Arab Women In Israel Research Articles

Civic Service and Social Class: The Case of Young Arab Women in Israel

This study examines the motivations of young Arabs—as a national minority in Israel—for enrolling in civic service contrary to the discourse of the Arab leadership, which repudiates their participation. Thirty-eight interviews were conducted with Muslim, Christian, Bedouin, and Druze Arab volunteers who acknowledged that although civic service would not end discrimination against them, it could improve their subjective feeling in their homeland. Civic service also plays a major role in resource accumulation, and a combination of meager family resources and significant high school achievement compels them to volunteer in order to pay for their undergraduate education. The program offers particular benefits for Druze and Bedouin women: in the absence of suitable jobs for religious women, it provides them with economic independence as well as religious protection. The draw of civic service stems from its role as a path that meets the unique needs of minorities, the middle class, and women.

Obstacles to Labour Market Participation Among Arab Women in Israel

This study investigates the factors that underlay the low labour force participation rate among Palestinian-Arab women in Israel relative to Jewish women despite the high educational attainment among this group. We focus on four factors that could explain this pattern: (i) socioeconomic factors such as age and education, (ii) culture factors such as the religiosity of the individual-woman and her family, (iii) family structure and related public policies, and (iv) the early retirement of Arab women from the labour market. We find that all four of these factors affect the probability of Palestinian-Arab women participating in the labour market. We conclude by discussing the implications of our findings for labour market policies.

2588. Acute Toxoplasmosis among Pregnant Arab Women in Northern Israel: to Screen or Not?

BackgroundThe seroprevalence of toxoplasmosis among Israeli Arabs is high. Yet, the regulation of the Israeli Ministry of Health suggests not screening pregnant women for toxoplasmosis. During 2017/8 we have seen a surge in cases of acute toxoplasmosis in pregnancy in Northern Israel. We aimed to explore this surge and compare the rates of acute toxoplasmosis in pregnancy in Northern Israel among Jews and Arabs.MethodsThe database of the lab of Meuhedet HMO (Northern Israel only) was retrospectively screened for all tests for Toxoplasma serology during 2013–2017. We focused on women of childbearing age and compared rates of seropositivity in Jews and Arabs. IgG and IgM were carried out using Abbott Architect, and IgG avidity by Vidas, BioMerieux. Birth rates were retrieved from the central computer of Meuhedet HMO.Results: In 2017, Northern Israel had 1,397,833 citizens of whom 53% were Arabs. Of this population, 13% were insured by Meuhedet HMO, and of these 60% were Arabs (Muslims or Christians). During the 5-year period 16,044 Toxoplasma serology tests have been requested (both sexes), of which 26% returned IgG positive. 88% of the positive ones were of Arab citizens (P < 0.0001). Excluding duplicates, we found 118 women of childbearing age with a positive IgM test (2.8%). Of the latter, 37 had a low/medium avidity test (31.4%). 112 of the women were Arabs, while only 6 were Jews (P < 0.0001). Two-thirds of the women had a positive βHCG test at the same time. During this 5-year period there were 23,074 live births in this HMO (11,512 Arab newborns). Thus, had all these women delivered an infected newborn, the rate of congenital toxoplasmosis in the Arab population (97.2/10,000) was 19-fold higher than among the Jewish (5.2/10,000; P < 0.00001). Interview of 35 acute cases during 2017/8 revealed that most of the women had consumed raw meat called “Kibbe Niyye”—a popular dish unique to Northern Israeli Arabs (Galilee) and served on festive occasions.ConclusionWe found that Northern Israeli Arab women are at a high risk to contract toxoplasmosis during pregnancy due to consumption of traditional raw meat. This finding calls for awareness among women as well as doctors. We believe that the regulation not to screen pregnant women in the Arab sector should be reevaluated.Disclosures All authors: No reported disclosures.

Predicting Depression Among Jewish and Arab Israeli Women Who Are Victims of Intimate Partner Violence

This study examined whether there were differences in levels of depression between Arab and Jewish Israeli female victims of intimate partner violence (IPV) and how various personal and environmental variables contributed to depression. A total of 303 women were selected. T tests were conducted, and no significant differences were revealed. Hierarchical regressions were also conducted. Background variables (violence in childhood and employment status) and psychiatric treatment contributed significantly to the variance in depression, and a negative contribution was made by personal and environmental variables (sense of mastery and social support). The interaction between ethnic origin and psychiatric treatment was also found to be significant. The discussion highlights the theoretical contribution and implications for practice in the field.

Postpartum depression among Arab and Jewish women in Israel: Ethnic inequalities and risk factors

ObjectiveThe aim of the current study was to compare the prevalence of, and risk factors for postpartum depression (PPD) among Jewish and Arab women in Israel. DesignData were obtained from a study on 'Family Relations and Violence' conducted in Israel in 2014–2015 using a multilayered nationwide representative sample of mothers who were interviewed face to face using a structured questionnaire in each woman's native language (Arabic / Hebrew) 6 weeks to 6 months postpartum. Setting63 Maternal and Child Health (MCH) clinics from five geographical districts. ParticipantsJewish (N = 853) and Arab (N = 275) women aged 16–48 who were 6 weeks to 6 months postpartum. MeasurementsPPD was measured by the Edinburgh Postnatal Depression Scale with a cutoff of ≥10. We examined a range of risk factors using multivariate logistic regression analysis and Generalized Estimating Equations (GEE) for the total sample, then separately for each ethnic group. ResultsFor the total sample (n = 1128). Prevalence of PPD was 10.3%. Prevalence among Arab women was significantly higher compared to Jewish women (20.8% vs 7%, respectively). In the multivariable analysis, chronic stress, low social support, and unwanted pregnancy were major risk factors for PPD for Arab women. Among Jewish women the risk factors for PPD included chronic stress, low level of education, and intimate partner violence. ConclusionsOur findings indicate ethnic inequalities in the prevalence of, and risk factors for PPD in Israel that should be considered in health planning and policymaking. Implications for practiceMaternal health care nurses and other professionals should be aware of these inequalities and provide culturally sensitive health care services and programs to protect women in these population groups from PPD.

The Aftermath of Shelter: Abused Arab Women in Israel

Shelters for battered women play a major role in combating abuse against women. Extensive research has dealt with various aspects of shelters, including professional and ideological perceptions and the women’s experiences. However, scarce research exists on women’s coping following shelter-stay, especially research on the meaning of shelter-stay for women from collectivist societies. In the present study, we focused on how Arab women who had lived in a shelter coped after returning to the community to begin independent lives. In the Arab society in Israel, Arab women who live in shelters are perceived as violating a cultural norm. In-depth qualitative interviews were conducted with 12 Arab women aged between 25 and 42, who had stayed in a shelter for Arab women for at least six months.The major themes that emerged from the interviews revealed changes in perception of self and of social environment, including a self-transformation from weakness to strength, from perceiving themselves as devoid of rights to the development of an identity of entitlement. Through their release from weakening cultural systems, they were transformed from familial and societal victims to empowered beings, and moved from negative gender self-awareness to an empowered gender self-perception. These changes helped the interviewees to cope with stresses and to live independently. The findings are conceptualized in the discussion using relational-cultural theory.

Female Arab faculty staff in the Israeli academy: Challenges and coping strategies

This paper traced the paths of 14 Arab women who have managed to forge their way to senior teaching and administrative posts in the “ivory tower” of academic institutions; women who serve as models to empower future generations of Arab society in Israel. Qualitative methodology was chosen, employing semi-structured in-depth interviews to elicit testimony from female Arab academics concerning their socio-cultural experiences on their path towards and in their academic faculty posts. A deep observation of the challenges that these women encounter, reveals that although blocks to a career are encountered by more women in developing societies with a patriarchal structure, Arab women in Israel are excluded from academic career building in three dimensions: as women in Arab society, which restricts their appearance and advancement to senior posts in the public space, as members of a minority society largely excluded from the institutions of the majority society and as Arab minority women attempting to gain posts in Israeli academic institutions, which see themselves as serving the Jewish nation building project often to the detriment of Arab scholars. Thus "breaking the glass ceiling" involves a complicated and difficult struggle for Arab women who wish to gain academic posts in Israel. Those who succeed are able to reinforce their personal, professional and gender identity and empower their leadership and commitment to improving the status of Arab women, while often creating a hybrid identity.

The Distress and the Meaning Making of Divorced Abused Arab Women in Israel

ABSTRACTWomen’s divorce in the Arab society in Israel goes against patriarchal social values. The aim of this research is to explore the meaning that abused Arab women gave to their divorce. The present study based on interviews with 13 women, who had been divorced for 2 to 5 years. Analysis revealed that the women perceived their coping as navigation between the cost of stigma and familial and social distress, and the gains of their connection to sources of strength and self-worth. The discussion based on the interviewees’ existential experience their self-identity as meaning makers and choosers.

Postpartum Depression Among Arab Women in Israel: Comparing Traditional and Modernized Women in a Traditional Society

The objective of this study was to understand how Arab women in Israel experience one of the most significant transitions in their lives, pregnancy and childbirth, who have undergone transitions toward modernity in their traditional society. The study included questionnaire to determine whether each woman has more traditional or modernized tendencies within the traditional Arab society. The study included 202 women, After the women expressed their willingness to participate in the study, five sessions were held: Immediately after marriage – modernization questionnaire, During the last two months of pregnancy – EPDS questionnaire, During the final month of pregnancy – EPDS questionnaire, After on one month of the delivery- EPDS questionnaire and After six months of the delivery- EPDS questionnaireIt clearly revealed a modernization trend among Arab women in Israel. This study found that 12% to 15% of the sample suffered from PPD. It showed that modern women suffered from more severe depression after delivery than their traditional peers did. Nearly all the women diagnosed with PPD were closer to the modern end of the spectrum. When symptoms were discovered in traditional women, the changes in their behavior appeared to be more of an overall conclusion of this study.This study emphasizes the need for intervention programs to support the changes that women in Arab society in Israel are undergoing. The findings enable the early detection of the population at risk for PPD.

Passive smoking, NAT2 polymorphism, and breast cancer risk in Israeli Arab women: a case-control study.

The effect of passive smoking (PS) on breast cancer (BC) is controversial, and may be modified by polymorphism of the N-Acetyl-transferase (NAT) 2 enzyme which is involved in tobacco carcinogen metabolism. We aimed to evaluate the relationship between PS and BC by NAT2 variants in Arab-Israeli women, a unique population with low active smoking rates, and high exposure to PS. A population-based case-control study was carried out on non-smoking 137 prevalent breast cancer patients and 274 population-based controls, aged 30-70years. Data on past and current PS, sociodemographic, and other characteristics were retrieved through interviews, and buccal smears were provided for NAT2 analyses. Logistic regression models adjusting for potential confounders assessed the odds ratios (ORs) and 95% confidence intervals (95% CI) of the association between PS and BC. Ever PS was associated with increased BC risk: OR=2.22, 95% CI 1.28-3.87. Higher lifetime PS exposure was associated with higher BC risk: Compared to never exposed women, women exposed to PS most of their lives had a threefold higher BC risk (OR=3.16, 95% CI 1.70-5.87, P trend<0.001). NAT2 polymorphism did not modify these associations. PS exposure in non-smoking Israeli Arab women is significantly associated with increased risk for BC, potentially allowing for specific intervention; NAT2 polymorphism does not modify this association.

Managing Everyday Occupations as a Predictor of Health and Life Satisfaction Among Mothers of Children With ADHD

Objective: Raising a child with special needs disturbs the balance of family life and affects mothers’ everyday life. The purpose of this study was to assess the contribution of occupational competence, occupational settings, and role load to the health and life satisfaction of Arab mothers of children with and without ADHD. Method: Participants included 40 Israeli Arab women aged 25 to 40 years. Half were mothers of children with ADHD and half were mothers of children without ADHD. Data were collected by using four self-report questionnaires. Results: Occupational competence and occupational settings predicted mothers’ mental health and life satisfaction. Having or not having a child with ADHD only reflects a minor contribution. Conclusion: Enhancing mothers’ occupational competence and settings may increase their health and life satisfaction. This study highlights the need to focus on maternal occupational competence and settings as they affect mothers’ health and well-being when providing intervention to children with ADHD.

Intentions of Muslim Arab women in Israel to attend prenatal classes.

Prenatal education has many benefits to both mother and child. In Israel, prenatal classes are offered to pregnant women in their third trimester from all cultures and sectors. However, Israeli Muslim Arab women often do not attend these classes. To explore factors influencing the intention of Muslim Arab women in Israel to attend prenatal classes, using the Theory of Planned Behavior. The study was a cross-sectional quantitative correlational design. A convenience sample consisting of 200 Arab Muslim women completed a questionnaire based on the literature review and the theoretical model. The research findings indicate that women's intention to attend prenatal classes increases with more positive beliefs and attitudes toward prenatal education, greater subjective social pressure to attend classes, and with higher perceived control of attending such classes. The higher a woman's age and level of education, the greater her intention to attend classes. This study shows that the spouse is the most significant factor influencing women's decisions on this matter. In order to raise the intentions of Muslim Arab women in Israel to attend prenatal classes, policy makers must design programs to increase the awareness of prenatal education among both women and men in the Muslim Arab sector, emphasizing its benefits for mothers, infants, and families as a whole. Classes should reflect the uniqueness of Israeli Muslim Arab culture and combine traditional and modern outlooks.

The conception of work and higher education among Israeli Arab women

The current study focuses on the conception of work and higher education among ten Israeli Arab women, enrolled in an undergraduate program of early childhood education. This qualitative study aims to explore the gap between women's career development in under-investigated cultures and career development assumptions traditionally reported in the literature. We explored the contextual aspects within Arab society that shape women's career development, as well as their own candid conceptions of their development. The content analysis of the interviews revealed various aspects of a long and arduous journey to the desired goal of becoming an educated working mother. Six domains were identified: studies, interpersonal relations, conflicts and difficulties, resources, decision-making processes, and future perceptions. Implications for practice and further research are discussed.

The influence of childbirth experiences on women׳s postpartum traumatic stress symptoms: A comparison between Israeli Jewish and Arab women

Backgroundchildbirth is a positive experience for most women yet some women express distress after birth. Traumatic experience can sometimes cause post-traumatic stress disorder (PTSD) in relation to childbirth. Prevalence of traumatic birth experience and PTSD after childbirth differs between cultures. Objectivesto examine the subjective recall of childbirth experiences and PTSD symptoms of Israeli Jewish and Arab women; to examine comparatively the prevalence of PTSD symptoms six to eight weeks after childbirth and to establish the factors that predict PTSD symptoms. Methodsa prospective study was conducted in a region characterised by wide variations in ethnocultural groups. The study was comprised of two time points: Time 1 (T1) interviews were conducted at the bedside of the women in the maternity ward of each hospital 24–48 hours after childbirth. Time 2 (T2), all 171 women participating in T1 were interviewed by phone six to eight weeks after childbirth. Findings34 women (19.9%) reported their labour as traumatic 24–48 hours after birth (T1), and six to eight weeks later (T2) 67 women (39.2%) assessed their experience as traumatic. More Arab women (69.6%) than Jewish women (56.5%) had a positive memory of childbirth, but this difference only approached statistical significance (p=.09). Results showed rather low frequencies of PTSD symptoms, and no ethnic difference. PTSD symptoms were significantly and positively predicted by subjective recollection of childbirth experience (Time 2). PTSD symptoms were higher for women who did not have a vaginal birth, and more women with PTSD symptoms were not breast feeding. Conclusionswe found more similarities than differences between Arab and Jewish women׳s experience of their births and no differences between them on the prevalence of PTSD symptoms after birth. The results suggest that non-vaginal birth (instrumental or caesarean section) and negative recollection of the childbirth experience are important factors related to the development of PTSD symptoms after birth, and that women with PTSD symptoms are less likely to breast feed.

Factors affecting the utilization of genetic counseling services among Israeli Arab women.

To assess the factors associated with utilization of genetic counseling services among pregnant Israeli Arab women. A case-control study was conducted among 414 pregnant Arab women who were referred by a family physician or a perinatologist to genetic counseling services between 2008 and 2011. Data was collected using interviews, with both groups 'users' and 'non-users' of genetic counseling, based on a structured questionnaire including demographic, socio-economic, medical and cultural variables. In multivariate analysis, factors affecting women's utilization of genetic counseling service were high income level (OR 3.44, 95%CI 1.8-6.5, p < 0.001), high service accessibility (OR 0.75, 95%CI 0.67-0.84, p = 0.001), more positive attitude toward genetic counseling (OR 0.43, 95%CI 0.27-0.67, p = 0.012) and lower religiosity level (OR 1.40, 95%CI 0.94-2.09, p = 0.04). However, when we examined the following variable: pregnant woman's age, woman's education, consanguinity and pregnancy' age, knowledge level and the perspective toward abortion, no significant differences were found between the users and non-users groups. The underutilization of genetic counseling services among pregnant Israeli Arab women was associated with the following: lower income level, attitude toward genetic counseling, accessibility to service and religiosity. Thus, it is advisable to expand genetic counseling service within this community. © 2014 John Wiley & Sons, Ltd.

Self-Determination in Intervention With Battered Arab Women in Community Health Clinics in Israel

Many abused women from patriarchal collectivistic societies that are subjected to social control seek help in community health clinics. The article is based on a qualitative study, which consisted of 24 interviews with 12 abused Israeli Arab women who sought the help of social workers in community health clinics. A central theme that emerged from the interviews was the women’s wish to maintain their self-determination in retaining the power to determine the boundaries of the intervention within the professional relationship. The discussion focuses on the dialectical consequences of maintaining the women’s self-determination—empowering them, on one hand, and limiting them, on the other.

Helicobacter pylori infection amongst Arab Israeli women with hyperemesis gravidarum—a prospective, controlled study

Helicobacter pylori has been associated with hyperemesis gravidarum in some geographical regions. The prevalence of H. pylori in Arab Israeli women in the Upper Galilee and its association with hyperemesis gravidarum has not been studied previously. We aimed to examine if hyperemesis gravidarum is associated with H. pylori in this population. Subjects with hyperemesis gravidarum carrying a singleton fetus were recruited prospectively. Women with an uncomplicated pregnancy served as controls. All patients underwent (13)C-urea breath testing to assess for H. pylori infection. A total of 72 subjects, including 24 patients with hyperemesis gravidarum and 48 controls, aged 28.8±5.3 years, were included. H. pylori infection was identified in 75.0% (18/24) of cases and 60.4% (29/48) of controls (p=not significant). H. pylori infection did not correlate with age, fetal sex, or the number of previous pregnancies (p=not significant). H. pylori does not seem to increase the likelihood of hyperemesis gravidarum in Arab Israeli women. However, given the high background prevalence of H. pylori in this population, a larger study is required to corroborate these findings. (MOH20110066).

Dissociative disorders and possession experiences in Israel: a comparison of opiate use disorder patients, Arab women subjected to domestic violence, and a nonclinical group.

This study examined the association between exposure to domestic violence and dissociative symptoms. A sample of 68 Israeli opiate use disorder patients in recovery, 80 battered Arab Israeli women, and 103 respondents from a community sample participated in structured interviews that included the Dissociative Disorders Interview Schedule (DDIS), the Dissociative Trance Disorder Interview Schedule (DTDIS), and the Dissociative Experiences Scale (DES). As predicted, community participants reported significantly less exposure to traumatizing events and lower levels of dissociative psychopathology than individuals sampled from specialized treatment centers. In all, 91% of battered female participants were taxon-positive for dissociative disorder with 1 of every 2 respondents reporting symptoms corresponding to dissociative amnesia and depersonalization disorder, suggesting that this group may be particularly vulnerable to dissociative psychopathology. Extrasensory and paranormal experiences (ESP) and dissociative trance disorder experiences were strongly related to dissociative experiences and features of dissociative identity disorder (DID). These statistical associations suggest that dissociative disorders and ESP/trance experiences may share an underlying construct. Further research is needed on trauma and dissociation among female victims of domestic abuse in patriarchal, collectivist societies, particularly in the Arab world.

Between modern and traditional values: Informal mental health help-seeking attitudes according to Israeli Arab women, primary care patients and their providers.

Israeli Arab women under-utilize mental health services. The present study evaluated the use of alternative services for dealing with depression and anxiety among Israeli Arab women and primary care providers. Four focus groups with primary care patients and two focus groups with primary care providers were conducted. Constant comparisons were employed in order to identify major themes related to informal help-seeking behaviors. Three informal help-seeking behaviors were identified: (a) social support, divided into extended family and neighbors versus nuclear family and close friends; (b) religiosity, divided into inner, direct practices and beliefs versus externally mediated ones; and (c) self-help techniques, such as engagement in activities and distancing oneself from the situation. Both social support and religiosity were viewed with ambivalence by primary care patients and providers. The findings suggest that the Arab population in Israel might be lacking informal sources of support at times of mental health needs.

Increasing Rates of Prenatal Testing among Jewish and Arab Women in Israel over One Decade

Background/Aims/Objective: This study compared data on the use of prenatal tests offered to pregnant women in Israel as reported in a national survey conducted by the Israel Center for Disease Control in 2001 to data from 2010. Methods: Mothers of newborns were interviewed 8-72 h after delivery in 29 maternity wards in Israel on May 31, 2010. Results: A total of 768 women were interviewed, 569 (72.3%) were Jewish and 197 (25.7%) were Arabs. Nuchal translucency screening and early ultrasound level 2 were significantly more frequently done in both Jewish and Arab women in 2010 than in 2001. The use of the biochemical triple marker test and amniocentesis did not change. The increased rate of nuchal translucency screening and early ultrasound level 2 was significantly higher among the Jewish women compared to the Arabs (21.5 and 28.0% vs. 2.9 and 13.7% in 2001; 62.0 and 65.6% vs. 30.1 and 30.9% in 2010, respectively). The rates of amniocentesis in the Jewish women aged ≥35 years were 47.6 and 47.5% in 2001 and 2010, respectively; they are significantly higher than among the Arabs (18.5 and 28.5%, respectively). The factors associated with making more use of different prenatal tests were: secularity, a higher income, and supplementary medical insurance for the Jewish women, and supplementary medical insurance and printed information on prenatal testing for the Arabs. Conclusions: The prenatal testing rates have risen over the last decade in both population groups, but there are still significant gaps. We suggest that public funding of additional prenatal tests may increase their use in both population groups.