Concordant physician-patient characteristics lose importance for Arab American women and their healthcare- cross-sectional study.

Harper, Diane M; Sen, Ananda; Tariq, Madiha; Khoury, Christelle El; Haro, Elizabeth K; Alman, Emma; Patel, Minal R; Resnicow, Ken · Lancet Reg Health Am · 2022

cross_sectional · Level IV

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Abstract

Arab American women have preferred women physicians of their own culture in the past. The primary aim of this study is to determine the current influence of religion/culture among MENA women and their preferences for physicians of same sex, culture, and religion on the avoidance and uncomfortableness of routine and women's health exams. A cross sectional community survey including religiosity and the importance of physician matched sex, culture, and religion was completed. Outcome measures were avoidance of a routine physical exam, or a women's health exam because of religious/cultural issues; and the uncomfortableness of the women's health exam. Linear regression modeling was used to evaluate the association between outcomes and potential predictors, with significance assessed using a bootstrap method. The responses of 97 MENA women 30-65 years old showed that MENA women agreed that they would avoid routine health exams because of religious/cultural issues if their physician was of the same religion or culture as they were (<i>p</i> < 0.001, <i>p</i> < 0.05, respectively) or they had less education (<i>p</i> < 0.05). MENA women also avoided women's health exams due to religious/cultural issues if her physician was of the same religion as she (<i>p</i> < 0.01). MENA women 30-65 years old may no longer be bound to a female physician of their same religion/culture for their health exams.