Abdulbaseer Ummesalmah, Piracha Natasha, Hamouda Mohamed, Farajallah Iman, Abdul-Majid Samsiah, Abdelwahab Shareif, Teltser Warren K, Padela Aasim I
Initiative On Islam and Medicine, Brookfield, WI, USA.
University of Illinois at Chicago College of Medicine, Chicago, IL, USA.
J Gen Intern Med. 2025 Feb;40(2):376-384. doi: 10.1007/s11606-024-08960-y. Epub 2024 Sep 23.
Healthcare provided without attending to patients' religious/spiritual needs contributes to inequities.
Assess Muslim American views on the importance and accessibility of religious/spiritual resources in hospitals.
DESIGN/PARTICIPANTS/MAIN MEASURES: A survey was distributed at community events and online to self-reported Muslim adults. It contained measures of religiosity, importance and availability of specific religious/spiritual resources, and conventional sociodemographic descriptors. Analyses utilized chi-squared tests and regression models to test associations between participant characteristics and views on the importance and availability of religious/spiritual resources in hospitals.
Of the 1281 respondents, many (68%; n = 875) were women, and South Asian (39%; n = 492) or Arab (37%; n = 469). Almost all (95%; n = 1203) noted it was important to have their religious/spiritual needs met in the hospital. The most important resources were halal food (93%; n = 1188), a neutral prayer space (93%; n = 1188), and medications without pork or alcohol (92%; n = 1177), yet a minority found such resources available; halal food (17%; n = 111), prayer space (26%; n = 169), and medication without pork or alcohol (9.3%; n = 59). Almost all (92%, N = 1180) felt comfortable identifying as Muslim in the hospital, yet few (27%, N = 173) were asked. Participants with higher positive religious coping placed greater importance on religious/spiritual needs being met (OR 1.15, p < .05). Those regularly attending congregational prayer services (β 0.2, p < 0.001), with more positive religious coping (β 0.11, p < 0.001), for whom Islam informed their whole approach to life (β 0.34, p < 0.001), and those with greater perceived discrimination in medical settings (β 0.03, p < 0.022) placed greater importance on the availability of Islamic resources in hospital. Those asked about religious affiliation (OR 2.23, p < 0.01) had higher odds of believing their religious/spiritual needs were met.
Muslim Americans have substantial unmet religious/spiritual resource needs in hospital settings. Patient-centered, equitable care may be enhanced by clinicians inquiring about, and mobilizing resources to attend to these.
在提供医疗保健服务时忽视患者的宗教/精神需求会加剧不平等现象。
评估美国穆斯林对医院宗教/精神资源的重要性和可获取性的看法。
设计/参与者/主要测量指标：在社区活动和网上向自称是穆斯林的成年人发放了一份调查问卷。该问卷包含宗教虔诚度、特定宗教/精神资源的重要性和可获取性以及传统社会人口学描述指标的测量。分析采用卡方检验和回归模型来检验参与者特征与对医院宗教/精神资源的重要性和可获取性看法之间的关联。
在1281名受访者中，许多人（68%；n = 875）为女性，南亚裔（39%；n = 492）或阿拉伯裔（37%；n = 469）。几乎所有人（95%；n = 1203）都指出在医院满足其宗教/精神需求很重要。最重要的资源是清真食品（93%；n = 1188）、中立的祈祷空间（93%；n = 1188）以及不含猪肉或酒精的药物（92%；n = 1177），然而只有少数人能获取到这些资源；清真食品（17%；n = 111）、祈祷空间（26%；n = 169）以及不含猪肉或酒精的药物（9.3%；n = 59）。几乎所有人（92%，N = 1180）在医院表明自己是穆斯林时感到自在，但很少有人（27%，N = 173）被询问过。具有较高积极宗教应对能力的参与者更重视宗教/精神需求得到满足（优势比1.15，p < 0.05）。那些经常参加集体祈祷仪式的人（β = 0.2，p < 0.001）、具有更积极宗教应对能力的人（β = 0.11，p < 0.001）、那些认为伊斯兰教贯穿其整个生活方式的人（β = 0.34，p < 0.001）以及那些在医疗环境中感受到更大歧视的人（β = 0.03，p < 0.022）更重视医院中伊斯兰资源的可获取性。那些被询问宗教信仰的人（优势比2.23，p < 0.01）更有可能认为其宗教/精神需求得到了满足。
美国穆斯林在医院环境中有大量未得到满足的宗教/精神资源需求。临床医生通过询问并调动资源来满足这些需求，可能会加强以患者为中心的公平护理。
