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- Title
American Indian Community Leader and Provider Views of Needs and Barriers to Mammography.
- Authors
Daley, Christine; Filippi, Melissa; James, Aimee; Weir, Maria; Braiuca, Stacy; Kaur, Baljit; Choi, Won; Greiner, K.
- 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.
- Subjects
BREAST tumor diagnosis; LEADERSHIP; ACTION research; MAMMOGRAMS; HEALTH services accessibility; PSYCHOLOGY of the Indigenous peoples of the Americas; HEALTH insurance; INTERVIEWING; RESEARCH methodology; PATIENT compliance; RESEARCH funding
- Publication
Journal of Community Health, 2012, Vol 37, Issue 2, p307
- ISSN
0094-5145
- Publication type
Article
- DOI
10.1007/s10900-011-9446-7