Proceedings of the Fourth Biennial National Conference on Health Issues in the Arab American Community Dearborn, Michigan May 11–12, 2006 Including Summaries of Pre- and Post-Conference Workshops (May 8–9 and May 13, 2006) Editors: Wael A. Sakr, MD Adnan Hammad, PhD David J. P. Bassett, PhD May Darwish-Yassine, PhD Associate Editors Virginia Hill Rice, PhD, RN Linda Jaber, PharmD Basim Dubaybo, MD Julie Hakim Larson, PhD Ethnicity & Disease Volume 17, Number 2, Supplement 3 An International Journal on Population Differences in Disease Patterns __________________________________________________________CONTENTS PROCEEDINGS FROM THE FOURTH BIENNIAL NATIONAL CONFERENCE ON HEALTH ISSUES IN THE ARAB AMERICAN COMMUNITY SECTION I Introduction ................................................................................................................ S3-1 Wael A. Sakr, MD; Adnan Hammad, PhD; May Darwish-Yassine, PhD SECTION II. HIGHLIGHTS OF KEYNOTE PRESENTATIONS .............................................. S3-3 Adnan Hammad, PhD; May Darwish-Yassine, PhD; Wael A. Sakr, MD SECTION III. TOBACCO AND HEALTH A. Overview ............................................................................................................... S3-6 Editors: David J.P. Bassett, PhD; Virginia Hill Rice, PhD, RN B. Commentary on Tobacco: The World’s Leading Cause of Cancer ....................................... S3-8 John R. Seffrin, PhD C. Commentary on the Global Epidemic of Tobacco, A Manufactured Disease. What it Looks Like Today and What’s to Come .......................................................................................... S3-10 Kenneth E. Warner, PhD D. Global Epidemiology and Health Hazards of Tobacco Use: Arab World Patterns .................. S3-13 Omar Shafey, PhD, MPH E. A Review: Depression and Smoking ............................................................................ S3-16 Cynthia L. Arfken, PhD F. Collaborative Research of Tobacco Use and Its Predictors in Arab and Non-Arab American 9th Graders ................................................................................................................ S3-19 Virginia Hill Rice, PhD, RN; Thomas Templin, PhD; Adnan Hammad, PhD; Linda Weglicki, PhD, RN; Hikmet Jamil, MD, PhD; Sharifa Abou-Mediene, MD, MPH G. Tobacco Use Patterns Among High School Students: Do Arab American Youth Differ? .......... S3-22 Linda S. Weglicki, PhD, RN; Thomas Templin, PhD; Adnan Hammad, PhD; Hikmet Jamil, MD, PhD; Sharifa Abou-Mediene, MD, MPH; Mona Farroukh; Virginia Hill Rice, PhD, RN H. Abstract: Patterns of Smoking Among Aleppo University Students ..................................... S3-25 Nizar Akil, MD I. Abstract: Active and Passive Smoking During Pregnancy in Aleppo, Syria: Does It Affect the Outcome? ............................................................................................................ S3-25 Moujahed Hammami, MD; Maed Ramamdan, MD; Ali Sereo, MD SECTION IV. LIFE STYLE AND HEALTH OUTCOMES A. Overview .............................................................................................................. S3-26 Editors: May Darwish-Yassine, PhD; Linda Jaber, PharmD B. Managing Cardiovascular Risk Barriers to Optimal Health Outcomes in the Arab American Patient ........................................................................................................ S3-28 Walid A. Harb, MD C. Depression and Cardiovascular Disease ....................................................................... S3-31 Manuel E. Tancer, MD; Alireza Amirsadri, MD D. Male Infertility in Lebanon: A Case-Controlled Study ..................................................... S3-33 Loulou Kobeissi, DrPH; Marcia C. Inhorn, PhD E. Project Salaam: Assessing Mental Health Needs Among San Diego’s Greater Middle Eastern and East African Communities ............................................................................................. S3-39 Joachim O.F. Reimann, PhD; Dolores I. Rodriguez-Reimann, PhD; Mehboob Ghulan, MD; Mohammed F. Beylouni, PhD F. The Use of Glucose-Lowering Agents and Aspirin Among Arab Americans with Diabetes ........ S3-42 Helen D. Berlie, PharmD; Adnan Hammad, PhD; Linda A. Jaber, PharmD G. Abstract: Asthma, Environmental Risk Factors, and Hypertension Among Arab Americans in the Metro Detroit Area ...................................................................................................... S3-46 Mary Johnson, PhD; Jerome Nriagu, PhD; Adnan Hammad, PhD; Kathryn Savoie, PhD; Hikmet Jamil, MD, PhD SECTION V. REPORT:INTERACTIVE PANEL DISCUSSION ON HEALTH-RELATED POLICY, ENVIRONMENTAL HEALTH, AND CHRONIC DISEASE ................................................... S3-47 Editors: David J.P. Bassett, PhD; May Darwish-Yassine, PhD SECTION VI. GLOBAL HEALTH FROM ARAB AND DEVELOPING WORLD PERSPECTIVES A. Overview .............................................................................................................. S3-50 Editors: Wael A. Sakr, MD; Nizar Akil, MD B. Commentary: The Growing Risk Factors for Noncommunicable Diseases in the Arab World ............................................................................................................... S3-51 Sabri Belqacem, MPA, MD C. Global Health from the Arab and Developing World Perspectives ..................................... S3-53 Hassen Ghannem, MD, MSc D. Chronic Diseases and the Potential for Prevention in the Arab World: The Jordanian Experience ................................................................................................... S3-55 Ali H. Mokdad, PhD SECTION VII. INTEGRATED HEALTH CARE DELIVERY:PAST,PRESENT AND FUTURE.ASSESSMENT OF LOCAL MODELS OF INTEGRATING PHYSICAL AND MENTAL HEALTH CONCERNS A. Overview .............................................................................................................. S3-57 Editors: Wael Sakr, MD; Michael Massanari, MD, MS B. Integrated Care in the History of Arab Medicine – A Historical Perspective ......................... S3-59 Samir Yahia, MD C. Integrated Health Care Delivery – A Mandate for Systems Transformation .......................... S3-60 R. Michael Massanari, MD, MS D. Integrating Mental and General Medical Health Care – The Henry Ford Health System Experience ...................................................................................................... S3-62 C. Edward Coffey, MD E. The Oakwood Health Care System Experience .............................................................. S3-64 Issam Khraizat, MD F. Models of Health and Mental Health Integration: ACCESS Community Health and Research Center Model ............................................................................................................ S3-66 Ibrahim Kira, PhD; Adnan Hammad, PhD; Sharifa Abou-Mediene, MD SECTION VIII. MENTAL HEALTH A. Overview .............................................................................................................. S3-70 Editors: Julie Hakim Larson, PhD; Nancy Wrobel, PhD; Adnan Hammad, PhD B. Arab Americans in Publicly Financed Substance Abuse Treatment ..................................... S3-72 Cynthia L. Arfken, MD; Sheryl Pimlott Kubiak, PhD, MSW; Alison L. Koch, BS C. Medical Complaints of Iraqi American People Before and After the 1991 Gulf War .............. S3-77 Hikmet Jamil, MD, PhD; Sylvia Nassar-McMillan, PhD; Richard Lambert, PhD; Adnan Hammad, PhD D. The Physical and Mental Status of Iraqi Refugees and its Etiology ..................................... S3-79 Ibrahim Kira, PhD; Adnan Hammad, PhD; Linda Lewandowski, PhD; Thomas Templin, PhD; Vidya Ramaswamy, PhD; Bulent Ozkan; Jamal Nohanesh E. Hope and Fostering the Well-Being of Refugees from Iraq ............................................... S3-83 Julie Hakim Larson, PhD; Mohamed Farrag, PhD; Hikmet Jamil, MD, PhD; Talib Kafaji, EdD; Husam Abdulkhaleq, MA; Adnan Hammad, PhD F. The Psychosocial Rehabilitation Approach in Treating Torture Survivors .............................. S3-85 Mohamed Farrag, PhD; Husam Abdulkhaleq, MA; Galaleldin Abdelkarim, MA, PhD; Rima Souidan, MSW; Haitham Safo, MA SECTION IX. PRE-CONFERENCE WORKSHOP:REDUCING THE CANCER BURDEN IN ARABS AND ARAB AMERICANS ................................................................................................ S3-88 Editor: Amr Soliman, MD SECTION X. POST-CONFERENCE WORKSHOP: HIV/AIDS IN THE ARAB AMERICAN COMMUNITY: BREAKING THE SILENCE! A. Overview .............................................................................................................. S3-92 Editors: Adnan Hammad, PhD; Miguel Gomez, MA B. Summary Report: Arab Americans and HIV/AIDS in Michigan .......................................... S3-94 Loretta Davis-Satterla, MSA C. Summary Report: HIV/AIDS in the Arab World ............................................................. S3-96 Sabri Belgacem, MPA, MD D. Summary Report: HIV/AIDS in the Middle East and North Africa ...................................... S3-97 Nithya Mani, MPH E. Summary Report: Treating HIV/AIDS ......................................................................... S3-100 Raida Rabah, MD SECTION XI. APPENDICES Conference Committees ............................................................................................. S3-102 Conference Supporters ............................................................................................... S3-104 Proceedings of the Fourth Biennial National Conference on Health Issues in the Arab American Community Copyright E 2007 by ISHIB. Material