Adapting a Cancer Screening Education Program for Native American Women with Disabilities.
Adapting a Cancer Screening Education Program for Native American Women with Disabilities.
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DOI：
10.3390/ijerph19159280
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发表时间：
2022-07-29
影响因子：
--
通讯作者：
Baldwin, Julie A.
中科院分区：
文献类型：
--
作者：
Armin, Julie S.;Williamson, Heather J.;Begay, Andria;Etcitty, Jennifer;Attakai, Agnes;Russell, Kim;Baldwin, Julie A.
关键词：
与其他少数群体一样，残疾人缺乏获得保健的机会。智力和发育残疾人是在童年时被诊断出的终身残疾，需要不同程度的支持才能完成日常活动，他们接受癌症筛查等预防性保健服务的可能性较小。此外，美洲土著妇女接受癌症筛查的可能性低于白色妇女。在这项定性研究中，美国土著妇女与IDD，他们的照顾者，医疗保健和服务提供者，和社区领袖，我们问，“什么是乳腺癌和宫颈癌筛查的影响，美国土著妇女与IDD？”其目标是调整现有的癌症筛查教育计划。半结构化的深入访谈（N = 48）进行录音和逐字转录分析。两个编码器采用常数比较法对先验码书进行编码，并利用子主题和新码对先验码书进行修正。结果突出了个人，人际关系和社区/机构对筛查的影响，强调了社会不平等对这一人群的个人影响，在推荐癌症筛查中的能力偏见的重要性，以及将传统的认知方式与对抗疗法医学相结合的机会。这项工作的结果被用来调整癌症筛查教育计划，为美洲土著妇女与碘缺乏病。
Like other minoritized groups, people with disabilities experience lack of access to health care. People with intellectual and developmental disabilities (IDD), which are lifelong disabilities diagnosed in childhood requiring varying levels of support for completing daily activities, are less likely to receive preventive health care such as cancer screening. Furthermore, Native American women are less likely than White women to receive cancer screenings. In this qualitative research with Native American women with IDD, their caregivers, healthcare and service providers, and community leaders, we asked, “What are the influences on breast and cervical cancer screening for Native American women with IDD?” with the goal of adapting an existing cancer screening education program. Semi-structured in-depth interviews (N = 48) were audio recorded and transcribed verbatim for analysis. Two coders used a constant comparative method to code and revise the a priori codebook with subthemes and new codes. Results highlighted individual, interpersonal, and community/institutional influences on screening, emphasizing the individual effects of social inequity on this population, the importance of ableist bias in recommending cancer screenings, and opportunities to integrate traditional ways of knowing with allopathic medicine. Results of this work were used to adapt a cancer screening education program for Native American women with IDD.
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影响因子：
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作者：
Cordova-Marks, Felina;Fennimore, Nikki;Erdrich, Jennifer
通讯作者：
Erdrich, Jennifer
影响因子：
33.9
作者：
Okoro, Catherine A.;Hollis, NaTasha D.;Griffin-Blake, Shannon
通讯作者：
Griffin-Blake, Shannon
DOI：
10.1377/hlthaff.2020.01452
发表时间：
2021-03
期刊：
Health affairs (Project Hope)
影响因子：
--
作者：
Iezzoni LI;Rao SR;Ressalam J;Bolcic-Jankovic D;Agaronnik ND;Donelan K;Lagu T;Campbell EG
通讯作者：
Campbell EG
DOI：
10.3390/ijerph16030463
发表时间：
2019-02-01
影响因子：
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作者：
Geukes, Cornelia;Broeder, Janine;Latteck, Aenne-Doerte
通讯作者：
Latteck, Aenne-Doerte
影响因子：
16.4
作者：
Andrews, Erin E.;Ayers, Kara B.;Pilarski, Carrie R.
通讯作者：
Pilarski, Carrie R.