Abstract
Arab immigrants living in the United States total between 1.5 million and 3.5 million, and have been growing in number each decade. New York’s Arab population, at 405,000, ranks third in the U.S. after California and Michigan. Despite the large numbers, little health research has focused on this population. Data about the cancer incidence, mortality, and screening practices of Arab Americans is overwhelmingly lacking. To better understand the health care and cancer knowledge, attitudes, and beliefs of Arab American immigrants, five single-gender focus groups were convened with Arab men and women in New York City. Attention was given to factors that act as barriers to utilization of general health care services, and of cancer prevention, treatment, and support services. The data revealed the importance of providing culturally and linguistically appropriate health interventions in partnership with trusted community leaders, and the need for follow-up research of this understudied immigrant population.
Similar content being viewed by others
Notes
“Ancestry” was defined by the U.S. census bureau as “ethnic origin, descent, ‘roots,’ heritage, or place of birth of the person or the person’s ancestors.”
Researchers have noted a significant discrepancy between community estimates and the census data, partly due to the fact that the U.S. census short form requires that Arab American respondents identify as “White” or “Other,” should they choose to write-in a self-identification. As a result, the census estimate is only based on the small percentage of people who complete the U.S. census long form and declare a country of birth in which Arabic is primarily spoken.
In the United States, this includes (in descending order) individuals who identify as Lebanese, Syrian, Egyptian, Palestinian, Jordanian, Moroccan, Iraqi, Yemeni, Kurdish, Algerian, Saudi Arabian, Tunisian, Kuwaiti, Libyan, and Berber.
References
U.S. Census Bureau. The Arab population: Census 2000 Brief. 2003.
Forzley M. Advancing the health of Arab Americans: key points to obtaining resources and establishing programs focused on special populations. Ethn Dis. 2005;15(1 Suppl 1):S1,90–2.
Laffrey SC, Meleis AI, Lipson JG, Solomon M, Omidian PA. Assessing Arab-American health care needs. Soc Sci Med. 1989;29(7):877–83.
Schwartz KL, Kulwicki A, Weiss LK, Fakhouri H, Sakr W, Kau G, et al. Cancer among Arab Americans in the metropolitan Detroit area. Ethn Dis. 2004;14(1):141–6.
Arab American Institute. Arab American demographics. Washington: Arab American Institute; 2004.
Darwish-Yassine M, Wing D. Cancer epidemiology in Arab Americans and Arabs outside the Middle East. Ethn Dis. 2005;15(1 Suppl 1):S1,5–8.
American Cancer Society. Cancer facts & figures 2005. Atlanta, Georgia: American Cancer Society; 2005. Report No. 1.
U.S. Department of Health and Human Services. Reducing the health consequences of smoking: 25 years of progress: a report of the surgeon general, Atlanta, Georgia: Public Health Service, Centers for Disease Control, Office of Smoking and Health; 1989. Report No. DHHS Publication No. (CDC) 89-8411.
U.S. Department of Health and Human Services. Preventing tobacco use among young people: a report of the surgeon general, 1994. Atlanta, Georgia: Public Health Service, Centers for Disease Control, Office of Smoking and Health; 1994. Report No. U.S. Govt. Printing Office No. S/N 017-001-00491-0.
World Health Organization. Making a difference. Geneva: World Health Organization; 1999.
Rice VH, Kulwicki A. Cigarette use among Arab Americans in the Detroit metropolitan area. Public Health Rep. 1992;107(5):589–94.
National Cancer Health Statistics, Center for Disease Control and Prevention. Prevalence of current smoking among adults, aged 18 years and older: United states, 1997–2001. MMWR, 2002. Report No. 50.
Management Sciences for Health. The Provider’s guide to quality and culture: Arab-Americans. 2004.
The New York Immigration Coalition. Bridging the Gap: The September 11th disaster response and immigrants’ access to mental health services in New York City. NY, July 30, 2003.
Al-Omran H. Measurement of the knowledge, attitudes, and beliefs of Arab-American adults toward cancer screening and early detection: development of a survey instrument. Ethn Dis. 2005;15(1 Suppl 1):S1,15–6.
Amer MM, Hovey JD. Examination of the impact of acculturation, stress, and religiosity on mental health variables for second-generation Arab Americans. Ethn Dis. 2005;15 (1 Suppl 1): S1,111–2.
Funded as a Special Populations Network by the National Cancer Institute’s Center to Reduce Cancer Health Disparities, grant # UO1 CA86286.
Kreuger RA, Casey MA, editors. Focus groups: a practical guide for applied research. 3rd ed. Thousand Oaks: Sage Publishing; 2000.
Unrau Y, Coleman H. Qualitative data analysis. In: Grinnel M editor. Social work research and evaluation: quantitative and qualitative approaches. Itasca: Peacock Publishers; 1997. p. 512–51.
Acknowledgements
Funding for this project was provided by the National Cancer Institute’s Center to Reduce Cancer Health Disparities (UO1 CA86286). We would like to acknowledge the following contributors: TAMKEEN: The Center for Arab American Empowerment, Inc.; Ghada Jiha, M.A.; Souha Nikowitz, Ph.D.; Afrah Yusr; Dikra Algutaini; Maha Elattar, M.D.; Hanan Salman, M.D.; Samreen Hasan; Chafic Ayoub.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Shah, S.M., Ayash, C., Pharaon, N.A. et al. Arab American Immigrants in New York: Health Care and Cancer Knowledge, Attitudes, and Beliefs. J Immigrant Minority Health 10, 429–436 (2008). https://doi.org/10.1007/s10903-007-9106-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10903-007-9106-2