Abstract
Breast cancer incidence is rising and mortality is disproportionately high among American Indians and Alaska Natives, yet
screening rates remain low. Using community-based participatory research, we conducted interviews with community leaders (n = 13)
and providers from the Indian Health Service, tribal clinics, and urban safety-net clinics (n = 17). Participants in both
groups identified similar needs, including culturally-appropriate mammography education, use of Native elders as patient navigators,
and an emphasis on preventive care. Pertinent barriers included culturally-specific issues (e.g., historic mistrust and gender
roles), cost, transportation, and fear of mammography and potential results. The results reflect the struggles of promoting
mammography across diverse populations.
screening rates remain low. Using community-based participatory research, we conducted interviews with community leaders (n = 13)
and providers from the Indian Health Service, tribal clinics, and urban safety-net clinics (n = 17). Participants in both
groups identified similar needs, including culturally-appropriate mammography education, use of Native elders as patient navigators,
and an emphasis on preventive care. Pertinent barriers included culturally-specific issues (e.g., historic mistrust and gender
roles), cost, transportation, and fear of mammography and potential results. The results reflect the struggles of promoting
mammography across diverse populations.
- Content Type Journal Article
- Pages 1-9
- DOI 10.1007/s10900-011-9446-7
- Authors
- Christine M. Daley, Department of Preventive Medicine & Public Health, University of Kansas Medical Center, Kansas City, KS, USA
- Melissa Filippi, Department of Preventive Medicine & Public Health, University of Kansas Medical Center, Kansas City, KS, USA
- Aimee S. James, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA
- Maria Weir, Department of Family and Community Medicine, Wake Forest University Baptist Medical Center, Winston Salem, NC, USA
- Stacy Braiuca, Center for American Indian Community Health, University of Kansas Medical Center, MS 1030, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA
- Baljit Kaur, Center for American Indian Community Health, University of Kansas Medical Center, MS 1030, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA
- Won S. Choi, Department of Preventive Medicine & Public Health, University of Kansas Medical Center, Kansas City, KS, USA
- K. Allen Greiner, Department of Preventive Medicine & Public Health, University of Kansas Medical Center, Kansas City, KS, USA
- Journal Journal of Community Health
- Online ISSN 1573-3610
- Print ISSN 0094-5145