INTRODUCTION: American Indian and Alaska Native (AIAN) women have relatively high breast cancer mortality rates despite the availability of free or low-cost screening. PURPOSE: This qualitative study explored issues that influence the participation of older AIAN women in mammography screening through tribally directed National Breast and Cervical Cancer Early Detection Programs (NBCCEDPs). METHODS: We interviewed staff (n = 12) representing five tribal NBCCEDPs and conducted four focus groups with AIAN women ages 50 to 80 years (n = 33). RESULTS: Our analysis identified four main areas of factors that predispose, enable, or reinforce decisions around mammography: financial issues and personal investments, program characteristics including direct services and education, access issues such as transportation, and comfort zone topics that include cultural or community-wide norms regarding cancer prevention. CONCLUSION: This study has implications for nurse education and training on delivering effective mammography services and preventive cancer outreach and education programs in AIAN communities.
INTRODUCTION: American Indian and Alaska Native (AIAN) women have relatively high breast cancer mortality rates despite the availability of free or low-cost screening. PURPOSE: This qualitative study explored issues that influence the participation of older AIAN women in mammography screening through tribally directed National Breast and Cervical Cancer Early Detection Programs (NBCCEDPs). METHODS: We interviewed staff (n = 12) representing five tribal NBCCEDPs and conducted four focus groups with AIAN women ages 50 to 80 years (n = 33). RESULTS: Our analysis identified four main areas of factors that predispose, enable, or reinforce decisions around mammography: financial issues and personal investments, program characteristics including direct services and education, access issues such as transportation, and comfort zone topics that include cultural or community-wide norms regarding cancer prevention. CONCLUSION: This study has implications for nurse education and training on delivering effective mammography services and preventive cancer outreach and education programs in AIAN communities.
Authors: Nina S Wampler; Laura Saba; Saleh M M Rahman; Mark Dignan; Jenifer H Voeks; Jadwiga Strzelczyk Journal: Ethn Dis Date: 2006 Impact factor: 1.847
Authors: Thomas D Sequist; Theresa Cullen; Kenneth Bernard; Shimon Shaykevich; E John Orav; John Z Ayanian Journal: J Gen Intern Med Date: 2010-12-04 Impact factor: 5.128
Authors: Carlyn E Orians; Julie Erb; Kathryn L Kenyon; Paula M Lantz; Edward B Liebow; Jennie R Joe; Linda Burhansstipanov Journal: J Public Health Manag Pract Date: 2004 Jan-Feb
Authors: Kathleen J Yost; Mark C Bauer; Lydia P Buki; Martha Austin-Garrison; Linda V Garcia; Christine A Hughes; Christi A Patten Journal: J Transcult Nurs Date: 2016-02-15 Impact factor: 1.959