Doctor of Philosophy, University of Toledo, 2020, Health Education
Introduction:
In 2017, the United States' foreign-born population was 44.5 million, which represented 13.7% of the total U.S. population, and this number is projected to reach 78.2 million by 2065 (Immigration Policy Institute; Pew Research Center, 2019). Approximately 1.8 million (4.1%) are from the Middle Eastern countries located in Western Asia, including Armenia, Iraq, Israel, Jordan, Kuwait, Lebanon, Saudi Arabia, Syria, Turkey, Yemen, Egypt, and Iran. Middle Eastern Americans are recent immigrants to the U.S.
The number of deaths due to breast cancer is expected to increase from 42,228 in 2012 to 74,181 in 2030 due to survival rates being lower than in regions such as the Americas and Europe (WHO, 2019). In comparison, in the U.S., cancer is the second leading cause of death, while one in four deaths is due to cancer. In 2019, there were 268,000 new breast cancer cases in the U.S. and 41,760 deaths (CDC, 2019). Many Americans have well-known major risk factors for breast cancers due to behavioral factors such as tobacco and alcohol use, unhealthy diet, physical inactivity, and some chronic infections. In addition to behavioral factors, family history is also a risk factor for developing breast cancer. Mortality disparities may be due to the patient's access to health care, education, and SES. Most deaths from cancer occur during the first five years after being diagnosed. As shown in cancer research, cancer mortality rates can be reduced if detected and treated early.
Previous research indicated increased mortality rates due to breast cancer being diagnosed at an advanced stage among foreign-born Middle Eastern women in the U.S. (Hasnain, Menon, Ferrans, & Szalacha, 2014). In the U.S., research that explains Middle Eastern Americans' health compared to the health of other ethnic groups such as Hispanics or African Americans is limited, primarily related to their breast cancer screening behavior. Few studies examined the breast cancer screening behavior of (open full item for complete abstract)
Committee: Shipra Singh PhD (Committee Chair); Sheu Jiunn-Jye PhD (Committee Member)
Subjects: Behavioral Sciences; Health Education; Middle Eastern Studies