Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Health Promotion: Muslim Culture

7,810 views

Published on

This educational presentation reviews the Muslim Culture and identifies smoking tobacco as a modifiable risk factor

Published in: Health & Medicine, Spiritual
  • Be the first to comment

Health Promotion: Muslim Culture

  1. 1. Muslim-American Culture and Tobacco Use By Darlene Liberti, RN أّلموألكوم (Assalaamu Alaykum)
  2. 2. Introduction <ul><li>Muslims considered “Arab” or “Middle Eastern” </li></ul><ul><li>Emigrate from many Arabic-speaking countries </li></ul><ul><li>Muslims believe in Islam (Ahmed, 2004) </li></ul><ul><li>Diverse Arab heritage </li></ul><ul><li>Largest number reside in northeast US </li></ul><ul><li>40% have bachelor’s degree or higher </li></ul><ul><li>(De la Cruz & Brittingham, 2003). </li></ul>
  3. 3. Cultural Considerations <ul><li>Speak Arabic at home, understand English </li></ul><ul><li>Men dominate </li></ul><ul><li>Same sex provider </li></ul><ul><li>Nurses are helpers not professionals </li></ul><ul><li>Ramadan: a time for fasting </li></ul><ul><li>Pray 5 times per day </li></ul><ul><li>(Amhad, 2004) </li></ul>
  4. 4. Heritage <ul><li>Marriage is sacred </li></ul><ul><li>Strong family bonds </li></ul><ul><li>Many do not believe in Western medicine </li></ul><ul><li>Divine intervention (“In Sha Allah”) </li></ul><ul><li>Younger generation care for older generation </li></ul><ul><li>Left hand is unclean </li></ul><ul><li>(Amhad, 2004) </li></ul>
  5. 5. Three Domains of Muslim Culture <ul><li>Spirituality </li></ul>High Risk Behaviors Family Roles and Organization (Yosef 2008)
  6. 6. Spirituality <ul><li>Muslims believe in one God, Allah </li></ul><ul><li>Beliefs are written in the Koran </li></ul><ul><li>Daily practices include prayer </li></ul><ul><li>Human body is to be cherished </li></ul><ul><li>Ramadan strengthens relationship with God </li></ul><ul><li>Pilgrimage to Mecca once in lifetime </li></ul><ul><li>(Yosef 2008) </li></ul>
  7. 7. Muslim Spirituality <ul><li>5 “Pillars of Islam” include: </li></ul><ul><ul><li>The profession of faith </li></ul></ul><ul><ul><li>Daily prayers </li></ul></ul><ul><ul><li>Fasting during Ramadan </li></ul></ul><ul><ul><li>Giving alms to the poor, Zakat </li></ul></ul><ul><ul><li>A pilgrimage to Mecca once a lifetime </li></ul></ul><ul><ul><li>(Yosef, 2001) </li></ul></ul>
  8. 8. Family Roles and Organization <ul><li>Patriarchal, man is head of household </li></ul><ul><li>Extension of families with marriage bonds </li></ul><ul><li>Men are responsible for financial support of family </li></ul><ul><li>Women are equal; role is to raise children </li></ul><ul><li>Women are not discouraged from working </li></ul><ul><li>(Hodge, 2005) </li></ul>
  9. 9. High Risk Behaviors <ul><li>High rate of smoking </li></ul><ul><li>Overeating and lack of exercise </li></ul><ul><li>Not obtaining healthcare </li></ul><ul><li>Little data on HIV/AIDS; related to modesty </li></ul><ul><li>(Hodge, 2005) </li></ul>
  10. 10. Three Health Problems Identified in the Muslim Population <ul><li>Tobacco use </li></ul><ul><li>Diabetes </li></ul><ul><li>Less frequent female health screening </li></ul><ul><li>(Jaber, Brown, Hammad, Zhu & Herman, 2003) </li></ul>
  11. 11. Tobacco Use <ul><li>Cardiovascular risk factors of Arab Americans </li></ul><ul><li>Study particularly looked at smoking history </li></ul><ul><li>Results showed higher smoking rate </li></ul><ul><li>Results showed lower rate of quitting smoking </li></ul><ul><li>(Weglicki, Templin, Rice, Jamil & Hammad, 2008) </li></ul>
  12. 12. Water-Pipe Use <ul><li>Also called hookah, narghile, sheesha </li></ul><ul><li>Popular in Middle East and North Africa </li></ul><ul><li>100 million daily users </li></ul><ul><li>Smoking promotes feeling of relaxation </li></ul><ul><li>Promotes conservation </li></ul><ul><li>Social interaction </li></ul><ul><li>(Baker & Rice, 2008) </li></ul>
  13. 13. Epidemiological Data on Global Smoking <ul><li>4 million tobacco related deaths per year and will double by 2020. </li></ul><ul><li>Every 8 seconds, someone dies from tobacco use </li></ul><ul><li>Smoking has increased in most developing nations </li></ul><ul><li>Smoking has decreased in U.S. the last three decades </li></ul><ul><li>Every minute 10 million cigarettes are sold </li></ul><ul><li>(CDC, 2008) </li></ul>
  14. 14. Epidemiological Data on Global Smoking <ul><li>Highest rate of smoking worldwide: Western Pacific Region </li></ul><ul><li>80,000 - 100,000 children start smoking every day </li></ul><ul><li>Among young teens: 1 in 5 smoke worldwide </li></ul><ul><li>50% of adolescents who start smoking go on to smoke as adults </li></ul>
  15. 15. Epidemiological Data for Middle- East and Smoking <ul><li>According to WHO in 2000, Yemen is in the top 10 countries worldwide for tobacco use </li></ul><ul><li>Other Middle Eastern Countries with highest percentage of tobacco consumption among men is as follows: Tunisia (69%), Djibouti (57.5), Iraq and Syria (50%), Jordan (48%) and Lebanon (46%). </li></ul><ul><li>Highest female tobacco consumption: Lebanon (35%) followed by Jordan (10%) </li></ul><ul><li>Lowest percentage: Oman (15.5%), United </li></ul><ul><li>Arab Emirates (18.3%) and Saudi Arabia </li></ul><ul><li>at (22%) for men </li></ul><ul><li>(WHO, 2009) </li></ul>
  16. 16. Cultural Factors about Smoking in Muslim Society <ul><li>Male dominated society and demonstrates power. </li></ul><ul><li>Social interaction </li></ul><ul><li>Stress </li></ul><ul><li>Traditions such as usage of water-pipes. </li></ul><ul><li>Water -pipes believed to be less harmful than cigarettes. </li></ul><ul><li>Saudi Arabia and Oman </li></ul><ul><li>have banned smoking in </li></ul><ul><li>public places. </li></ul>
  17. 17. Healthy People 2010-2020 Initiatives on Smoking <ul><li>National Health Objectives in order to improve health of society. </li></ul><ul><li>Tobacco Use is major focus area for health initiative and focus goal for program. </li></ul><ul><li>Smoking is one of the leading cause of health indicators in United States </li></ul><ul><li>23.1% of males and 18.3% of females smoke in United States </li></ul>
  18. 18. Consequences of Smoking <ul><li>Cigarette smoking causes many cancers </li></ul><ul><li>Second hand smoke </li></ul><ul><li>Risk increases with exposure to cigarette smoke </li></ul><ul><li>Benefits of smoking cessation </li></ul><ul><li>Suffering increased with lung cancer </li></ul>
  19. 19. Negative Media Ads <ul><li>Advertising geared towards adolescents </li></ul><ul><li>Marketing aimed at increasing sales </li></ul><ul><li>$1.06 billion spent on promoting cigarettes </li></ul><ul><li>Quit Smoking Ads </li></ul><ul><li>(Sussman, 2001) </li></ul>
  20. 20. References <ul><li>Ahmad, N.M. (2004, April). Arab-American culture and healthcare. Retrieved March 28, 2010 from http://www.case.edu/med/epidbio/mphp439/Arab-Americans.htm </li></ul><ul><li>De la Cruz, P., & Brittingham, A. (2003). The Arab population: 2000 census. U.S. Department of Commerce, Economics and Statistics Administration. Retrieved March 28, 2010 from https://ask.census.gov/cgi-bin/askcensus.cfg </li></ul><ul><li>Dobbins, M., DeCorby, K., Manske, S. & Goldblatt, E. Effective practices for school-based tobacco use prevention. Preventive Medicine. 46(4) (2008), p.p.289-297. </li></ul><ul><li>Glynn, T. J.,& Manley , M.W. (1989). How to kelp your patients stop smoking: A national cancer institute manual for physicians. US Department of Health and Human Services, Public Health Service, National Institutes of Health, National Cancer Institute. Bethesda </li></ul><ul><li>(MD): NIH Publication No. 89-3064,1989. </li></ul><ul><li>Grossman, M., Coate, D., Lewitt M. & Shakotko A. (1983). Economic and other factors in youth smoking. National Science Foundation. Washington (DC) </li></ul>
  21. 21. References <ul><li>Hodge, D.R. (2005).Social work and the house of Islam: orienting practitioners to the beliefs and values of Muslims in the US. Social Work. 50(2) pp162-173. </li></ul><ul><li>Project Towards No Tobacco Use, retrieved on March 31, 2010 from </li></ul><ul><li>www.minorityhealth.hhs.gov/npa /.../ ProjectTowards NoTobaccoUse.pdf </li></ul><ul><li>Rice, v., Weglicki, L, Templin, T., Jamil, H., Hammand, A. Intervention effects on tobacco use in Arab and non-Arab American adolescents. Addictive Behaviors. 35 (1) (2010), p.p. 46-48. </li></ul><ul><li>Sussman, S. School-based tobacco use prevention and cessation: where are we going? American Journal of Health Behavior. 25 (3) (2001), p.p. 191-199 </li></ul><ul><li>Walker, M.S. (2006). Depressive symptoms after lung cancer surgery: Their relationship to coping style and social support. Psycho-Oncology 15: 684-693 </li></ul><ul><li>Weglicki, L.S., Templin, T.N., Rice, V., Jamil, H., & Hammad, A. Comparison of cigarette and water-pipe smoking by arab and non-arab american youth. 2008. Retrieved on April 2, 2010 from www.ncbi.nlm.nih.gov › Journal List › NIHPA Author Manuscripts </li></ul>
  22. 22. References <ul><li>Yosef, A. Culturally sensitive care of the Muslim patient. Journal of Transcultural Nursing.12(3)(2001),pp.228-233. </li></ul><ul><li>Yosef, A. Health beliefs, practices and priorities for health care of Arab Muslims in the United States. Journal of Transcultural Nursing. 19(3)(2008), pp. 284-291. </li></ul>

×