Statewide Physician Survey Regarding Pediatric Muslim Fasting

Area of Science:

• Pediatric Healthcare
• Religious Practices in Medicine
• Public Health

Background:

• Ramadan fasting is a significant religious observance for Muslims, primarily studied in adults.
• Limited research exists on the specific practices and challenges related to pediatric fasting during Ramadan.
• Physician knowledge and comfort levels regarding pediatric Muslim fasting are largely unaddressed.

Purpose of the Study:

• To assess the current knowledge and practices of physicians concerning pediatric Muslim fasting in the United States.
• To identify gaps in physician understanding and comfort in discussing Ramadan fasting with pediatric patients and their families.

Main Methods:

• An anonymous, digital survey was administered to physicians (residents, fellows, attendings) in Michigan in 2019.
• The survey included 278 participants, with 87% identifying as pediatric-trained.
• Data analysis focused on physician demographics, exposure to Muslim pediatric patients, and self-reported knowledge and comfort levels regarding fasting.

Main Results:

• A majority of surveyed physicians (61%) reported minimal to no understanding of fasting practices.
• Over half of participants (52%) felt uncomfortable discussing fasting recommendations with pediatric patients and families.
• Most physicians (66%) never inquired about fasting practices with their pediatric patients or families.

Conclusions:

• This study reveals a substantial deficit in physician knowledge and confidence regarding pediatric Ramadan fasting.
• There is a critical need for educational interventions to improve physician preparedness in addressing the healthcare needs of Muslim children observing Ramadan.
• Addressing these gaps is essential for providing culturally competent care and appropriate anticipatory guidance to Muslim pediatric patients and their families.