Evidence map›Paper›PMID 39930481›Full record

ArticleInternational journal for equity in health2025

Healthcare access barriers and utilization among the Arab Bedouin population in Israel: a cross-sectional study.

Haneen Shibli, Paula Feder-Bubis, Nihaya Daoud, Limor Aharonson-Daniel

Abstract read
In one paragraph

Article in International journal for equity in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Digital Health Divides: Telehealth Equity in a Global Context-A Narrative Review with an Israeli Case Study.Health care analysis : HCA : journal of health philosophy and policy · 2026
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  6. Tracking Extended-Spectrum Beta Lactamase-ProducingOpen forum infectious diseases · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Haneen ShibliFaculty of Health Sciences School of Public Health, Ben-Gurion University of the Negev, P.O.B. 653, Beer-Sheva, 8410501, Israel. haneen.shib@hotmail.com.
Paula Feder-BubisPREPARED Centre for Emergency Response Research, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Nihaya DaoudFaculty of Health Sciences School of Public Health, Ben-Gurion University of the Negev, P.O.B. 653, Beer-Sheva, 8410501, Israel.
Limor Aharonson-DanielFaculty of Health Sciences School of Public Health, Ben-Gurion University of the Negev, P.O.B. 653, Beer-Sheva, 8410501, Israel.

Funding

Israel National Institute for Health Policy Research 2016/201
6 · The paper itself

Abstract

backgroundThe Arab Bedouin Muslim minority in Israel, is one of the country's most vulnerable groups. They are residents of the Israeli geographical and social periphery. Bedouin's healthcare service utilization is shaped by its sociocultural and environmental characteristics. This study explores healthcare access barriers and utilization patterns among the Arab Bedouin population, focusing on two types of legal status locality: a legally recognized Bedouin town and the surrounding unrecognized villages.

methodsWe conducted a cross-sectional study among Arab Bedouin adults (N = 246) residing in a Bedouin recognized town and unrecognized villages. Using an anonymous, self-administered questionnaire in Arabic. We collected information about healthcare visits, types of services accessed, access barriers and the factors influencing healthcare-seeking behavior. Multivariate linear regression was conducted to examine the predictors of healthcare services utilization.

resultsOf the 246 participants, 60% resided in a recognized Bedouin town and 40% resided in unrecognized villages. Most participants were female (61%) and the mean age was 37.8 ± 13.9 years. The findings showed that barriers to seeking care differed based on the residence town's legal status. While residents of unrecognized villages face significant physical access barriers, they also show a notable reliance on cross-border healthcare providers, particularly in the Palestinian Authority. Chronic medical conditions (B = 1.147, p < 0.001), gender (B = -0.459, p < 0.01), and parental status (B = 0.667, p = 0.001) have been identified as strong predictors of healthcare service utilization.

conclusionThis study offers new insights regarding the complexity of healthcare access and utilization in the Arab Bedouin population in Israel, emphasizing that barriers are not only structural but also deeply intertwined with cultural and linguistic factors. The study highlights the universal message of addressing both physical and systemic barriers to healthcare access, ensuring that healthcare services are culturally and linguistically tailored to the specific needs of marginalized populations locally and globally. These findings provide actionable insights for policymakers emphasizing the need to improve health equity by addressing the access barriers faced by the Arab Bedouin population, including structural, cultural, and linguistic challenges, and ensuring targeted interventions for marginalized communities both locally and globally.

Indexed as

ArabsHealth Services AccessibilityPatient Acceptance of Health CareAdultCross-Sectional StudiesFemaleHumansIsraelMaleMiddle AgedSurveys and QuestionnairesYoung AdultAccess barriersArab bedouin populationHealthcare disparitiesHealthcare utilizationMinority

Identifiers

PMID39930481
PMCPMC11808989

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.