Associations between Spiritual Health Locus of Control, Perceived Discrimination and Breast and Cervical Cancer Screening for Muslim American Women in New York City.


Journal

Clinical breast cancer
ISSN: 1938-0666
Titre abrégé: Clin Breast Cancer
Pays: United States
ID NLM: 100898731

Informations de publication

Date de publication:
06 2022
Historique:
received: 25 07 2021
revised: 10 12 2021
accepted: 28 12 2021
pubmed: 27 1 2022
medline: 1 6 2022
entrez: 26 1 2022
Statut: ppublish

Résumé

We sought to understand the impacts of religion-related factors, namely perceived discrimination and spiritual health locus of control, on breast and cervical cancer screening for Muslim American women. A total of 421 Muslim American women were surveyed at baseline of a breast and cervical cancer screening intervention, measuring discrimination through the Perceived Ethnic Discrimination Questionnaire (PED-Q), a 17-item scale measuring perceived interpersonal racial/ethnic discrimination; and spiritual beliefs through the Spiritual Health Locus of Control Scale, a 13-item scale measuring the link between control over one's health with a connection to religious beliefs. Multivariable logistic regression models were used to determine factors associated with an up-to-date mammogram and Pap test. Most women preferred to receive medical care from a healthcare provider of their same gender (75.2%) and same race, ethnicity or religion (62.1%). The middle age group (50-59) and a lower God's Grace Spiritual Health Locus of Control subscale were associated with up-to-date mammogram. Younger age, lower education, higher Exclusion/Rejection subscale, and lower Spiritual Life/Faith Subscale were associated with an up-to-date Pap test. The spiritual beliefs of Muslim American women impact their likelihood of obtaining breast and cervical cancer screenings. Therefore, these services need to be better tailored to match these needs, for example, by ensuring that Muslim American women have access to healthcare providers of their same gender, race, ethnicity or religion.

Sections du résumé

BACKGROUND
We sought to understand the impacts of religion-related factors, namely perceived discrimination and spiritual health locus of control, on breast and cervical cancer screening for Muslim American women.
METHODS
A total of 421 Muslim American women were surveyed at baseline of a breast and cervical cancer screening intervention, measuring discrimination through the Perceived Ethnic Discrimination Questionnaire (PED-Q), a 17-item scale measuring perceived interpersonal racial/ethnic discrimination; and spiritual beliefs through the Spiritual Health Locus of Control Scale, a 13-item scale measuring the link between control over one's health with a connection to religious beliefs. Multivariable logistic regression models were used to determine factors associated with an up-to-date mammogram and Pap test.
RESULTS
Most women preferred to receive medical care from a healthcare provider of their same gender (75.2%) and same race, ethnicity or religion (62.1%). The middle age group (50-59) and a lower God's Grace Spiritual Health Locus of Control subscale were associated with up-to-date mammogram. Younger age, lower education, higher Exclusion/Rejection subscale, and lower Spiritual Life/Faith Subscale were associated with an up-to-date Pap test.
CONCLUSION
The spiritual beliefs of Muslim American women impact their likelihood of obtaining breast and cervical cancer screenings. Therefore, these services need to be better tailored to match these needs, for example, by ensuring that Muslim American women have access to healthcare providers of their same gender, race, ethnicity or religion.

Identifiants

pubmed: 35078722
pii: S1526-8209(21)00373-6
doi: 10.1016/j.clbc.2021.12.012
pmc: PMC9149053
mid: NIHMS1768284
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, U.S. Gov't, P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

e586-e596

Subventions

Organisme : NCCDPHP CDC HHS
ID : U48 DP001904
Pays : United States
Organisme : NCI NIH HHS
ID : P30 CA016087
Pays : United States
Organisme : NIMHD NIH HHS
ID : U54 MD000538
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U58 DP005621
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U01 DP006643
Pays : United States

Informations de copyright

Copyright © 2022. Published by Elsevier Inc.

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Auteurs

Sameena Azhar (S)

Fordham University, Graduate School of Social Service, New York, New York. Electronic address: sazhar@fordham.edu.

Laura C Wyatt (LC)

Department of Population Health, NYU School of Medicine, New York, New York.

Vaidehi Jokhakar (V)

Fordham University, Graduate School of Social Service, New York, New York.

Shilpa Patel (S)

Center for Healthcare Strategies, Inc., Hamilton, New Jersey.

Victoria H Raveis (VH)

Psychological Research Unit on Health, Aging, and the Community, College of Dentistry, New York University, New York, New York.

Simona C Kwon (SC)

Department of Population Health, NYU School of Medicine, New York, New York.

Nadia S Islam (NS)

Department of Population Health, NYU School of Medicine, New York, New York.

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Classifications MeSH