Arab Adolescents In Israel Research Articles

Association of adolescent obesity with Anxiety, Depression and Attention-Deficit/Hyperactivity disorder in the Arab population in Israel - a nationwide study

BackgroundThe health ramifications of adolescent obesity are understudied in the Israeli Arab population, and the impact of ethnicity on the association of obesity with mental health problems is unclear. AimTo examine the association of weight categories with Anxiety, Depression and Attention-Deficit/Hyperactivity Disorder (ADHD) among Arab adolescents in Israel and to compare this association to a Jewish comparison group. MethodsA cross-sectional nationwide study of 313,936 Arab adolescents aged 14–19 years between the years 2007–2022, and 289,616 Jewish adolescents in a comparison group. ResultsThe aORs for Anxiety, Depression and ADHD in Arab adolescents increased from a reference ‘normal weight’ category to ‘class 3 obesity’, reaching aORs (95 % CI) of 1.31 (1.16–1.47), 1.64 (1.31–2.02) and 1.51 (1.40–1.63) in ‘class 2 obesity’, and 1.51 (1.20–1.87), 2.81(2.00–3.84) and 1.69 (1.45–1.96) in ‘class 3 obesity’, respectively. The dose-dependent association between weight categories and psychiatric comorbidity was confirmed in sensitivity analyses with comorbidity with the purchase of medications serving as the dependent variable. The Jewish comparison group demonstrated a comparable increment in aORs with increase in weight category. The association between excessive weight categories and psychiatric comorbidities was stronger in Arab females, than in males. LimitationsRelying on the recorded weight and height measurements and the diagnoses of psychiatric comorbidity could lead to bias. ConclusionThe study findings emphasize the need to relate to the mental health of adolescents with excessive weight, which can improve their overall quality of life and the success of adolescent weight loss intervention programs.

Physiological Impacts of Energy Drink Consumption: A Clinical Analysis in Adolescents.

Energy drink (ED) consumption among Israeli-Arab adolescents is widespread. This study aimed to investigate the acute glycemic and insulin effects of EDs in healthy adolescents. Seventy-one Israeli-Arab adolescents (56% girls, average age 16.04 ± 1.03 years) participated in a non-randomized, case-controlled, open-label study. Participants consumed ED (n = 36) or a volume- and carbohydrate-matched non-caffeinated soft drink (SD, n = 35), followed by a 2 h glucose tolerance test. Blood glucose was measured at baseline and 15, 30, 60, and 120 min post-consumption (T0, T15, T30, T60 and T120, respectively). Serum insulin concentration and caffeine relative intensity were determined 45 min post-consumption (T45). Blood glucose levels peaked significantly at T15 and remained significantly higher at T30 in the ED group compared to the SD group (p = 0.005, p = 0.017, respectively). Insulin concentrations were substantially higher at T45 in the ED group (t [64] = 2.794, p = 0.001). This pattern was especially prominent in heavy ED consumers. A positive correlation emerged between the amount of caffeine consumed (mg/kg), blood glucose levels at T15 and T30, and insulin concentration at T45. This study is the first to demonstrate the glycemic and insulin responses to ED consumption in adolescents, suggesting that regulatory measures limiting ED sales to adolescents could improve their health.

Cognitive behavioral intervention in dealing with Internet addiction among Arab teenagers in Israel.

The current study examines the effectiveness of a cognitive-behavioral intervention program for improving self-control and reducing Internet addiction among Arab adolescents in Israel. The study sample included 160 students who were 7th to 9th graders, recruited from eight schools in northern Israel. All participants exhibited high scores on a questionnaire indicating elevated symptoms of Internet addiction. Students were randomized to one of two groups: the experimental group underwent a systematic intervention to reduce Internet addiction and the control group met once a week for a group conversation. The experimental group (n = 80) included 58 boys and 22 girls with an average age of 13.45 (SD = 1.46). The control group (n = 80) included 54 boys and 26 girls with an average age of 13.91 (SD = 1.92). Each intervention consisted of 8 sessions, with the experimental group receiving cognitive-behavioral treatment and the control group having a weekly classroom conversation. The results demonstrated preliminary efficacy for the intervention, as higher levels of self-control were reported among the experimental group (p < .01) but not the control group, and this contributed to a reduction in scores on the questionnaire assessing Internet addiction in the experimental group (p < .01). The findings suggest that cognitive-behavioral treatments may be a promising avenue for enhancing self-control and reducing symptoms of Internet addiction among this unique student population.

An Intervention Program Cultivating Emotional Social Skills in Israeli Arab Adolescents

Arab society in Israel is a traditional patriarchal culture holding collectivistic, interdependent values. Arabs in Israel receive basic human rights and privileges, but the Israeli society treats them as a separate minority group. The basic premise of the current study was that improving the emotional intelligence and the empathy abilities of adolescent Arabs in general – through a uni-national group program – would result in stronger empathy towards Jews in Israel – a change that would improve the Arab participant's attitudes and behaviors towards the Jews in Israel. The research accompanying the implementation of the program was quasi-experimental. The main goals of the current intervention were to improve the intra-personal, interpersonal and inter-group skills and functioning, to strengthen awareness and skills in identifying and understanding emotions in themselves and other people – their causes and effects, to improve emotion regulation and ability to manage other people's emotions, to improve empathy towards members of the in-group (Arabs) and the out-group (Jews), to reduce stereotypes against minority groups, and to improve Jewish-Arab relations. The sample included 172 Arab 10th and 11th grade adolescents in northern Israel. The main research hypotheses were: 1) The participants' emotional intelligence and empathy towards Arabs will be higher at the end of the program than at its beginning; 2) The participants' empathy towards Jews will be higher at the end of the program than at its beginning.

Can Family Patterns Help Adolescents Establish Intimate Social Relationships with Peers?

The current study examines how the family patterns of differentiation of self and parenting style impact the level of intimacy in same- and cross-sex friendships among Arab adolescents in Israel. 150 adolescents responded to the Differentiation of Self Inventory, Parental Authority Questionnaire, and the Intimate Friendship Questionnaire. The findings indicate that high levels of I-position, indicating good communication between family members in Arab households in Israel, together with an authoritative parenting style, may promote intimacy in friendships with the same sex, whereas fused and dense relationships may reduce intimacy in cross-sex friendships.

Depression symptoms as a mediator between social support, non-suicidal self-injury, and suicidal ideation among Arab adolescents in Israel

The purpose of the current study was to explore whether depression symptoms mediate the relationships between perceptions of social support from three sources; namely parents, teachers, and peers, and non-suicidal self-injury (NSSI) and suicidal ideation. We also tested the interactions between the different sources of support. Focusing on the Arab-Israeli population is unique as it is an ethnic minority characterized with strong familial support, and less access to mental health services compared to the ethnic majority. Adolescents (N = 276; 65.6% girls; mean age 15.1 years) from the Arab minority in northern Israel were sampled (74% response rate). Participants were evaluated using validated scales assessing perceived social support, NSSI and suicidal ideation. Path analysis with Bayesian estimation supported the hypothesized model. Depression symptoms fully mediated the relationships between school-related social support (i.e., teachers and peers) and NSSI, and partially between parents’ support and suicidal ideation. Interactions between the social support sources were not significant, and cluster analysis indicated that each source is independently essential to understand NSSI and suicide ideation. This model emphasizes the importance of school-related factors in adolescents’ particular aspects of mental health, and suggests that one source of social support may not compensate for a lack of another.

Ethnic Disparities in Physical Activity among Adolescents in Israel.

Objectives: In this study, we examined physical activity (PA) levels among Jewish and Arab adolescents in Israel, as well as factors associated with PA. We used a socio-ecological framework to understand differences in levels of PA across ethnic groups and the factors associated with these differences. Methods: We used data based on the Israeli population as reported in the 2014-15 Health Behavior of School-Aged Children standardized survey, which studied 16,145 Israeli adolescents. Levels of PA, as well as parent, sibling, and peer engagement in PA, in-school PA breaks, and liking PA were measured across ethnic groups and sex. Results: Jewish adolescents reported higher levels of PA. Girls were significantly less physically active than boys in both ethnicities. In addition, we found that family, peer, and school related factors were positively associated with levels of PA. Conclusions: Our findings show a disparity in PA levels by ethnicity among Israel adolescents, which can lead to health disparities. We propose targeted interventions involving the factors affecting PA to reduce health disparities.

Correlates of mental disorders among minority Arab adolescents in Israel: results from the Galilee Study

BackgroundThe Galilee Study is the first large epidemiological study to compare correlates of mental disorders between two Arab Palestinian minority groups of adolescents in Israel.MethodsA two-stage cross-sectional study, carried out between 2012 and 2014, included all 9th grade students from 5 Arab localities, representative of 77% of the Muslim and 100% of Druze citizens in Israel. During the screening stage, 1639 students completed the Strengths and Difficulties Questionnaire in the classroom (response rate = 69.3%). During the follow-up stage, 704 adolescent-mother dyads were interviewed at home; using the Development and Well-Being Assessment, the General Health Questionnaire (GHQ)-12, the Subjective Feeling of Discrimination Index (FDI), and socio-demographic questions (response rate = 84.4%).ResultsPrevalence of any disorder, internalizing or externalizing disorders among Muslim adolescents were 19.2, 15.8 and 4.2%, respectively and among Druze adolescents 10.9, 5.9 and 5.5%, respectively. Muslim adolescents were 3.2 times more likely than Druze adolescents to have an internalizing disorder, while Druze were 2 times more likely than Muslim to have an externalizing disorder. Males were at higher risk than females for externalizing disorders in both populations, though among Druze the risk was more striking. Learning disabilities increased the likelihood of having an externalizing disorder in both populations. Risk factors for internalizing disorders among Muslim adolescents were female gender, a very low socio-economic level, few siblings, LD, high maternal GHQ-12 score and high FDI; and for externalizing disorders, male gender, a relatively low socio-economic level but not the lowest, learning disability and high maternal GHQ-12 score.ConclusionsWe found an association between religion/ethnicity and internalizing and externalizing disorders as well as a strong correlation between religion/ethnicity and socio-economic variables. Therefore, we tend to conclude that not religion per se but the multifaceted socio-cultural and economic factors that characterize religious groups are associated with mental disorders. Very low socio-economic level and feeling discriminated which were traits connected only to Muslim adolescents, were associated with internalizing disorders. When preparing preventive measures aimed at furthering mental health among minority adolescents, authorities should focus on improving the socio-economic status of minorities and reducing institutional and personal discrimination. The educational and mental health establishments could undertake measures to improve resilience and coping strategies of Muslim families living in the most adverse conditions, such as providing special support through the school counseling services and coordinating, at the ministerial levels, school and community health services in order to carry out joint preventive programs and referrals to specialist services when needed.

Physical Activity Among Israeli-Arab Adolescent Males: How Do Parenting Styles Matter?

Physical activity contains many benefits for adolescents’ physical and mental health, and also for building healthy living routines and habits for the future. The current study examined the associations between parenting styles and adolescents’ physical activity among Israeli-Arab families of male adolescents, in seeking to boost the limited information on this most important topic. Participants consisted of 177 male Israeli-Arab adolescents (M = 13.93, SD = 1.42) with normal weight. Controlling for the participants’ age, weight, and grades in school, parenting styles explained about 30% of the variance in the participants’ reports of their physical activity, with the authoritative and authoritarian parenting inversely correlated with the latter variable. Adolescents who perceived their parents as authoritative were reportedly more physically active than their counterparts who perceived their parents as authoritarian. In common with previous studies, the findings suggest that authoritative parenting may be a cross-culturally preferable style in fostering a desired physical activity rate among adolescents.

Help seeking in school by Israeli Arab minority adolescents with emotional and behavioral problems: results from the Galilee Study.

BackgroundMany distressed minority adolescents with little access to professional mental health services use teachers and school counselors as their main consultation sources. This paper presents data from the Galilee study on factors that may increase the probability of adolescents’ help-seeking in school and discusses the needed linkage between the school mental health services and those provided by other agencies, in the framework of the Mental Health Reform in Israel.MethodsThis cross-sectional survey included 1639, 9th grade students living in 5 Arab localities in the Galilee in northern Israel, representative of the Muslim and Druze populations. The study was carried out in two stages: in the screening stage, the Strengths and Difficulties Questionnaire (SDQ) was completed in the classroom. During the follow-up stage 704 students were selected and interviewed at home regarding service use in school and wellbeing at home. Their mothers were interviewed as well providing information on sociodemographic traits of the family. Total response rate was 69.3 % during the screening stage and 84.4 % during the follow-up. Students were categorized according to their SDQ scores and all students in the higher 25th percentile (high risk) and a simple systematic sample without replacement of those in the lower 75 % (low risk) were included in the follow-up study.ResultsSignificantly more high risk than low risk students reported having felt the need to seek professional help (14.0 and 6.5 % respectively) and more high risk than low risk consulted a school source (27.1 and 15.2 %, respectively). Bivariate analyses show that among Muslim adolescents more high risk than low risk consulted a school source (30 vs. 16.2 % respectively) and among high risk students more Muslim than Druze sought help from a school source (30 vs. 18 %). Higher consultation rates were found among adolescents who felt uncomfortable at home, than among those who felt very comfortable. Binary logistic regression showed that for high risk adolescents, only religion remained significantly associated with help-seeking in school: Muslim students were 2 times more likely to seek help than Druze students. In the low-risk group, students who do not feel comfortable at home were 3.3 times more likely to seek help than those who feel comfortable at home. The main sources of consultation for both risk groups were the school counselor and the grade teacher.ConclusionsA constellation of factors may be associated with help-seeking in school by minority Israeli Arab adolescents: they are students at higher risk for an emotional or behavioral disorder, they have more socio-economic hardship, they feel less comfortable at home and they are more likely to live in the larger Muslim cities. Adolescents with less family support and particularly those not classified as being at high risk, are more likely to seek help from school counselors and teachers. The school staff may need additional training to care for the mental health needs of students. There is a need to integrate the school mental health services with the other government agencies that provide services to children and adolescents.

Cyberbullying in a diverse society: comparing Jewish and Arab adolescents in Israel through the lenses of individualistic versus collectivist cultures

The purpose of this study was to examine the differences in cyberbullying (bystanders, victims, bullies) between Jewish and Arab adolescents in Israel. The findings could uncover critical implications for children, educators, and policymakers for understanding Cyberbullying in a diverse society. In particular, the differences in cyberbullying between collective and individualistic societies and the effect of gender bias on the likelihood of engaging in cyberbullying. Two cultural contexts in Israel were explored: one representing a collectivist orientation (Arab-Muslim and Arab-Christian culture), the other representing a more individualistic orientation (Jewish culture). The study included 901 junior high and high school students (501 Jewish-Israelis and 400 Arab–Israelis), which filled in an online cyberbullying survey. Findings revealed that Jewish adolescents reported being cybervictims and cyberbystanders more than Arab adolescents, yet contrary to expectation, Arab adolescents reported being cyberbullies more than Jewish adolescents. Contrary to expectation, no gender differences in being a bully were found among Jewish adolescents, while among Arab adolescents, girls reported higher bullying than boys. The cultural difference was significant among girls, revealing that Jewish girls were higher than Arab girls on bystanding and victimization, yet Arab girls were higher than Jewish girls on bullying in cyberspace. The cultural difference was not significant among boys. Using online communication as a theoretical framework, this study observed aspects of cyberbullying in the diverse and multicultural society of Israel through the lenses of individualistic versus collectivist cultures. The findings and their implications are further discussed and shed more light on cyberbullying in a diverse and multicultural society.

The Role of Parents in Defining Collective Identity of Arab Adolescents in Israel

Arab adolescents in Israel must form a collective identity while living in both a social context that tends to vilify their existence and in a traditional family context that generally shuns modern Israeli society. The authors examined the relationship between perceptions of parental political socialization and the formation of collective identity among 1,241 Arab adolescents living in Israel. The findings suggest that Israeli Arab adolescents' perception of parental political (religious, national Arab–Palestinian, and Israel civic) socialization is statistically associated with the collective identity of adolescents. As hypothesized, parental political socialization mediated the relationship between parent–adolescent relationship quality and adolescents' collective identity. The results indicate a correlation between parental political socialization and collective identity of adolescents. The discussion focuses on the special place of family in the social context of ethno‐religious minorities in a country where the majority perceives the minority as an enemy that endangers the existence of the state.

Multiple Facets of Self-Control in Arab Adolescents: Parallel Pathways to Greater Happiness and Less Physical Aggression

Adolescence is a period of dramatic change that necessitates using skills and strengths to reduce physical aggression and increase happiness. This study examined the multiple facets of self-control skills in achieving both goals simultaneously, in a sample of 248 Arab adolescents in Israel. We conceptualized and tested a new multi-mediator model that posited two parallel paths. Structural equation modeling with bootstrap analysis supported the hypothesized model where self-control linked with subjective happiness directly, and indirectly through positive emotions and social support. In addition, self-control linked directly to physical aggression, and indirectly through hostility and anger. The findings provide new theoretical conceptualizations for further research and suggest possible mechanisms for prevention and intervention programs.

SCHOOL VIOLENCE AMONG ARAB ADOLESCENTS IN ISRAEL AND ITS RELATION TO SELF-CONTROL SKILLS AND SOCIAL SUPPORT.

In this paper, the author used a cross-sectional design to assess the association between the tendency toward school violence, on the one hand, and self-control, social support, and sex, on the other, among 148 Arab-Israeli adolescents in schools in northern Israel. Standard questionnaires on violence, self-control, and social support were administered. In line with expectations, self-reported violence was significantly associated with males, as well as low scores on self-control and social support.

Multi-group acculturation orientations in a changing context: Palestinian Christian Arab adolescents in Israel after the lost decade.

Grounded in a contextual approach to acculturation of minorities, this study examines changes in acculturation orientations among Palestinian Christian Arab adolescents in Israel following the "lost decade of Arab-Jewish coexistence." Multi-group acculturation orientations among 237 respondents were assessed vis-à-vis two majorities--Muslim Arabs and Israeli Jews--and compared to 1998 data. Separation was the strongest endorsed orientation towards both majority groups. Comparisons with the 1998 data also show a weakening of the Integration attitude towards Israeli Jews, and also distancing from Muslim Arabs. For the examination of the "Westernisation" hypothesis, multi-dimensional scaling (MDS) analyses of perceptions of Self and group values clearly showed that, after 10 years, Palestinian Christian Arabs perceive Israeli Jewish culture as less close to Western culture, and that Self and the Christian Arab group have become much closer, suggesting an increasing identification of Palestinian Christian Arab adolescents with their ethnoreligious culture. We discuss the value of a multi-group, multi-method, and multi-wave approach to the examination of the role of the political context in acculturation processes.

Classroom Environment and Self-Control Skills and Their Relationship with Adolescents Violence in the Arabic Community of Israel

This research aims to examine the relationship between classroom environment and self-control skills, and the prevalence of violence among Arab adolescents in Israel. The sample included 200 pupils with ages ranging between 13-15 from seventh to the ninth grade. Research hypotheses predicted that there was a statistically-significant inverse correlation between classroom environment and physical violence, and between self-control and physical violence; and that there is a statistically-significant positive correlation between age and self-control and between physical violence and classroom environment. Finally, the hypothesis predicted that there were statistically significant differences in physical violence, self-control and classroom environment that can be attributed to gender. The results of the research showed that there was an inverse correlation between the classroom environment and between self-control and violence. The more self-control pupils have, the lower the level of violence would be, which supports the hypothesis. The findings also revealed that there was no statistically-significant correlation between age, anger and physical violence. The results also reflected a positive correlation between age and classroom environment, and an inverse correlation between age and self-control, that is, growing in age leads to lowering the level of self-control, and these results supported the hypothesis on this regard. Finally, the research concluded a number of recommendations that will be discussed.

Religiosity, Social Support, Self-Control and Happiness as Moderating Factors of Physical Violence among Arab Adolescents in Israel

This study examines the correlation among a number of personal and environmental resources that can reduce violence among Arab adolescents in Israel. These are: religiosity, happiness, social support, and self-control. The participants in the study consisted of 225 Palestinian Arab teenagers living in Israel participated in this study. The participants study in grades 8 and 9, in state schools in the northern part of The Triangle. The findings indicate that all the resources that were examined contribute to reducing the level of violence; in other words, significant negative correlations were found between the level of religiosity, happiness, social support and self-control on the one hand, and the level of violence on the other hand. These findings are consistent with those of other studies conducted elsewhere in the world on different populations (Christian and Jewish, as well as Muslim). The present study and its findings are, however, the first to address the understanding of violence among the populace in question. The findings were discussed in accordance with a number of different theories.

Online Health Information Seeking Among Jewish and Arab Adolescents in Israel: Results From a National School Survey

This study examined patterns and determinants of seeking online health information among a nationally representative sample of 7,028 Jewish and Arab 7th- through 12th-grade students in 158 schools in Israel. Nearly all respondents (98.7%) reported Internet access, and 52.1% reported having sought online health information in the past year. Arab students (63%) were more likely than Jewish students (48%) to seek online health information. Population-group and sex differences in health topics sought online were identified, although fitness/exercise was most common across groups. Multivariate regression models revealed that having sought health information from other sources was the strongest independent correlate of online health information–seeking among Jews (adjusted odds ratio = 8.93, 95% CI [7.70, 10.36]) and Arabs (adjusted odds ratio = 9.77, 95% CI [7.27, 13.13]). Other factors associated with seeking online health information common to both groups were level of trust in online health information, Internet skill level, having discussed health/medical issues with a health care provider in the past year, and school performance. The most common reasons for not seeking online health information were a preference to receive information from a health professional and lack of interest in health/medical issues. The closing of the digital divide between Jews and Arabs represents a move toward equality. Identifying and addressing factors underpinning online health information–seeking behaviors is essential to improve the health status of Israeli youth and reduce health disparities.

Headache and Physical and Sexual Abuse Among Jewish and Arab Adolescents in Israel

The purpose of the present study was to evaluate the relationship between headaches and physical and sexual abuse. A self-administered, anonymous questionnaire was presented to 2088 tenth grade students in Northern Israel. Participants were Jews and Arabs between the ages of 15 to 16 years. Arab adolescents comprised 55% of the analyzed sample and adolescent Jews 45%. With regard to gender, 56% of participants were females. Of the Arab participants, 18.6% reported having frequent headaches, less than that reported in the Jewish group (27.9%). Jewish girls who were physically abused during childhood had a higher prevalence of frequent headaches (55% vs 33% P < .001). Jewish students who reported being sexually abused had higher headache prevalence as well (44.4% vs 27.3% P = .05). In conclusion, adolescents who reported to have been physically or sexually abused report a higher prevalence of headache compared to their peers.

Not just a western girls' problem: eating attitudes among Israeli-Arab adolescent boys and girls

The aim of the study was to compare eating attitudes and behaviours between Israeli-Arab adolescent boys and girls from two religious, age and residential settings subgroups. The sample consisted of 1966 Israeli-Arab adolescents, from Grades 7–12 (42% boys, 93% Muslims and 7% Christians), who completed the Eating Attitude Test (EAT-26), demographic and clinical questionnaires. The girls had significantly higher EAT-26 scores than boys. Of the students, 17.6% (18.7% of girls and 16.4% of boys) had disturbed eating attitudes (EAT-26>20). No significant differences were found between girls and boys in age and religious affiliation subgroups; however, more girls in urban areas had disturbed eating attitudes than boys. The results demonstrate a high prevalence of disturbed eating attitudes among both male and female Israeli-Arab adolescents and emphasise that boys are at risk as much as girls. It is suggested that there are more similarities than differences between boys and girls.