserved. 2014;25(1):128–41.

    Article  PubMed  Google Scholar 

  27. Gauss JW, Mabiso A, Williams KP. Pap screening goals and perceptions of pain among black, Latina, and Arab women: steps toward breaking down psychological barriers. J Cancer Educ. 2013;28:367–74.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Ghadban R, Haddad L, Thacker LR, An K, Balster RL, Salyer J. Smoking behaviors in Arab Americans: acculturation and health beliefs. J Transcult Nurs. 2019;30(2):115–23.

    Article  PubMed  Google Scholar 

  29. Hensley AS, Schwartz K, Soliman A, Johnson CC, Gruber SB, Merajver SD. Breast cancer characteristics at diagnosis and survival among Arab-American women compared to European–and African-American women. Breast Cancer Res Treat. 2009;114:339–46.

    Article  Google Scholar 

  30. Inhorn MC, Fakih MH. Arab Americans, African Americans, and infertility: barriers to reproduction and medical care. Fertil Steril. 2006;85(4):844–52.

    Article  PubMed  Google Scholar 

  31. Jadalla A, Lee J. The relationship between acculturation and general health of Arab Americans. J Transcult Nurs. 2012;23(2):159–65.

    Article  PubMed  Google Scholar 

  32. Jamil H, Fakhouri M, Dallo F, Templin T, Khoury R, Fakhouri H. Disparities in self-reported diabetes mellitus among Arab, Chaldean, and black Americans in Southeast Michigan. J Immigr Minor Health. 2008;10:397–405.

    Article  PubMed  Google Scholar 

  33. Jamil H, Geeso SG, Arnetz BB, Arnetz JE. Risk factors for hookah smoking among Arabs and Chaldeans. J Immigr Minor Health. 2014;16:501–7.

    Article  PubMed  Google Scholar 

  34. Jamil H, Nassar-McMillan S, Lambert R, Hammad A. Medical complaints of Iraqi American people before and after the 1991 Gulf War. Ethn Dis. 2007;17:77–8.

    Google Scholar 

  35. Jamil, H, Templin, T, Fakhouri, M, Rice, V. H, Khouri, R, Fakhouri, H, ... Baker, O. Comparison of personal characteristics, tobacco use, and health states in Chaldean, Arab American, and non-Middle Eastern White adults. J Immig Minor Health. 2009;11:310–317.

  36. Kader F, Bazzi L, Khoja L, Hassan F, de Leon CM. Perceived discrimination and mental well-being in Arab Americans from southeast Michigan: a cross-sectional study. J Racial Ethn Health Disparities. 2020;7:436–45.

    Article  PubMed  Google Scholar 

  37. Kindratt TB, Dallo FJ, Roddy J. Cigarette smoking among US-and foreign-born European and Arab American non-Hispanic white Men and Women. J Racial Ethn Health Disparities. 2008;5:1284–92.

    Article  Google Scholar 

  38. Leh SK, Saoud S. Using community-based participatory research to explore health care perceptions of a select group of Arab Americans. J Transcult Nurs. 2020;31(5):444–50.

    Article  PubMed  Google Scholar 

  39. Ma P, Magnus MC, Magnus JH. Perception of pregnancy related health issues among Arab women living in the United States. J Immigr Minor Health. 2013;15:273–80.

    Article  PubMed  Google Scholar 

  40. Moussawi AH, Yassine M, Dey S, Soliman AS. Clinical profile, quality of care, and recurrence in Arab-American and Caucasians prostate cancer patients in Michigan. J Immigr Minor Health. 2013;15(4):803–9.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Mulugeta W, Glick M, Min J, Xue H, Noe MF, Wang Y. Longitudinal changes and high-risk subgroups for obesity and overweight/obesity among refugees in Buffalo, NY, 2004–2014. J Racial Ethn Health Disparities. 2018;5:187–94.

    Article  PubMed  Google Scholar 

  42. Nasseri K, Mills PK, Allan M. Cancer incidence in the Middle Eastern population of California, 1988–2004. Asian Pacific J Cancer Prev: APJCP. 2007;8(3):405.

    Google Scholar 

  43. Read JNG, Amick B, Donato KM. Arab immigrants: a new case for ethnicity and health?. Social Sci Med. 2005. 61(1):77–82.

  44. Read JNG, Reynolds MM. Gender differences in immigrant health: the case of Mexican and Middle Eastern immigrants. J Health Soc Behav. 2012;53(1):99–123.

    Article  PubMed  Google Scholar 

  45. Rice VH, Templin T, Hammad A, Weglicki L, Jamil H, Abou-Mediene S. Collaborative research of tobacco use and its predictors in Arab and Non-Arab American 9th graders. Ethn Dis. 2007;17:19–21.

    Google Scholar 

  46. Saadi A, Bond B, Percac-Lima S. Perspectives on preventive health care and barriers to breast cancer screening among Iraqi women refugees. J Immigr Minor Health. 2012;14:633–9.

    Article  PubMed  Google Scholar 

  47. Samari G, Catalano R, Alcalá HE, Gemmill A. The Muslim Ban and preterm birth: analysis of US vital statistics data from 2009 to 2018. Soc Sci Med. 2020;265:113544.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Schwartz KL, Kulwicki A, Weiss LK, Fakhouri H, Sakr W, Kau G, Severson RK. Cancer among Arab Americans in the metropolitan Detroit area. Ethn Dis. 2004;14(1):141–6.

    PubMed  Google Scholar 

  49. Talaat N, Harb W. Reluctance to screening colonoscopy in Arab Americans: a community based observational study. J Community Health. 2013;38:619–25.

    Article  PubMed  Google Scholar 

  50. Talaat N. Adherence and barriers to colorectal cancer screening varies among Arab Americans from different countries of origin. Arab J Gastroenterol. 2015;16(3–4):116–20.

    Article  PubMed  Google Scholar 

  51. Taylor JY, Holtrop TG. Yemeni families and child lead screening in Detroit. J Transcult Nurs. 2007;18(1):63–9.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Vermette D, Shetgiri R, Al Zuheiri H, Flores G. Healthcare access for Iraqi refugee children in Texas: persistent barriers, potential solutions, and policy implications. J Immigr Minor Health. 2015;17:1526–36.

    Article  PubMed  Google Scholar 

  53. Weglicki LS, Templin T, Hammad A, Jamil H, Abou-Mediene S, Farroukh M, Rice VH. Tobacco use patterns among high school students. Ethn Dis. 2007;17:22–4.

    Google Scholar 

  54. Weglicki LS, Templin TN, Rice VH, Jamil H, Hammad A. Comparison of cigarette and water-pipe smoking by Arab and Non–Arab-American youth. Am J Prev Med. 2008;35(4):334–9.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Zayed L, Chebli P, Shalabi I, Taha N, Abboud S. Health assessment of the Arab American community in Southwest Chicago. J Commun Health. 2020;45:761–7.

    Article  Google Scholar 

  56. National Institutes of Health. National Cancer Institute. Common Cancer Types. 2020.

  57. Lum TY, Vanderaa JP. Health disparities among immigrant and non-immigrant elders: the association of acculturation and education. J Immigr Minor Health. 2009;12:743–53.

    Article  PubMed  Google Scholar 

  58. Williams DR, Lawrence JA, Davis BA, Vu C. Understanding how discrimination can affect health. Health Serv Res. 2019;54:1374–88.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Fleischer, NJ, Khalil, A. Limitations and recommendations for use of secondary data analysis in pediatric research. Children's Health Care. 2023; 1–17.

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Contributions

All authors contributed to the writing of the manuscript. N. Fleischer completed the preliminary scoping review search, and both authors engaged in the review of the final articles to discuss themes. All authors read and approved the final manuscript.

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Correspondence to Nicole J. Fleischer.

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This was a scoping review, and therefore, no ethical approval was required.

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Fleischer, N.J., Sadek, K. Arab, Middle Eastern, and North African Health Disparities Research: A Scoping Review. J. Racial and Ethnic Health Disparities (2024). https://doi.org/10.1007/s40615-024-01972-8

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