• Sarah Alkhaifi, Aasim I Padela, Felicia Hodge, and Mary-Lynn Brecht.
• King Abdulaziz University, School of Nursing, Department of Maternity and Childhood, Nursing, Jeddah, Saudi Arabia; University of California Los Angeles, Schools of Nursing. Electronic address: salkafy@kau.edu.sa.
• J Natl Med Assoc. 2023 Jun 1; 115 (3): 302313302-313.

BackgroundRegular mammogram screenings contribute to a decreased breast cancer (BC) mortality rate. Women from ethnic minorities in the United States, however, often underutilize mammogram screenings; in particular, immigrant Muslim Arab (IMAW) women have low mammogram screening rates.ObjectiveTo explore the associations between mammogram utilization and (a) health and religious beliefs, (b) level of knowledge about mammograms, (c) health care provider (HCP) recommendations, and (d) spousal support.MethodsA cross-sectional study employed online data collection. An Arabic or English survey was completed by women who were 45 or older and married, had immigrated from Arab countries, and had no history of breast cancer. Logistic regression was conducted for data analyses.ResultsOf the 184 Immigrant Muslim Arab survey participants, 86.6% reported having had at least one mammogram in their lifetime, and 32.6% adhered to mammograms. Ever having obtained a mammogram and adherence to mammograms were negatively associated with perceived mammogram barriers and positively associated with (a) spousal support, (b) level of mammogram knowledge, and (c) perceived self-confidence. Receiving (HCP) recommendation increased the likelihood of ever having obtained a mammogram. Finally, participants who reported higher levels of perceived mammogram benefits were more likely to have obtained a mammogram within the last 2 years compared to their counterparts.ConclusionsIMAW have demonstrated low mammogram adherence rate.ImplicationsNursing clinicians and scholars must play a role in designing and implementing interventions to promote women adherence to mammograms. Involving husbands in these interventions may improve immigrant Muslim Arab women's mammogram adherence rates.Copyright © 2023 National Medical Association. Published by Elsevier Inc. All rights reserved.

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