Search Results (95)

The rapid growth in interfaith peacebuilding has elevated the prominence of religion in theoretical and practical discourse, highlighting its importance in conflict dynamics. In dialogue-based encounters between distinct identity groups, religion often emerges as a key factor, regardless of participants’ specific affiliation or religiosity level. However, studies on religion-related tension typically adopt a polarized perspective, framing conflict in intergroup contexts while overlooking intra-group dynamics. This paper addresses this gap through a qualitative cross-case analysis of two studies, conducted in Israel during 2016–2019. Participants included 28 secular Jews and 28 secular Arabs (Christian and Muslim). Our findings reveal that non-religious individuals from both societies experienced similar challenges in navigating intra-group, religion-based encounters. Participants identified religion as defining boundaries of understanding, acceptance, legitimacy, and belonging within their societies. The study also highlights gaps in mutual recognition, whereby the participants expressed willingness to accept religion as integral to their religious counterparts’ identity, yet reported that this openness was not reciprocated. This gap created barriers to dialogue, weakening potential intra-group cohesion. This paper contributes to the literature on conflicts and peacebuilding, underscoring notable intra-group similarities between Jewish and Arab participants, and offers a novel framework for understanding religious dynamics across distinct social contexts. Full article

This article explores the distinct challenges facing Arab school principals in Israel, particularly in the context of existential fears stemming from a complex political landscape and rising violence in schools. These concerns are intensified by feelings of isolation from decision-making processes and the ineffectiveness of policies aimed at addressing the specific needs of Arab communities. Through an action research approach, this study analyzed the experiences of 15 elementary school principals over four years and introduced an intervention model called “empathetic inquiry”. This model, comprising four stages, creating a safe space for emotional expression, framing and reframing events, and formulating alternative actions, was implemented through group discussions and techniques like roleplaying. Findings revealed that the model facilitated open emotional sharing, enhanced principals’ sense of competence, and transformed their perception of authority from a rigid to a reflective role. Participation in the group fostered solidarity among staff and improved conflict management skills. Ultimately, this study highlights the “empathetic inquiry” model as a promising strategy for fostering empathetic leadership and reducing existential anxiety in Arab schools, although future research is necessary to evaluate its broader applicability and long-term effects, reflection, and self-awareness. This model contributed to their ability to cope with conflicts more effectively and to develop empathetic leadership. Full article

Background: Gamma-glutamylcysteine synthetase catalyzes the first and rate-limiting step in the synthesis of glutathione. Gamma-glutamylcysteine synthetase deficiency is a very rare condition that has so far been detected so far in nine patients from seven families worldwide. The inheritance of this disorder is autosomal recessive. Methods: We report a case of 4.11-year-old boy, of Arab-Muslim origin, living in an Arab town in Israel who presented at the age of 2 days with severe anemia, reticulocytosis, and leukocytosis. Investigation for common causes of hemolytic anemia was negative (peripheral blood smear was normal, and he had a negative Coombs test, normal G6PD, and normal flow cytometry spherocytosis). The anemia worsened during the following days (hemoglobin (Hb): 7.2 g/dL) and he needed several blood transfusions. NGS (next-generation sequencing) gene panel analysis was performed. Results: In an NGS gene panel analysis for hereditary hemolytic anemias, we found a homozygotic change in the GCLC gene—G53.385.643c379C > T(homo)pArg127Cys—which confirms the diagnosis of gamma-glutamylcysteine synthetase deficiency. An additional rare change was found in this case in the GCLC gene, with unknown clinical significance: g.53373917, c 828 + 3A > G. Except for chronic anemia (Hb levels around 8 g/dL), the child has normal physical and neurological development. Conclusions: This study reports a rare case of gamma-glutamylcysteine synthetase deficiency in a 4.11-year-old Arab-Muslim boy from Israel who presented with severe anemia at 2 days old, aiming to document the first such case in the Middle East and contribute to the medical literature on this extremely rare condition that has only been detected in nine patients worldwide. Genetic analysis revealed a homozygotic change in the GCLC gene, confirming the diagnosis, and while the patient experiences chronic anemia, he maintains normal physical and neurological development, adding valuable insights to the understanding of this rare genetic disorder. An additional rare change was found in this case in the GCLC gene, with unknown clinical significance: g.53373917, c 828 + 3A > G. Full article

Pregnancy and transition to motherhood are significant experiences accompanied by manifold changes, particularly during times of crisis, such as exposure to traumatic events, which involve further levels of complexity and vulnerability. This is especially true for Arab women in Israel, considering the interactions between their physical, mental, and social environments, and their impact on health during pregnancy and childcare in wartime. This study sought to examine the experience of Arab women in Israel, who experienced intersectional marginalization as women in a traditional patriarchal society who belong to a minority group, during the perinatal period, following the events of 7 October 2023, and the subsequent Israel–Hamas war. Semi-structured in-depth interviews were conducted with ten participants in different stages of pregnancy and young mothers to infants up to a year old. The thematic analysis revealed four main themes: The impact of the war on intrapersonal identity; The impact within the couple’s relationship identity; The impact on family identity; Socio-political identity. Shining a spotlight on the experiences of Arab women in Israel and their daily functioning in the current complex reality reveals unique challenges, encompassing profound feelings of fear, anxiety, and imposed silence. Deepening the understanding of marginalized women’s experiences can help policymakers in the field of women’s health to design tailored adaptations in health policies for Arab women from minority groups, navigating the complexities of transitioning to motherhood during periods of social instability and wartime challenges. Full article

Background: Exclusive breastfeeding (EB), feeding an infant solely breast milk, has been recommended worldwide due to its health benefits for infants and mothers. However, EB rates remain low, due to several socio-demographic, occupational, and cultural factors. Objectives: Our aim was to investigate the factors associated with EB amongst Arab mothers living in Israel, i.e., age, education, religiosity, employment status, and the number of children which impact breastfeeding practices. Methods: Data were collected through surveys from Arab mothers of different religious and geographical backgrounds. Results: The findings revealed that older maternal age, higher levels of religiosity, and an increased number of children were positively associated with EB. Employment reduced EB. Muslim mothers were more likely to combine breastfeeding with formula; Christian and Druze mothers showed higher EB rates. Geographical disparities were also noted. Conclusions: This study highlights the complex interplay of socio-demographic and cultural factors that impact breastfeeding practices amongst Arab mothers in Israel, with significant implications for policy development and maternal support programs. We underscore the importance of incorporating religious and cultural considerations into breastfeeding promotion strategies. Public health initiatives should target support for working mothers by advocating extended maternity leave and breastfeeding-friendly workplace policies. Furthermore, community-based interventions should engage family members in supporting breastfeeding mothers. Full article

Hepatitis E Virus (HEV) has gained public health attention as one of the causative agents of viral hepatitis. Our study aimed to provide data about HEV seropositivity in the Israeli general population, including its seroprevalence geographical distribution, and to identify variables as possible risk factors for HEV exposure. A seroprevalence cross-sectional study was conducted: HEV serological status was determined in 716 blood samples collected from the routine check-up blood samples. Demographic information was available for all samples. The overall prevalence of HEV IgG in an apparently healthy population in the north of Israel was 10.5%, with no evidence of positive HEV IgM. There was a significant association between HEV seropositivity and elderly age and low socioeconomic status (SES). The age-adjusted seroprevalence was significantly lower among Jews compared to Arabs with a rate ratio of 2.02. We identified clusters (hot spots) of HEV infection in three regions under study. Our results confirmed a high prevalence of anti-HEV in the country where clinical hepatitis E is not endemic. For the first time, this study showed that a hot spot analysis was able to provide new knowledge about actual exposure zones. As HEV infection is not a notifiable disease, it is probably underdiagnosed. Thus, better awareness among physicians is warranted. Full article

Background/Objectives: Breastfeeding provides significant health benefits for both infants and mothers, but many women discontinue earlier than recommended. This study investigates the factors contributing to early breastfeeding cessation among Arab women in Israel, focusing on multiple factors, such as socio-demographic, work-related, cultural, and religious, impacting breastfeeding duration and shaping breastfeeding practices. Methods: A cross-sectional survey was conducted among 349 Arab women, 65% of whom were Muslim and 35% Christian. Logistic regression analyses were used to identify key predictors of breastfeeding cessation. Results: Findings showed that Christian Arab women were more likely to stop breastfeeding earlier than their Muslim counterparts. Mothers with four or more children and those balancing work demands were at higher risk of early cessation. Contrary to expectations, higher levels of religiosity were associated with a greater likelihood of stopping breastfeeding. Additionally, mothers who received personal breastfeeding guidance were more likely to discontinue, suggesting potential gaps in the quality of support provided. Conclusions: These findings underscore the importance of tailoring interventions to address the unique cultural and socio-economic challenges faced by Arab women in Israel. Recommendations include improving breastfeeding guidance quality, workplace support for breastfeeding mothers, and culturally sensitive interventions that consider the role of religiosity and family dynamics. This research provides valuable insights for healthcare providers and policymakers aiming to promote sustained breastfeeding practices in diverse populations. The study highlights the complexity of factors affecting breastfeeding cessation among Arab women in Israel, emphasizing the need for targeted interventions that address socio-demographic, cultural, and religious influences to promote sustained breastfeeding. Full article

Background: Orthodontic problems can affect vital quality of life functions, such as swallowing, speech sound production, and the aesthetic effect. Therefore, it is important to diagnose and treat these patients precisely. The main aim of this study is to introduce new classification methods for skeletal class I occlusion (SCIO) and skeletal class II malocclusion (SCIIMO) among Arab patients in Israel. We conducted hierarchical clustering to detect critical trends within malocclusion classes and applied machine learning (ML) models to predict classification outcomes. Methods: This study is based on assessing the lateral cephalometric parameters from the Center for Dentistry Research and Aesthetics based in Jatt, Israel. The study involved the encoded records of 394 Arab patients with diagnoses of SCIO/SCIIMO, according to the individualized ANB of Panagiotidis and Witt. After clustering analysis, an ML model was established by evaluating the performance of different models. Results: The clustering analysis identified three distinct clusters for each skeletal class (SCIO and SCIIMO). Among SCIO clusters, the results showed that in the second cluster, retrognathism of the mandible was less severe, as represented by a lower ANB angle. In addition, the third cluster had a lower NL-ML angle, gonial angle, SN-Ba angle, and lower ML-NSL angle compared to clusters 1 and 2. Among SCIIMO clusters, the results also showed that the second cluster has less severe retrognathism of the mandible, which is represented by a lower ANB angle and Calculated_ANB and a higher SNB angle (p < 0.05). The general ML model that included all measurements for patient classification showed a classification accuracy of 0.87 in the Random Forest and the Classification and Regression Tree models. Using ANB angle and Wits appraisal only in the ML, an accuracy of 0.78 (sensitivity = 0.80, specificity = 0.76) was achieved to classify patients as SCIO or SCIIMO. Conclusions: The clustering analysis revealed distinguished patterns that can be present within SCIO and SCIIMO patients, which can affect the diagnosis and treatment plan. In addition, the ML model can accurately diagnose SCIO/SCIIMO patients, which should improve precise diagnostics. Full article

Background/Objectives: Ethnocultural differences between Jewish and Arab communities in Northern Israel may contribute to disparities in type 2 diabetes prevalence. Widespread screening strategies, including hospital-based initiatives, are crucial for early detection of hyperglycemia. This study aimed to determine the prevalence of postprandial hyperglycemia and identify its associated factors in a diverse population of non-diabetic adults visiting the Galilee Medical Center, a tertiary care hospital in Northern Israel. Methods: Participants were recruited between November 2017 and July 2023 through a voluntary screening program for non-diabetic adult visitors to the hospital. Capillary blood glucose measurements were obtained 1–4 h after a meal using a standardized glucometer. Postprandial hyperglycemia was defined as a blood glucose level ≥147 mg/dL, while postprandial normoglycemia was defined as ≤133 mg/dL. Individuals with glucose levels between 134–146 mg/dL were excluded from the analysis. Additional exclusion criteria included known diabetes, acute illness, corticosteroid use, and pregnancy. Demographic data, lifestyle factors, and health status were recorded. Propensity score matching was employed to ensure comparability between religious groups based on age, gender, and body mass index. Logistic regression analyses were conducted to identify independent predictors of postprandial hyperglycemia. Results: 3457 adult visitors underwent postprandial glucose testing and met eligibility criteria. Following propensity score matching, 1845 participants (615 each from Druze, Jewish, and Muslim religious groups) were included in the final analysis. The prevalence of postprandial hyperglycemia was 9.4% in Druze, 6.0% in Jews, and 8.0% in Muslims (p = 0.08). Age >50 years was significantly associated with postprandial hyperglycemia in all groups. Obesity was associated with postprandial hyperglycemia in Muslims, with a similar non-significant trend in the Jewish cohort. Self-reported poor health was also associated with postprandial hyperglycemia in Muslims. In the Druze cohort, a low daily intake of daily fresh vegetable consumption was significantly associated with postprandial hyperglycemia. Conclusions: This study highlights the feasibility of hospital-based screening for postprandial hyperglycemia among adult visitors and reveals ethnic variations in prevalence and associated risk factors. Full article

This research examines the subjective experiences of 10–11-year-old students participating in a social-emotional Education Program on Forgiveness and Agape Love (EPFAL) in Israel. The EPFAL is designed to help students acquire a social-emotional tool to help them deal with the wrongs, vulnerabilities, and injustices they will likely experience later in life. The EPFAL took place as part of a larger international research project evaluating the program’s effectiveness in enhancing students’ well-being and improving the class environment in Northern Ireland, Taiwan, and Israel. The present article presents findings from qualitative, semi-structured interviews of forty students and thirteen teachers who participated in the study in Israel and field notes of class observations conducted during data collection for the larger study. A thematic analysis of the findings suggests that students found the EPFAL interesting, enjoyable, and valuable. The participants experienced cognitive, emotional, and behavioral changes, including changes in the perception of forgiveness. They experienced a sense of empowerment and openness, reduced anger and empathy, and learned to talk about their feelings. This study demonstrates how emotional, behavioral, and cognitive transformations promoted by the EPFAL affect children’s relationships with friends and family and improve the classroom atmosphere. Full article

Background: Self-rated health (SRH) has been shown to predict mortality across a lifespan. However, its predictive value might differ between populations. We compared the association between SRH and mortality in Israeli Jewish and Arab older adults (65+). Methods: A prospective cohort study was conducted among Jewish (n = 1463) and Arab (n = 298) participants in the first National Health and Nutrition Survey of Older Adults (2005–2006). SRH was measured on a four-point scale. Mortality data were available from baseline (2005–2006) through 2019. A survival analysis was performed using Cox models. Results: Mean baseline age (SD) was 75 (6) years among Jewish participants (54% women) and 72 (5) years among Arab participants (50% women). Jewish participants were more likely to rate their health as not good (35% vs. 29%) or poor (11% vs. 8%) than Arab participants (p = 0.01). During a median follow-up of 13.3 years, 896 deaths occurred; 744 in the Jewish group (mean age [SD] 77.8 [6.6] years) and 152 in the Arab group (mean age [SD] 74.0 [5.2] years). The age- and sex-adjusted hazard ratio (HR) for mortality in the Arab vs. Jewish participants was 1.33 (95% CI: 1.12–1.60). Mortality risk increased with declining SRH, with multivariable-adjusted HRs in the lowest vs. most-favorable SRH categories of 2.46 (95% CI: 1.66–3.63) in the Jewish sample and 2.60 (95% CI: 0.98–6.93) in the Arab sample. Conclusions: Although Jewish participants reported poorer SRH, their survival rate was better than Arab participants. Lower SRH was consistently and strongly associated with higher mortality in both groups in a dose–response manner. Full article

Cultural traditions in Israel’s Bedouin-Arab community encourage and permit men to take up to four wives, a practice supported by Islamic teachings. Despite legal prohibitions against polygyny in Israel, such marriages remain common and have profound effects on women, children, and broader society. This study explores how traditional notions of masculinity and positive attitudes toward polygyny influence young Bedouin men’s reactions to a hypothetical scenario in which their wife refuses to accept a polygynous marriage as a threat to men’s ego and pride. The sample consisted of 459 young, unmarried Israeli Bedouin-Arab men, aged 16 to 25, a demographic frequently under family pressure to marry, making the issue of marriage highly relevant. We hypothesized that traditional masculinity and favorable attitudes toward polygyny would be positively associated with heightened perceptions of ego and pride threats in response to a wife’s refusal. Participants were randomly assigned to imagine either their wife refusing a polygynous arrangement (n = 228) or accepting a polygynous arrangement (n = 231) and then reporting their anticipated emotional responses. The results showed that traditional masculinity was linked to positive attitudes toward polygyny, and both were significantly associated with increased perceptions of ego and pride threats in the refusal scenario but not in the acceptance scenario. The findings suggest that men with strong masculine identities and favorable views of polygyny are especially vulnerable to feeling threatened by a wife’s refusal. This supports social construction theory and underscores the role of cultural norms in shaping emotional responses. The discussion highlights the psychological impacts of polygyny in patriarchal societies and calls for culturally sensitive interventions that challenge traditional norms while fostering psychological resilience and gender equality. Full article

Social–emotional learning (SEL) is recognized as an important component of the educational system, significantly impacting student success. This study aims to examine how Arabic language textbooks used in Arab elementary schools in Israel serve as tools for developing social–emotional skills, beyond their role in language instruction. Using a content analysis and semiological analysis on nine ‘Arabic Our Language’ textbooks for Grades 1 to 6, the findings revealed that all categories of social–emotional skills defined by CASEL were represented, but with an imbalance in their prevalence. Interpersonal relationship skills were the most frequent, while social awareness was the least represented, despite its importance in the Israeli context, which is the context in which this study takes place. Additionally, lower grades (1–3) showed a lack of SEL content compared to higher grades (4–6), even though an early integration of these skills is more effective. Furthermore, the SEL content did not always align with the fundamental principles for optimal implementation. This study emphasizes the need for curricula and textbooks in Arabic language education that are adapted to each developmental stage and tailored to the Israeli socio-cultural context. The findings underscore the critical role of Arabic language textbooks in fostering a holistic educational experience, preparing students for both academic and social success, and serve as a call to action for curriculum designers and textbook authors to integrate social–emotional learning in linguistic educational materials. Full article

Polygynous marriage is prevalent among Israel’s Bedouin-Arab community, despite being explicitly banned by state law. Cultural traditions and customs permit men to take multiple wives, and Islamic teachings do not prohibit the practice. The impact of polygyny is significant, affecting women, children, and society as a whole in various ways. We examined the connections that attachment anxiety and attachment avoidance had with hypothetical responses to the potential threat of polygynous marriages in a community sample of young unmarried Israeli Bedouin-Arab women (n = 306). Participants were randomly assigned to imagine either a high-threat scenario (i.e., finding that their husband decided to take a second wife; n = 151) or a low-threat scenario (i.e., their husband would not decide to take a second wife; n = 155) and report their anticipated responses to these scenarios. Results showed that attachment anxiety was positively associated with anticipated negative emotional responses in the high-threat condition but not in the low-threat condition. However, neither attachment anxiety nor attachment avoidance were associated with the perceived threat of polygyny to their marriage. The findings of this study suggest that attachment styles play a significant role in shaping women’s perceptions and reactions to hypothetical polygynous marriages. Women with anxious attachment styles are more likely to experience intensified negative emotions regarding such marriages, while those with avoidant attachment styles may display greater tolerance toward polygyny. These results highlight the need for tailored interventions and support systems that take into account individual psychological profiles as well as the broader cultural context of Israeli Bedouin-Arab society. Full article

The Circassian language is the heritage language (HL) of a small minority group in Israel. Since its classification as an endangered language around the globe, the focus has been put on effective maintenance programs. Changes in education methods within Circassian communities were inevitable. In Israel, the Circassian Maintenance Program is crucial in primary schools, where formal literacy instruction in the Circassian language begins in fifth grade. This study examined the agentic role of the Circassian literacy teacher in engaging students in learning their heritage language and its maintenance, as expressed in her attitudes, beliefs and knowledge and her classroom strategies. This three-month-long ethnographic data collection was conducted at the teacher’s study centre “Nal” (i.e., a treasure in Circassian). Data was gathered through classroom observations and semi-structured interviews with a Circassian HL teacher to understand her attitudes, beliefs and knowledge and to identify strategies to encourage student engagement in HL learning. In general, the teacher showed expertise in the HL and authentic use of it, as well as cultural and religious competence, adaptability, and flexibility. In addition, she encouraged children’s agency and autonomy and provided individualised support, integration of technology and reflective practice. The results indicated that a sense of identity, unity and belonging to the community are all held together by the pillar of HL knowledge. By engaging her students in translanguaging practices, the teacher promoted their awareness of language patterns, vocabulary and grammar in both Circassian and other languages of their wide linguistic repertoire (Hebrew, Arabic and English). Full article