Saudi Cultural Missions Theses & Dissertations

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    Exploration of Predisposing and Enabling Factors Associated with Non-Adherence to Postpartum Visits among Arab Immigrant Women in New Jersey
    (Saudi Digital Library, 2025-05-18) Mobarki, Abeer; Hawkins, Charlotte Thomas
    ABSTRACT OF THE DISSERTATION Factors Associated with Non-Adherence to Postpartum Visits among Arab Immigrant Women in New Jersey by ABEER M. MOBARKI Dissertation Directors: Dr. Charlotte Thomas-Hawkins The underutilization of postpartum care is a global problem that limits the early detection of physical and mental health complications during the postpartum period. Yet, there are few investigations of the underlying issues and even fewer investigations about immigrant women in the U.S. and their adherence to scheduled postpartum visits and factors that contribute to their non-adherence. Purpose: This study examined the interrelationships among acculturation oriented to Arabic culture, diminished social support, negative postpartum care beliefs, insurance status, and postpartum visit non-adherence among Arab immigrant women in New Jersey (NJ). Hypotheses: Five hypotheses were tested: 1) Acculturation oriented to Arabic culture is significantly associated with non-adherence to postpartum visits; 2) Diminished social support is significantly associated with non-adherence to postpartum visits; 3) Negative postpartum care beliefs are significantly associated with non-adherence to postpartum visits; 4) Public health insurance status or having no health insurance is significantly associated with non-adherence to postpartum visits; and 5) Acculturation oriented to Arabic culture, diminished social support, negative postpartum care beliefs, Public or no health insurance status are independent predictors of non-adherence to postpartum visits. Methods: This study employed a cross-sectional, correlational design. Foreign-born immigrant women who self-identified as Arab, delivered a child within the past two years, and spoke Arabic or English fluently were recruited from mosques and community centers in northern New Jersey and invited to complete the study survey. A single-item measure of postpartum visit non-adherence was used. The Arabic and English Versions of the Acculturation Rating Scale (ARSMA-II) for Arab immigrants were used to assess acculturation orientation level. The Arabic version of the Multidimensional Scale of Perceived Social Support (MSPSS) was used to examine perceived social support. The Postpartum Beliefs Questionnaire was used to examine beliefs about the postpartum. Results: One hundred thirty-eight Arab immigrant women comprised the study sample. Sixty-eight percent of participants reported non-adherence to postpartum visits. Acculturation oriented to Arabic culture, diminished social support, negative postpartum care beliefs, and insurance status had significant individual effects on the odds of postpartum visits non-adherence. Diminished social support and low perceived susceptibility to postpartum problems had significant independent direct effects on the odds of postpartum visits non-adherence. Conclusion: The findings from this study can inform tailored interventions to 1) address factors that impede postpartum care and 2) increase the utilization of postpartum care services among immigrant Arab women.
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    Influence of Culture and Stigma on Help-Seeking for Mental Health: A Cross-Sectional Study of Saudi University Students in the US
    (Kent State University, 2024-09) Alshehri, Amer Ali; Ding, Kele
    mental health help-seeking intentions and acculturation, stigma tolerance, expertness, and self-efficacy among Saudi international students in the United States. Additionally, it sought to explore the impact of anxiety, depression, and the COVID-19 experience on the intention. A cross-sectional survey research design was used to collect data from Saudi students enrolled in American universities. A sample size of 377 was pursued based on sample size estimation for a confidence interval of 95% and a margin of error of 5%. A total of 198 respondents completed the survey covering demographic variables, acculturation, stigma tolerance, expertness, intent, self-efficacy, anxiety and depression assessment, and COVID-19 impact and experience. Data were analyzed by using Statistical Package for the Social Sciences (SPSS)Statistical significance was set at p≤.05. The findings highlighted the importance of considering cultural and individual factors in understanding mental health help-seeking behaviors among Saudi international students. The Theory of Planned Behavior provides a valuable framework for conceptualizing these behaviors. Implications of the findings for mental health interventions and support services for Saudi students in the United States are discussed.
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    CULTURAL ADAPTATION OF SAUDI STUDENTS AT ARIZONA STATE UNIVERSITY
    (The University of Southern Mississippi, 2023-12) Aloufi, Haytham; Shelley, Kyna; Hill, Lilian; Lipscomb, Thomas; O'Brien, Thomas
    The purpose of this quantitative study was to investigate Saudi students’ cultural adaptation while studying at Arizona State University during Spring 2022 academic semester. In addition, the study examines the degree of Saudi students’ academic adaptation and its relationship with cultural adaptation. Moreover, this study examined demographic factors related to students’ cultural adaptation such as students’ gender, past experiences traveling abroad, and length of residency in the U.S. The researcher used both the Sociocultural Adaptation Scale [SCAS] and the Academic Adjustment Scale to examine cultural adaptation of Saudi students. The multiple regression analysis was used to examine the demographic factors while the ordinal regression was used to examine academic adaptation variables and to what extent they are associated with cultural adaptation. The study findings indicated that length of residency in the U.S. was a significant predictor for Saudi students’ cultural adaptation, F (3, 207) = 42.635, p < .001., adj. R2 = .37. indicated a medium size effect. Participants showed more flexibility towards their cultural identity while studying in the U.S. The extent of cultural adaptation to American culture was statistically significant. Saudi students have more awareness of cultural practices issues abroad due to pre- travel cultural orientation programs received. This greatly reduced obstacles Saudi students have faced while studying in the U.S.
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