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Determinants of health-promoting lifestyle behaviors among arab immigrants from the region of the levant


  • Salah Aqtash,

    Corresponding author
    1. School of Nursing, College of Health Sciences, Walden University, Minneapolis, MN
    2. School of Nursing and Midwifery, Griffith University, Gold Coast, QLD, Australia
    • Abu-Dhabi Health Services Company-SEHA Health System, Khalifa City A, Abu-Dhabi, United Arab Emirates
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    • Regional Chief Nursing Officer for Al-Gharbia Hospitals Nursing Administration; Adjunct Faculty, College of Health Sciences at Walden University; Adjunct Faculty, School of Nursing and Midwifery at Griffith University
  • Gwen Van Servellen

    1. School of Nursing, UCLA, Los Angeles, CA
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    • Professor Emeritus.

  • The author would like to acknowledge the Honor Society of Nursing Sigma Theta Tau International for awarding this study Sigma Theta Tau International Small Grant Award, ID #3041. Special thanks to Dr. Adeline Nyamathi, Dr. Joyce Giger, Dr. Donald Morisky, Dr. David Elashoff, Dr. Phil Ender, and to the translators and research team. Special appreciation to Dr. Omar Shafey from Health Authority of Abu-Dhabi, UAE.

Correspondence to: Salah Aqtash,


Arab immigrants in the United States are at risk for heart disease, stroke, and diabetes. We explored health-promoting lifestyle behaviors among Arab immigrants to the United States from the Middle Eastern region of the Levant. In 218 male and female Arab adults surveyed with the revised Health-Promoting Lifestyle Profile (HPLP-II), the mean for the HPLP-II was 2.73 (range 1–4), with spiritual growth and interpersonal relations the most frequently reported practices and physical activity the least frequently practiced dimension of health-promoting behaviors. Multiple linear regression analysis highlighted four determinants of health-promoting lifestyle behaviors: health insurance, acculturation, self-efficacy, and social support. Health promotion programs serving Arab immigrants should take these determinants into consideration. © 2013 Wiley Periodicals, Inc. Res Nurs Health 36: 466–477, 2013.