Breast cancer screening beliefs and behaviors among American Indian women in Kansas and Missouri: a qualitative inquiry
Autor: | Anne Kraemer-Diaz, Joseph Pacheco, Angel Cully, Aimee S. James, Won S. Choi, Stephanie Joseph, Darryl Monteau, Christine M. Daley, K. Allen Greiner, Julia White Bull |
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Rok vydání: | 2012 |
Předmět: |
Gerontology
Community-Based Participatory Research Health Knowledge Attitudes Practice Psychological intervention Participatory action research Breast Neoplasms Breast cancer screening Breast cancer Intervention (counseling) Health care medicine Mammography Humans Minority Health Early Detection of Cancer Qualitative Research Aged Missouri medicine.diagnostic_test business.industry Public Health Environmental and Occupational Health Focus Groups Kansas Middle Aged medicine.disease Focus group United States Oncology Tape Recording Indians North American Women's Health Female business |
Zdroj: | Journal of cancer education : the official journal of the American Association for Cancer Education. 27 |
ISSN: | 1543-0154 |
Popis: | American Indian women have rising incidence and disproportionate mortality rates due to breast cancer. Using a community-based participatory research approach, we conducted ten focus groups with American Indian women in Kansas and Missouri to understand their barriers to mammography and identify ways to intervene to improve screening rates. Focus groups were stratified by screening status, including women who were up to date with current screening mammography recommendations (mammogram within the last 2 years, N = 7 groups, 66 participants) and women who were not (N = 3 groups, 18 participants). While many similarities were identified across strata, some differences emerged, particularly descriptions of prior negative experiences with the health care system among women who were not up to date with screening recommendations. Primary areas identified by participants for intervention included culturally appropriate educational materials and interventions directed specifically at improving American Indian women’s trust in Western medicine and alleviating feelings of discrimination. |
Databáze: | OpenAIRE |
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