Project 1

美国印第安人(AI)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，但人工智能女性的乳腺癌筛查率是最低的。只有37%的合格人工智能女性在过去一年内报告了乳房X光检查，52%的人报告了最近两年内的乳房X光检查，相比之下，白人女性的这一比例分别为57%和72%。人工智能女性在乳房X光检查方面的体验和满意度可能与其他种族/民族的女性不同，原因是文化差异和获得印度卫生服务赞助的乳房X光检查单位的机会有限。这项研究的总体目标是 识别和了解人工智能社区中与乳房X光检查服务满意或不满意相关的体验体验和体验元素，并制定一项针对文化定制的人工乳房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AI女性与非西班牙裔白人、西班牙裔和黑人女性的乳房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AI乳房X光检查调查的心理测量学特性；3)评估AI女性对其乳房X光检查经验和乳房X光检查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，特别是在人工智能女性中。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人工智能乳房X光检查满意度的关键一步 评估。

Mortality from breast cancer has increased among American Indian (AI) women. Despite this alarming reality, AI women have some of the lowest breast cancer screening rates. Only 37% of eligible AI 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 AI 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 AI community and to develop a culturally-tailored AI 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 AI women with that of Non-Hispanic White, Hispanic, and Black women, 2) To develop and validate the psychometric properties of an AI Mammography Survey, and 3) To assess variation among AI 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 AI 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 AI mammography satisfaction assessment.