{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T21:10:41Z","timestamp":1768338641943,"version":"3.49.0"},"reference-count":63,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T00:00:00Z","timestamp":1653004800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pharmacy"],"abstract":"<jats:p>Muslims are a growing community in European countries. General health habits, including therapy-related behaviours, have been described, though implications to pharmacy practice might vary with the local dominant culture and setting. This exploratory study aimed to describe Muslims\u2019 prevalent health and medication-related practices and possible implications for culturally competent community pharmacy practice. A descriptive cross-sectional survey was administered to a convenient sample of 100 participants at Lisbon Central Mosque, Portugal. Demographics, dietary, Traditional Arabic and Islamic Medicine (TAIM) and religious practices were examined, including health conditions and conventional biomedical treatments. Participant reported ailments (26%) were aligned with prevalent conditions in the general population. Ill participants were significantly associated with TAIM and Islamic dictates (p &lt; 0.05), particularly Zam-Zam water and milk thistle usage. Participants\u2019 orientation to dietary options and Qur\u2019an restrictions were observed regarding forbidden substances in medication, raising issues on medication adherence for some oral dosage forms. TAIM and religious beliefs supplement illness recovery and health improvement instead of replacing conventional healthcare in a religious minority well integrated within the dominant culture. Portuguese community pharmacists should not neglect religious specificities if seamless care is delivered, enhancing professionals\u2019 collaboration skills with multicultural patients.<\/jats:p>","DOI":"10.3390\/pharmacy10030055","type":"journal-article","created":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T04:27:22Z","timestamp":1653020842000},"page":"55","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Exploring Muslims\u2019 Health-Related Behaviours in Portugal: Any Impact on Quotidian Community Pharmacy Practice?"],"prefix":"10.3390","volume":"10","author":[{"given":"Aisha","family":"Omar","sequence":"first","affiliation":[{"name":"Department of Pharmacy, Pharmacology and Health Technologies (Social Pharmacy), Faculty of Pharmacy, University of Lisbon, Av. Prof. Gama Pinto, 1640-003 Lisboa, Portugal"}]},{"given":"Grishma","family":"Dramce","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Pharmacology and Health Technologies (Social Pharmacy), Faculty of Pharmacy, University of Lisbon, Av. Prof. Gama Pinto, 1640-003 Lisboa, Portugal"}]},{"given":"Dragana","family":"Lakic","sequence":"additional","affiliation":[{"name":"Department of Social Pharmacy and Pharmacy Legislation, Faculty of Pharmacy, University of Belgrade, Vojvode Stepe 450, 11221 Belgrade, Serbia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8466-0484","authenticated-orcid":false,"given":"Afonso","family":"Cavaco","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Pharmacology and Health Technologies (Social Pharmacy), Faculty of Pharmacy, University of Lisbon, Av. Prof. Gama Pinto, 1640-003 Lisboa, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2022,5,20]]},"reference":[{"key":"ref_1","unstructured":"Pew Research Center (2011). The Future of the Global Muslim Population, Pew Research Center. Projections for 2010\u20132030."},{"key":"ref_2","first-page":"117","article-title":"Muslims on the Margin: The New Islamic Presence in Portugal","volume":"34","author":"Tiesler","year":"2000","journal-title":"Sociol. Probl. Pr\u00e1ticas"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1163\/17683084-01401011","article-title":"Representing Islam and Lisbon Youth Portuguese Muslims of Indian-Mozambican Origin","volume":"14","author":"Tiesler","year":"2007","journal-title":"Lusotopie"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.religion.2009.01.018","article-title":"Religious Plurality within a Catholic Tradition: A Study of the Portuguese Capital, Lisbon, and a Brief Comparison with Mainland Portugal","volume":"39","author":"Dix","year":"2009","journal-title":"Religion"},{"key":"ref_5","unstructured":"Ara\u00fajo, M. (2019). Islamophobia and Its Narratives in Portugal: Knowledge, Politics, Media and Cyberspace, Centre for Social Studies."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"E609","DOI":"10.1001\/amajethics.2018.609","article-title":"Influences of Religion and Spirituality in Medicine","volume":"20","author":"Zaidi","year":"2018","journal-title":"AMA J. Ethics"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1177\/1043659608317450","article-title":"Health Beliefs, Practice, and Priorities for Health Care of Arab Muslims in the United States: Implications for Nursing Care","volume":"19","year":"2008","journal-title":"J. Transcult. Nurs."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1007\/s11606-011-1965-5","article-title":"Religious Values and Healthcare Accommodations: Voices from the American Muslim Community","volume":"27","author":"Padela","year":"2012","journal-title":"J. Gen. Intern. Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.bpobgyn.2015.08.011","article-title":"Culture and Religious Beliefs in Relation to Reproductive Health","volume":"32","author":"Arousell","year":"2016","journal-title":"Best Pract. Res. Clin. Obstet. Gynaecol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1089\/jwh.2015.5517","article-title":"Predictors of Delayed Healthcare Seeking among American Muslim Women","volume":"25","author":"Vu","year":"2016","journal-title":"J. Women\u2019s Heal."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e31","DOI":"10.1016\/j.sapharm.2014.05.004","article-title":"Impact of Patients\u2019 Religious and Spiritual Beliefs in Pharmacy: From the Perspective of the Pharmacist","volume":"11","author":"Daher","year":"2015","journal-title":"Res. Soc. Adm. Pharm."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1472-6939-14-48","article-title":"Animal Derived Products May Conflict with Religious Patients\u2019 Beliefs","volume":"14","author":"Eriksson","year":"2013","journal-title":"BMC Med. Ethics"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1007\/s11096-015-0108-1","article-title":"Primary Non-Adherence in Portugal: Findings and Implications","volume":"37","author":"Pedro","year":"2015","journal-title":"Int. J. Clin. Pharm."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1007\/s11096-015-0140-1","article-title":"The Organizational Framework of Community Pharmacies in Europe","volume":"37","author":"Martins","year":"2015","journal-title":"Int. J. Clin. Pharm."},{"key":"ref_15","first-page":"2043","article-title":"Primary Health Care Policy and Vision for Community Pharmacy and Pharmacists in Portugal","volume":"18","author":"Ribeiro","year":"2020","journal-title":"Pharm. Pract."},{"key":"ref_16","unstructured":"International Pharmaceutical Federation (2014). Quality Assurance of Pharmacy Education: The FIP Global Framework, FIP."},{"key":"ref_17","unstructured":"International Pharmaceutical Federation (2012). Pharmacy Education Taskforce: A Global Competency Framework, FIP."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e368","DOI":"10.1002\/phar.1352","article-title":"Cultural Competency in Health Care and Its Implications for Pharmacy Part 3B: Emphasis on Pharmacy Education Policy, Procedures, and Climate","volume":"33","author":"Jackson","year":"2013","journal-title":"Pharmacotherapy"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"164","DOI":"10.5539\/gjhs.v4n3p164","article-title":"Traditional Arabic & Islamic Medicine: A Conceptual Model for Clinicians and Researchers","volume":"4","author":"Alrawi","year":"2012","journal-title":"Glob. J. Health Sci."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1108\/00346650010314313","article-title":"Functional Foods or Nutraceuticals","volume":"30","author":"Blades","year":"2000","journal-title":"Nutr. Food Sci."},{"key":"ref_21","first-page":"691","article-title":"Functional Foods and Nutraceuticals-Modern Approach to Food Science","volume":"20","year":"2012","journal-title":"World Appl. Sci. J."},{"key":"ref_22","first-page":"62","article-title":"Medicinal Plants in Holy Quran","volume":"42","author":"Kahrizi","year":"2012","journal-title":"Am. J. Sci. Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/S2221-1691(13)60075-1","article-title":"A Review on Therapeutic Potential of Nigella Sativa: A Miracle Herb","volume":"3","author":"Ahmad","year":"2013","journal-title":"Asian Pac. J. Trop. Biomed."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"3111","DOI":"10.5958\/0974-360X.2019.00526.2","article-title":"Nigella Sativa: Phytochemistry, Pharmacology and Its Therapeutic Potential","volume":"12","author":"Tiwari","year":"2019","journal-title":"Res. J. Pharm. Technol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/fqsafe\/fyx031","article-title":"Cumin (Cuminum Cyminum) and Black Cumin (Nigella Sativa) Seeds: Traditional Uses, Chemical Constituents, and Nutraceutical Effects","volume":"2","author":"Srinivasan","year":"2018","journal-title":"Food Qual. Saf."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1089\/jmf.2010.0161","article-title":"Honey and Microbial Infections: A Review Supporting the Use of Honey for Microbial Control","volume":"14","author":"Salom","year":"2011","journal-title":"J. Med. Food"},{"key":"ref_27","first-page":"3","article-title":"The Healing Effect of Honey as Stated in Quran and Hadith","volume":"1","author":"Taghavizad","year":"2011","journal-title":"J. Quran Med."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12967-014-0219-9","article-title":"Beneficial Effects of the Olive Oil Phenolic Components Oleuropein and Hydroxytyrosol: Focus on Protection against Cardiovascular and Metabolic Diseases","volume":"12","author":"Bulotta","year":"2014","journal-title":"J. Transl. Med."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"112007","DOI":"10.1016\/j.jep.2019.112007","article-title":"Plants Mentioned in the Islamic Scriptures (Holy Qur\u2019\u00e2n and Ahadith): Traditional Uses and Medicinal Importance in Contemporary Times","volume":"243","author":"Khalifa","year":"2019","journal-title":"J. Ethnopharmacol."},{"key":"ref_30","first-page":"247","article-title":"Nutritional Value and Health Benefits of Dates According to Islamic Recourses and Traditional Medicine","volume":"24","author":"Mousavi","year":"2014","journal-title":"J. Maz. Univ. Med. Sci."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1080\/10942912.2012.660721","article-title":"Mineral Composition and Health Functionality of Zamzam Water: A Review","volume":"17","author":"Khalid","year":"2014","journal-title":"Int. J. Food Prop."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1016\/j.chemosphere.2011.10.025","article-title":"Zamzam Water: Concentration of Trace Elements and Other Characteristics","volume":"86","author":"Shomar","year":"2012","journal-title":"Chemosphere"},{"key":"ref_33","first-page":"1","article-title":"Concept of Shifa in Al-Quran: Quranic Medicine Approach in Healing Physical Ailment","volume":"1","author":"Ibrahimi","year":"2015","journal-title":"Al-Qanatir Int. J. Islam. Stud."},{"key":"ref_34","first-page":"23","article-title":"Concept of Shifa\u2019 in Al-Quran: Islamic Medicine Approach in Healing Physical Disorder","volume":"6","author":"Ibrahim","year":"2018","journal-title":"Al-Qanatir Int. J. Islam. Stud."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.jtcme.2014.11.036","article-title":"Cupping Therapy: A Prudent Remedy for a Plethora of Medical Ailments","volume":"5","author":"Mehta","year":"2015","journal-title":"J. Tradit. Complement. Med."},{"key":"ref_36","unstructured":"Ramzan, I. (2015). Integrating Traditional Greco-Arab Additionally, Islamic Diet and Herbal Medicines in Research and Clinical Practice. Phytotherapies: Efficacy, Safety, and Regulation, John Wiley & Sons, Inc."},{"key":"ref_37","first-page":"1","article-title":"German and Roman Chamomile","volume":"1","author":"Sharafzadeh","year":"2011","journal-title":"J. Appl. Pharm. Sci."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1177\/1534735407301632","article-title":"Advances in the Use of Milk Thistle (Silybum Marianum)","volume":"6","author":"Ladas","year":"2007","journal-title":"Integr. Cancer Ther."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Lavrakas, P. (2008). Encyclopedia of Survey Research Methods, Sage.","DOI":"10.4135\/9781412963947"},{"key":"ref_40","unstructured":"Mar\u00f4co, J. (2018). Statistical Analysis with SPSS Statistics, ReportNumber, Lda. [7th ed.]."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"2228","DOI":"10.1345\/aph.1H129","article-title":"Community Pharmacy Services in Portugal","volume":"40","author":"Costa","year":"2006","journal-title":"Ann. Pharmacother."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"38","DOI":"10.5688\/ajpe80338","article-title":"Current Practices in Global\/International Advanced Pharmacy Practice Experiences: Home\/Host Country or Site\/Institution Considerations","volume":"80","author":"Alsharif","year":"2016","journal-title":"Am. J. Pharm. Educ."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1177\/0897190004264812","article-title":"Cultural Competence: A Pharmacy Perspective","volume":"17","author":"Bazaldua","year":"2004","journal-title":"J. Pharm. Pract."},{"key":"ref_44","first-page":"413","article-title":"Portugal","volume":"Volume 2","author":"Nielsen","year":"2010","journal-title":"Yearbook of Muslims in Europe"},{"key":"ref_45","unstructured":"Abdul-Rauf, M. (1995). Marriage in Islam. Is Marriage Desirable?. Marriage in Islam, Al-Saadawi Publications."},{"key":"ref_46","first-page":"30","article-title":"Multimorbidity in Portugal: Results from the First National Health Examination Survey","volume":"32","author":"Kislaya","year":"2019","journal-title":"Acta Med. Port."},{"key":"ref_47","unstructured":"Canadian Agency for Drugs and Technologies in Health (2019). Pharmacist-Led Medication Reviews: A Review of Clinical Utility and Cost-Effectiveness, Canadian Agency for Drugs and Technologies in Health."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"e567","DOI":"10.1111\/hsc.12794","article-title":"Clinical Outcomes of Community Pharmacy Services: A Systematic Review and Meta-Analysis","volume":"27","author":"Yuan","year":"2019","journal-title":"Heal. Soc. Care Community"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/S0277-9536(03)00221-1","article-title":"From the Biomedical Model to the Islamic Alternative: A Brief Overview of Medical Practices in the Contemporary Arab World","volume":"58","author":"Adib","year":"2004","journal-title":"Soc. Sci. Med."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/0277-9536(89)90129-9","article-title":"Is Religion Therapeutically Significant for Hypertension?","volume":"29","author":"Levin","year":"1989","journal-title":"Soc. Sci. Med."},{"key":"ref_51","unstructured":"Attum, B., Hafiz, S., Malik, A., and Shamoon, Z. (2020). Cultural Competence in the Care of Muslim Patients and Their Families. StatPearls [Internet], StatPearls Publishing."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.sbspro.2014.01.1104","article-title":"People\u2019s Awareness on Halal Foods and Products: Potential Issues for Policy-Makers","volume":"121","author":"Ambali","year":"2014","journal-title":"Procedia Soc. Behav. Sci."},{"key":"ref_53","first-page":"1000111","article-title":"Methods of Wet Cupping Therapy (Al-Hijamah): In Light of Modern Medicine and Prophetic Medicine","volume":"2","author":"Mahmoud","year":"2013","journal-title":"Altern. Integr. Med."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.ctcp.2011.10.003","article-title":"Complementary Alternative Medicine Use among a Sample of Muslim Jordanian Oncology Patients","volume":"18","author":"Alkhasawneh","year":"2012","journal-title":"Complement. Ther. Clin. Pract."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1089\/acm.2011.0266","article-title":"Use of Complementary and Alternative Medicine by Patients with Cancer in Saudi Arabia","volume":"18","author":"Jazieh","year":"2012","journal-title":"J. Altern. Complement. Med."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1159\/000334488","article-title":"Interactions between Herbs and Conventional Drugs: Overview of the Clinical Data","volume":"21","author":"Izzo","year":"2012","journal-title":"Med. Princ. Pract."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"139","DOI":"10.4103\/2045-080X.123209","article-title":"Evaluation of Knowledge, Attitude, and Perception Regarding Halal Pharmaceuticals, among General Medical Practitioners in Malaysia","volume":"4","author":"Sadeeqa","year":"2013","journal-title":"Arch. Pharm. Pract."},{"key":"ref_58","first-page":"69","article-title":"Exploring the Halal Status of Cardiovascular, Endocrine, and Respiratory Group of Medications","volume":"20","author":"Sarriff","year":"2013","journal-title":"Malays. J. Med. Sci."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1080\/10408398.2016.1264361","article-title":"Gelatin Controversies in Food, Pharmaceuticals, and Personal Care Products: Authentication Methods, Current Status, and Future Challenges","volume":"58","author":"Ali","year":"2018","journal-title":"Crit. Rev. Food Sci. Nutr."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1111\/ijpp.12282","article-title":"Pharmacist\u2013Patient Communication about Medication Regimen Adjustment during Ramadan","volume":"24","author":"Amin","year":"2016","journal-title":"Int. J. Pharm. Pract."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.sapharm.2016.02.006","article-title":"Pharmacists\u2019 Perspectives about Their Role in Care of Patients with Diabetes Observing Ramadan","volume":"13","author":"Almansour","year":"2017","journal-title":"Res. Soc. Adm. Pharm."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.dsx.2018.07.019","article-title":"Knowledge, Attitude and Practice of Sudanese Pharmacist with Regard to Management of Diabetes during Ramadan: A Cross-Sectional Survey","volume":"13","author":"Abdelaziz","year":"2019","journal-title":"Diabetes Metab. Syndr. Clin. Res. Rev."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.dsx.2018.07.012","article-title":"Impact of Ramadan Focused Education Program on Medications Adjustment for Patients with Type 2 Diabetes in a Primary Health Care Institution in Saudi Arabia","volume":"13","author":"Tourkmani","year":"2019","journal-title":"Diabetes Metab. Syndr. Clin. Res. Rev."}],"container-title":["Pharmacy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2226-4787\/10\/3\/55\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:15:18Z","timestamp":1760138118000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2226-4787\/10\/3\/55"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,20]]},"references-count":63,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,6]]}},"alternative-id":["pharmacy10030055"],"URL":"https:\/\/doi.org\/10.3390\/pharmacy10030055","relation":{},"ISSN":["2226-4787"],"issn-type":[{"value":"2226-4787","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,20]]}}}