Cultural Barriers to Breast Cancer Screening and Medical Mistrust Among Arab American Women

Kim Jaffee, Miri Cohen, Faisal Azaiza, Adnan Hammad, Hiam Hamade, Hayley Thompson

Research output: Contribution to journalArticlepeer-review


Breast cancer is a common cancer among women in the US and cultural barriers and medical mistrust have been associated with breast cancer screening (BCS) rates among minority populations. A heterogeneous sample of Arab women (N = 196) were recruited from across the Detroit metropolitan area and administered a questionnaire. Multiple regression analyses revealed an association between Arab Cultural Specific Barriers (ACSB) to BCS and Group-Based Medical Mistrust Scale. The environmental ACSB to BCS was associated with the medical mistrust—suspicion of HC providers (β = 0.363, p = 0.01), lack of HC provider support (β = 0.396, p = 0.001), and Arab inequities (β = 0.250, p = 0.05). Findings suggest that ACSB to BCS are predictive of medical mistrust for Arab American women. This study illuminates the need to emphasize strategies that will target the medical care system and the cultural barriers to BCS that Arab American women face in the health care system.

Original languageEnglish
Pages (from-to)95-102
Number of pages8
JournalJournal of Immigrant and Minority Health
Issue number1
StatePublished - Feb 2021

Bibliographical note

Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.


  • Arab women
  • Breast cancer screening
  • Cultural barriers
  • Medical mistrust

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology


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