Project 1

乳腺癌的死亡率在美洲印第安人（Al）妇女中有所增加。尽管这一令人担忧的现实，Al妇女有一些最低的乳腺癌筛查率。只有37%符合条件的白人妇女在过去一年内报告了乳房X光检查，52%在过去两年内报告了乳房X光检查，而白色妇女的这一比例分别为57%和72%。由于文化差异和印度卫生服务局赞助的乳房X光检查单位有限，Al妇女的乳房X光检查经验和满意度可能与其他种族/族裔群体的妇女不同。本研究的总体目标是 识别和了解与人工智能社区中乳房X光检查服务满意度或不满意度相关的乳房X光检查经验和经验要素，并制定针对文化的人工智能乳房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）比较人工流产妇女与非西班牙裔白色、西班牙裔和黑人妇女的乳房X线摄影经验和对乳房X线摄影服务的满意度，2）开发和验证人工流产妇女乳房X线摄影调查的心理测量特性，以及3）评估人工流产妇女对其乳房X线摄影经验和乳房X线摄影服务满意度的评估之间的差异。乳房X线摄影患者满意度的种族/民族差异的评价很少得到研究，特别是在Al妇女。因此，定性研究是唯一适合于初步审查他们的经验，因为它将允许一个丰富和深入的识别和探索的满意度因素。这项形成性研究是开发经过验证和文化定制的铝乳房X线摄影满意度的重要一步 考核

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.