Health Promotion and Cancer Screening of Arab Americans
General Material Designation
[Thesis]
First Statement of Responsibility
ALyaba, Lamyaa
Subsequent Statement of Responsibility
Friend, Patricia J.
.PUBLICATION, DISTRIBUTION, ETC
Name of Publisher, Distributor, etc.
Loyola University Chicago
Date of Publication, Distribution, etc.
2020
GENERAL NOTES
Text of Note
185 p.
DISSERTATION (THESIS) NOTE
Dissertation or thesis details and type of degree
Ph.D.
Body granting the degree
Loyola University Chicago
Text preceding or following the note
2020
SUMMARY OR ABSTRACT
Text of Note
Introduction: Although Arab Americans represent one of the fastest-growing populations in the U.S., there is very little health data about their preventive health habits and health-promoting lifestyle, including cancer screening. Purpose: The purpose of this study is to examine the relationship between personal factors, health-promoting behaviors, and cancer-screening behaviors of Arab Americans while controlling for acculturation. Design: Pender's Health Promotion Model was the conceptual framework for the study. A cross-sectional correlational design explored the relationship between the study variables utilizing an online-based survey to collect data from Arab Americans. Multimodal recruitment was used to recruit a convenience sample of 287 Arab Americans age 21 and older. Participants completed self-report questionnaires consisting of personal characteristics, acculturation, health-promoting lifestyle, and gender-specific cancer screening uptake and intention to screen for cancer. The survey was offered in both languages: Arabic and English. The instruments used to collect the data were the Health Promotion Lifestyle Profile (HPLP) scale, cancer screening behavior subscale, intention to screen subscale, and a questionnaire of personal factors which included questions about demographic and health habits. Results: More Arab American females (58.5%) participated in the study than males (41.5%). The majority of the participants were age 33-39 (50.9%), married (56.1%), Muslim (80.8%), college graduate (40.8%), employed (47%), and originally from Libya (32%). About 84.7% had access to care, and the majority performed positive health habits and had low personal and family (19.9%) history of cancer. In terms of acculturation, the majority of the participant were proficient in English (94.1%) and had been in the U.S. for more than five years (73.9%). Overall, the sample performed positive health-promoting behaviors. Participants scored medium to low in intention to screen for breast cancer (BC) (M = 18.5, SD = 4.5), cervical cancer (M = 17.4, SD = 5.2), colorectal cancer (CRC) (M = 14.9, SD = 5.0), lung cancer (M = 13.7, SD = 4.5), and prostate cancer (M = 13.8, SD = 5.6). Female participants reported receiving cancer screening for BC (45.1%) and cervical cancer (69%). Male participants reported receiving prostate cancer (36.9%), and consultation for prostate cancer (36.1%). Both males and females reported receiving CRC (28.9%) and lung cancer (33.6%). Health-promoting behaviors partially predict cancer-screening behaviors. Implications: The study contributes to the body of nursing knowledge regarding the relationship between health-promoting behaviors and cancer-screening behaviors. Primary healthcare practitioners should encourage Arab Americans to continue to adhere to health-promoting behaviors, which may ultimately influence their cancer-screening behaviors. Cancer screening programs serving Arab Americans are encouraged to address cancer screening in the context of health-promoting behaviors to help decrease risk factors and increase adherence to positive health behaviors.