Barriers to healthcare access for Arabic-speaking population in an English-speaking country

Objective: To identify barriers to healthcare access, to assess the health literacy levels of the foreign-born Arabic speaking population in Iowa, USA and to measure their prevalence of seeking preventive healthcare services. Methods: A cross-sectional study of native Arabic speaking adults invol...

Full description

Bibliographic Details
Main Authors: Ali A. Al Jumaili, Kawther Khalid Ahmed, Dave Koch
Format: Article
Language:English
Published: Centro de Investigaciones y Publicaciones Farmaceuticas 2020-06-01
Series:Pharmacy Practice
Subjects:
Online Access:https://pharmacypractice.org/journal/index.php/pp/article/view/1809
_version_ 1818209863125172224
author Ali A. Al Jumaili
Kawther Khalid Ahmed
Dave Koch
author_facet Ali A. Al Jumaili
Kawther Khalid Ahmed
Dave Koch
author_sort Ali A. Al Jumaili
collection DOAJ
description Objective: To identify barriers to healthcare access, to assess the health literacy levels of the foreign-born Arabic speaking population in Iowa, USA and to measure their prevalence of seeking preventive healthcare services. Methods: A cross-sectional study of native Arabic speaking adults involved a focus group and an anonymous paper-based survey. The focus group and the Andersen Model were used to develop the survey questionnaire. The survey participants were customers at Arabic grocery stores, worshippers at the city mosque and patients at free University Clinic. Chi-square test was used to measure the relationship between the characteristics of survey participants and preventive healthcare services. Thematic analysis was used to analyze the focus group transcript. Results: We received 196 completed surveys. Only half of the participants were considered to have good health literacy. More than one-third of the participants had no health insurance and less than half of them visit clinics regularly for preventive measures. Two participant enabling factors (health insurance and residency years) and one need factor (having chronic disease(s)) were found to significantly influence preventive physician visits. Conclusions: This theory-based study provides a tool that can be used in different Western countries where Arabic minority lives. Both the survey and the focus group agreed that lacking health insurance is the main barrier facing their access to healthcare services. The availability of an interpreter in the hospital is essential to help those with inadequate health literacy, particularly new arriving individuals. More free healthcare settings are needed in the county to take care of the increasing number of uninsured Arabic speaking patients.
first_indexed 2024-12-12T05:07:28Z
format Article
id doaj.art-47f6c7c32cdd4da88fa52574abad83c0
institution Directory Open Access Journal
issn 1885-642X
1886-3655
language English
last_indexed 2024-12-12T05:07:28Z
publishDate 2020-06-01
publisher Centro de Investigaciones y Publicaciones Farmaceuticas
record_format Article
series Pharmacy Practice
spelling doaj.art-47f6c7c32cdd4da88fa52574abad83c02022-12-22T00:37:03ZengCentro de Investigaciones y Publicaciones FarmaceuticasPharmacy Practice1885-642X1886-36552020-06-011821809https://doi.org/10.18549/PharmPract.2020.2.1809Barriers to healthcare access for Arabic-speaking population in an English-speaking country Ali A. Al Jumaili https://orcid.org/0000-0003-4691-0280 Kawther Khalid Ahmed https://orcid.org/0000-0002-8526-0447 Dave Koch https://orcid.org/0000-0001-9913-2641Objective: To identify barriers to healthcare access, to assess the health literacy levels of the foreign-born Arabic speaking population in Iowa, USA and to measure their prevalence of seeking preventive healthcare services. Methods: A cross-sectional study of native Arabic speaking adults involved a focus group and an anonymous paper-based survey. The focus group and the Andersen Model were used to develop the survey questionnaire. The survey participants were customers at Arabic grocery stores, worshippers at the city mosque and patients at free University Clinic. Chi-square test was used to measure the relationship between the characteristics of survey participants and preventive healthcare services. Thematic analysis was used to analyze the focus group transcript. Results: We received 196 completed surveys. Only half of the participants were considered to have good health literacy. More than one-third of the participants had no health insurance and less than half of them visit clinics regularly for preventive measures. Two participant enabling factors (health insurance and residency years) and one need factor (having chronic disease(s)) were found to significantly influence preventive physician visits. Conclusions: This theory-based study provides a tool that can be used in different Western countries where Arabic minority lives. Both the survey and the focus group agreed that lacking health insurance is the main barrier facing their access to healthcare services. The availability of an interpreter in the hospital is essential to help those with inadequate health literacy, particularly new arriving individuals. More free healthcare settings are needed in the county to take care of the increasing number of uninsured Arabic speaking patients.https://pharmacypractice.org/journal/index.php/pp/article/view/1809health services accessibilitypreventive health servicesmedically uninsuredhealth literacycommunication barrierscultural competencysurveys and questionnairesfocus groupsunited states
spellingShingle Ali A. Al Jumaili
Kawther Khalid Ahmed
Dave Koch
Barriers to healthcare access for Arabic-speaking population in an English-speaking country
Pharmacy Practice
health services accessibility
preventive health services
medically uninsured
health literacy
communication barriers
cultural competency
surveys and questionnaires
focus groups
united states
title Barriers to healthcare access for Arabic-speaking population in an English-speaking country
title_full Barriers to healthcare access for Arabic-speaking population in an English-speaking country
title_fullStr Barriers to healthcare access for Arabic-speaking population in an English-speaking country
title_full_unstemmed Barriers to healthcare access for Arabic-speaking population in an English-speaking country
title_short Barriers to healthcare access for Arabic-speaking population in an English-speaking country
title_sort barriers to healthcare access for arabic speaking population in an english speaking country
topic health services accessibility
preventive health services
medically uninsured
health literacy
communication barriers
cultural competency
surveys and questionnaires
focus groups
united states
url https://pharmacypractice.org/journal/index.php/pp/article/view/1809
work_keys_str_mv AT aliaaljumaili barrierstohealthcareaccessforarabicspeakingpopulationinanenglishspeakingcountry
AT kawtherkhalidahmed barrierstohealthcareaccessforarabicspeakingpopulationinanenglishspeakingcountry
AT davekoch barrierstohealthcareaccessforarabicspeakingpopulationinanenglishspeakingcountry