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Addressing Factors Associated with Arab Women's Socioeconomic Status May Reduce Breast Cancer Mortality: Report from a Well Resourced Middle Eastern Country

  • Donnelly, Tam Truong ;
  • Al Khater, Al-Hareth ;
  • Al Kuwari, Mohamed Ghaith ;
  • Al-Bader, Salha Bujassoum ;
  • Abdulmalik, Mariam ;
  • Al-Meer, Nabila ;
  • Singh, Rajvir ;
  • Fung, Tak
  • Published : 2015.10.06

Abstract

Differences in socioeconomic status (SES) such as income levels may partly explain why breast cancer screening (BCS) disparities exist in countries where health care services are free or heavily subsidized. However, factors that contribute to such differences in SES among women living in well resourced Middle East countries are not fully understood. This quantitative study investigated factors that influence SES and BCS of Arab women. Understanding of such factors can be useful for the development of effective intervention strategies that aim to increase BCS uptake among Arab women. Using data from a cross-sectional survey among 1,063 Arabic-speaking women in Qatar, age 35+, additional data analysis was performed to determine the relationship between socioeconomic indicators such as income and other factors in relation to BCS activities. This study found that income is determined and influenced by education level, occupation, nationality, years of residence in the country, level of social activity, self-perceived health status, and living area. Financial stress, unemployment, and unfavorable social conditions may impede women's participation in BCS activities in well resourced Middle East countries.

Keywords

Breast cancer;breast cancer screening;income;influence of socioeconomic factors;Arab women

References

  1. Bener A, Ayub H, Kakil R, Ibrahim W (2008). Patterns of cancer incidence among the population of Qatar: A worldwide comparative study. Asian Pac J Cancer Prev, 9, 19-24.
  2. Bener A, El Ayoubi H, Moore M, et al (2009). Do we need to maximise the breast cancer screening awareness? Experience with an endogamous society with high fertility. Asian Pac J Cancer Prev, 10, 599-604.
  3. Cheek J, Fuller J, Gilchrist S, Maddock A, Ballantyne A (1999). Vietnamese women and pap smears: Issues in promotion. Aust N Z J Public Health, 23, 72-6. https://doi.org/10.1111/j.1467-842X.1999.tb01208.x
  4. Cochran G, Fletcher J, Krapf J, Schmal R, Tibbetts J (1977). The determination of developmental norms for a pre-school rural population. J Am Med Womens Assoc, 32, 123-36.
  5. Donnelly T (2006). The health-care practices of vietnamesecanadian women: cultural influences on breast and cervical cancer screening. Can J Nurs Res, 38, 82-101.
  6. Donnelly T, McKellin W, Hislop G, Long B (2009). Socioeconomic influences on vietnamese- canadian women's breast and cervical cancer prevention practices: a social determinant's perspective. Soc Work Public Health, 24, 454-76. https://doi.org/10.1080/19371910802678772
  7. Donnelly T, Al-Khater A, Bujassoum Al-Bader S, et al (2013). Arab women's breast cancer screening practices: a literature review. Asian Pac J Cancer Prev, 14, 4519-28. https://doi.org/10.7314/APJCP.2013.14.8.4519
  8. Donnelly T, Al-Khater A, Bujassoum Al-Bader S, et al (2015). Do Socioeconomic Factors Influence Breast Cancer Screening Practices Among Arab Women in Qatar? British Med J (BMJ) Open, 22, 5.
  9. Ginsburg O, Hanna T, Vandenberg T, et al (2012). The global cancer epidemic: opportunities for canada in low- and middle-income countries. CMAJ, 184, 1699-1704. https://doi.org/10.1503/cmaj.111131
  10. Green L, Richard L, Potvin L (1996). Ecological foundations of health promotion. Am J Health Promot, 10, 270-81. https://doi.org/10.4278/0890-1171-10.4.270
  11. Gunusen N, Inan F, Ustun B (2013). Experiences of Turkish women with breast cancer during the treatment process and facilitating coping factors. Asian Pac J Cancer Prev, 14, 3143-49. https://doi.org/10.7314/APJCP.2013.14.5.3143
  12. Hamilton N, Bhatti T (1996). Population health promotion: an integrated model of population health and health promotion. ottawa: health promotion development division, health canada.
  13. International Agency for Research Cancer (IARC), WHO. The GLOBOCAN project fact sheets.
  14. Lamyian M, Hydarnia A, Ahmadi F, et al (2007). Barriers to and factors facilitating breast cancer screening among Iranian women: A qualitative study. East Mediterr Health J, 13, 1160-69.
  15. Alkhasawneh I, Akhu-Zaheya L, Suleiman S (2009). Jordanian nurses' knowledge and practice of breast self-examination. Journal Advanced Nurs, 65, 412-6. https://doi.org/10.1111/j.1365-2648.2008.04891.x
  16. Bener A, Alwash R, Miller C, Denic S, Dunn E (2001). Knowledge, attitudes, and practices related to breast cancer screening: A survey of Arabic women. J Cancer Educ, 16, 215-20.
  17. Long B, Liu F, Bristow R (2013). Disparities in uterine cancer epidemiology, treatment, and survival among African Americans in the United States. Gynecol Oncol, 130, 652-59. https://doi.org/10.1016/j.ygyno.2013.05.020
  18. McPhee S, Stewart S, Brock K, et al (1997). Factors associated with breast and cervical cancer screening practices among Vietnamese American women. Cancer Detect Prev, 21, 510-21.
  19. McPhee S, Nguyen T (2008). Cancer, cancer risk factors, and community-based cancer control trials in Vietnamese Americans. Asian Am Pac Isl J Health, 8, 18-31.
  20. McPhee S, Nguyen T, Shema S, et al (2002). Validation of recall of breast and cervical cancer screening by women in an ethnically diverse population. Prev Med, 35, 463-73. https://doi.org/10.1006/pmed.2002.1096
  21. Petro-Nustas W (2001). Factors associated with mammography utilization among Jordanian women. J Transcult Nurs, 12, 284-91. https://doi.org/10.1177/104365960101200403
  22. Qatar Statistics Authority, Ministry of Development Planning and Statistics (2013). Population structure. http://www.qsa.gov.qa/eng/population_census/2013/PopulationStructure_Aug.htm
  23. Tay L, Tan K, Diener E, Gonzalez E (2013). Social relations, health behaviors, and Health outcomes: a survey and synthesis. Appl Psychol Health Well Being, 5, 28-78. https://doi.org/10.1111/aphw.12000
  24. Vollman A, Anderson E, McFarlane J (2008). Canadian community as partner, 2nd ed. Philadelphia: Lippincott Williams & Wilkins.

Acknowledgement

Supported by : Qatar National Research Fund