CONFERENCE PROCEEDINGS • THIRD ISSUE • FALL 2015 Editorial Board EDITOR’S CORNER Editor-in-Chief: Basim Dubaybo Associate Editors A Snapshot of Arab Health: Adnan Hammad Hassan Fehmi Yahya Sulaiman Al Azri 2015 Section Editors Iman Nuwayhid Ahmed Al Mandhari Jawad Allawati Bengt Arnetz Rana Hajjeh 1, 2 2 Seif Al Abri Basim A. Dubaybo and Adnan Hammad Otis Brawley 1 Jesse Ghannam Wayne State University, Detroit, MI Michel Daher 2 Yousef Al Weshahi ACCESS, Dearborn, MI Abdullah Al Harthi Susan Dun Salem Al Touby Omar Al Rawas May Yassine-Darwish The editorial team proudly presents the 2015 issue of the ACCESS Health Journal which Abdul Badi Abou Samra Fouad Fouad chronicles the proceedings of the 7th International Conference on Health Issues in Mouhanad Hammami Khalid Al Rasadi Arab Communities. During this conference which was held in Muscat, Oman in March Carlos F. Mendes de Leon Halima Qalam Al Hinai of 2015, world experts presented cutting edge research, analysis, and reviews on several Zahid Al Mandhari Adnan Munkarah aspects of the prevailing health of Arab communities across the globe. The scope of Suad Al Kharousi Miles McNall the conference included public health, mental health, chronic diseases, cancer, infectious Rosina J. Hassoun diseases, environmental diseases and others. The speakers and attendees came from Khalid Al Naamani Marwan Abouljoud a large number of countries across five continents, and included, physicians, nurses, Editorial Managers scientists, health care workers, public health experts and concerned officials and citizens. Kshama Vaghela Madiha Tariq As you will observe while you review the ensuing articles and abstracts, this conference and its proceedings remain loyal to the original purpose of this recurring educational event: to continue to learn about and advance the health of Arab communities across the Community Health & Research Center world. This biennial conference was originally organized by health care providers linked 6450 Maple St. • Dearborn,MI 48126 Phone: 313-216-2200 www.accesscommunity.org continued on next page EDITOR’S CORNER, continued to ACCESS in the great state of Michigan to collect data on the health of Arab Communities who had migrated from the homeland to the United States of America, Europe, Australia and other locations. The paucity of data was alarming and hindered efforts to design public health programs to benefit these communities. Through concerted efforts organized by the scientific and administrative teams at ACCESS, a large network of scholars of Arab descent as well as others with an interest in the health of Arab communities embarked on a campaign to identify available data, gaps in knowledge, and opportunities for research. These concerned healthcare providers pooled their data and produced an impressive array of findings that have guided health research and education as well as innovation in this aspect of the medical sciences over the past 15 years. This conference, its six precursors, and the network of individuals and institutions linked to this conference, have acted as catalysts for growth in the areas of public health, mental health, social determinants of health and chronic disease management. It is noteworthy that this 7th conference had some unique features that will be apparent as you examine the ensuing manuscripts. We were fortunate to have an active partner in the Ministry of Health in the Sultanate of Oman which helped us take this conference to the next level and go beyond data collection and program design to the area of capacity building through collaboration and networking. This was the theme of this conference. We were delighted to have a large group of movers and shakers from Arab Communities in the Middle East and North Africa Region and from the countries of migration, work together with experts and concerned organizations across the globe to further the health of our communities. This conference established durable links among experts and institutions that will build capacity in health research, education and disease management. As you examine these proceedings of this landmark conference, we encourage you to plan to become part of future conferences that will build on the successes of this one and reap the fruits of collaborative research in the various themes discussed during the varied sessions of this 4-day conference. Please use this opportunity to establish collaborative efforts with hundreds of world experts in the fields of public health, mental health, social determinants of health and chronic disease prevention and management, and lay the seeds for collaborative projects that would help our communities deal with chronic and emerging conditions. We look forward to seeing you at the next international conference. 2 • ACCESS Health Journal | 7th International Conference on Health Issues in Arab Communities | Conference Proceedings 7th Int'l Conf_Program.indd 2 2/20/15 11:48 AM Contents EDITOR’S CORNER A Snapshot of Arab Health: 2015 .....................................................................................1 Basim A. Dubaybo and Adnan Hammad EDITORIALS Empowering Communities and Individuals: Building Mental Health Capacity in the MENA Region ...................................................11 Jess Ghannam Activities of Oman National AIDS Program (NAP) regarding the Prevention of HIV/AIDS and Health Promotion through Awareness Programs ................................13 Khadija Al-Mahrouqi The Return of Infectious Diseases in the Arab World and the Middle East: Public health needs .........................................................................................................16 Rana A. Hajjeh Executive Round Table....................................................................................................17 Hassan Fehmi MANUSCRIPTS CANCER Cultural Barriers to Breast Cancer Screening Among Arab American Women ..............19 Kim Jaffee, Adnan Hammad, Hiam Hamade, Miri Cohen and Faisal Azaiza Cancer in a war-torn Arab community-Iraq: description of its trends [A review] ............26 Layth Mula-Hussain DIABETES AND METABOLIC SYNDROME Education modifies the association of wealth with obesity in women in middle-income but not low-income countries: an interaction study using seven national datasets, 2005-2010 .....................................................................32 Amina Aitsi-Selmi, Ruth Bell, Martin J Shipley, Martin G Marmot Perceptions of body weight in relation to weight, physical activity, and socioeconomic status among women in Qatar .......................................................46 Hanan F. Abdul Rahim and Mohammad Nizamuddin Khan Dyslipidemia among Arabian Gulf and its impact on cardiovascular risk outcome ........49 Khalid Al-Rasadi, Khalid Al-Wail, and Hilal Al-Sabti Unhealthy weight in the Arab region: prevalence, socio-economic factors, gender, and social context ..............................................................................................51 Carla Makhlouf Obermeyer, AnnieBelle J. Sassine, and Hala Ghattas The independent effects of maternal obesity and gestational diabetes on the pregnancy outcomes ...........................................................................................57 Hayfaa A. Wahabi, Amel A. Fayed, Rasmeih A. Alzeidan, and Ahmed A. Mandil Obesity and adverse pregnancy outcomes: results from Riyadh Birth Cohort study .....59 Hayfaa A. Wahabi, Samia A. Esmaeil 3 • ACCESS Health Journal | 7th International Conference on Health Issues in Arab Communities | Conference Proceedings 7th Int'l Conf_Program.indd 2 2/20/15 11:48 AM CONTENTS continued Walk Strong, Live Long! Increasing ambulatory physical activity in male Emirati adolescents through a school-based walking campaign ...................................61 Tom Loney, Lisa J. Scullion, James M. Carter Clinical Audit on the provision of Diabetes Care in the Primary Care Setting by United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) ...............................................................................................67 Yousef Shahin, Anil Kapur, Ali Khader, Jorn Nerup, and Akihiro Seita ETHICS AND PALLIATIVE CARE Exploring the Need for a Palliative Care Nurse Specialist in Oman; a Roadmap for Collaborative Care .................................................................................76 Salem Al Touby, Manal Al-Zadjali, Faiqa Al Sinawi, Mutaira Al Busaidi, and Fatma Al Jardani Multidisciplinary Palliative Care and the Ethics of Patient Care .....................................81 Daniel B. Hinshaw Ethical Issues in End-of-Life Care ...................................................................................86 Daniel B. Hinshaw INFECTIOUS DISEASES Characterization of genes responsible for carbapenemase resistance in North Lebanon ............................................................................................................92 Monzer Hamze, Racha Bayrouthy, Rayane Rafei, Charbel Al Bayssari, and Fouad Dabboussi Screening for antiretroviral drug resistance among treatment-naive human immunodeficiency virus type 1-infected individuals in Lebanon ....................................99 Nada M. Melhem, Jacques M. Mokhbat, Ziad El-Khatib, Pierre Zalloua Hepatitis A Virus in the Middle East and North Africa (MENA) Region and the Case of Lebanon .............................................................................................109 Nada M. Melhem, Reem Talhouk, Hala Rachidi, Mohamad Zaatari, Noura Salibi