Breast cancer screening beliefs and behaviors among American Indian women in Kansas and Missouri: a qualitative inquiry.
Breast cancer screening beliefs and behaviors among American Indian women in Kansas and Missouri: a qualitative inquiry.
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DOI：
10.1007/s13187-012-0334-3
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发表时间：
2012-04-01
期刊：
影响因子：
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通讯作者：
Greiner, K Allen
中科院分区：
文献类型：
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作者：
Daley, Christine Makosky;Kraemer-Diaz, Anne;Greiner, K Allen
美洲印第安妇女乳腺癌的发病率和死亡率都在上升。使用基于社区的参与性研究方法，我们与堪萨斯和密苏里州的美国印第安妇女进行了10个焦点小组，以了解她们对乳房X光检查的障碍，并确定干预措施以提高筛查率。焦点组按筛查状态分层，包括最新接受当前筛查乳房X线检查建议的女性（过去2年内接受乳房X线检查，N = 7组，66名参与者）和未接受的女性（N = 3组，18名参与者）。虽然在各阶层中发现了许多相似之处，但也出现了一些差异，特别是对那些没有得到最新筛查建议的妇女先前在医疗保健系统中的负面经历的描述。与会者确定的主要干预领域包括文化上适当的教育材料和干预措施，特别是为了提高美洲印第安妇女对西医的信任和减轻歧视的感觉。
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.