Project 1

美国印第安人(Al)女性的乳腺癌死亡率有所上升。尽管存在这一令人担忧的现实，但Al妇女的乳腺癌筛查率是最低的。只有37%的符合条件的Al妇女在过去一年内报告了乳房X光检查，52%的人报告在过去两年内进行了乳房X光检查，相比之下，白人妇女的这一比例分别为57%和72%。Al妇女在乳房X光检查方面的体验和满意度可能不同于其他种族/族裔群体的妇女，原因是文化差异和获得印度卫生服务机构赞助的乳房X光检查单位的机会有限。这项研究的总体目标是 确定和了解乳房X光检查经验和与Al社区乳房X光检查服务满意或不满意有关的经验要素，并制定一项根据文化定制的Al乳房X光检查满意度调查。将用于指导这项工作的三个项目目标是：1)比较Al妇女与非西班牙裔白人、西班牙裔和黑人妇女的乳房X光检查体验和对乳房X光检查服务的满意度，2)开发和验证Al乳房X光检查调查的心理测量学特性，3)评估Al女性对其乳房X光检查经验和服务满意度的评估之间的差异。对乳房X光检查患者满意度的种族/民族差异的评估几乎没有得到研究，特别是在Al妇女中。因此，定性研究特别适合于对他们的经历进行初步审查，因为它将允许丰富和深入地确定和探索满意因素。这项形成性研究是开发经过验证和文化定制的Al乳房X光检查满意度的关键一步 评估。

Mortality from breast cancer has increased among American Indian (Al) women. Despite this alarming reality, Al women have some of the lowest breast cancer screening rates. Only 37% of eligible Al women report a mammogram within the last year and 52% report a mammogram within the last two years compared to 57% and 72% for White women. The experiences and satisfaction surrounding mammography for Al women likely are different from that of women of other racial/ethnic groups, due to cultural differences and limited access to Indian Health Service sponsored mammography units. The overall goals of this study are to identify and understand the mammography experiences and experiential elements that relate to satisfaction or dissatisfaction with mammography services in an Al community and to develop a culturally-tailored Al mammography satisfaction survey. The three project aims that will be used to guide this work are: 1) To compare the mammography experiences and satisfaction with mammography services of Al women with that of Non-Hispanic White, Hispanic, and Black women, 2) To develop and validate the psychometric properties of an Al Mammography Survey, and 3) To assess variation among Al women's assessments of their mammography experiences and mammography service satisfaction. Evaluations of racial/ethnic differences in mammography patient satisfaction have received little study, particularly among Al women. As such, qualitative study is uniquely suited for an initial examination of their experiences because it will allow for a rich and in-depth identification and exploration of satisfaction elements. This formative research is an essential step in the development of a validated and culturally tailored Al mammography satisfaction assessment.