Pediatric Muslim Fasting Practices in Southeast Michigan: A Community Survey

Area of Science:

• Pediatric Health
• Religious Practices
• Public Health

Background:

• Ramadan fasting is a religious obligation for Muslims, involving abstention from food, water, and medications from dawn to dusk.
• Existing medical literature predominantly addresses adult Ramadan fasting, with limited research on pediatric fasting practices and associated health considerations.

Purpose of the Study:

• To investigate the prevalence and parental perceptions of pediatric Ramadan fasting.
• To identify the extent of healthcare provider awareness and involvement in advising Muslim children who fast during Ramadan.
• To explore parental comfort levels and perceived physician understanding of pediatric fasting practices.

Main Methods:

• An anonymous, bilingual, digital survey was administered to parents/guardians of children aged 7-18 who identify as Muslim.
• Participants were recruited through community outreach and online social media platforms.
• Data were collected between July 2017 and May 2018, with a focus on participants in Wayne County, Michigan.

Main Results:

• Over 63% of parents reported their child's healthcare provider was unaware of their fasting, and 75% received no medical advice regarding fasting.
• Despite this lack of awareness, 69% of parents felt comfortable discussing fasting with their child's doctor.
• A significant majority (80%) perceived their child's doctor as having a good or advanced understanding of fasting practices.

Conclusions:

• There is a notable disconnect between parents' perceptions of physician knowledge and the reality of clinical practice regarding pediatric Ramadan fasting.
• This study highlights a critical gap in communication and medical guidance for Muslim children observing Ramadan.
• Further research and educational initiatives are needed to bridge this gap and ensure appropriate healthcare support for pediatric Ramadan fasting.