American Indian Community Leader and Provider Views of Needs and Barriers to Mammography

作者：Daley Christine M; Filippi Melissa^*; James Aimee S; Weir Maria; Braiuca Stacy; Kaur Baljit; Choi Won S; Greiner K Allen

来源：Journal of Community Health, 2012, 37(2): 307-315.

DOI：10.1007/s10900-011-9446-7

• American Indian
• Barriers to care
• Breast cancer
• Community-based participatory research
• Mammography

Breast cancer incidence is rising and mortality is disproportionately high among American Indians and Alaska Natives, yet screening rates remain low. Using community-based participatory research, we conducted interviews with community leaders (n = 13) and providers from the Indian Health Service, tribal clinics, and urban safety-net clinics (n = 17). Participants in both groups identified similar needs, including culturally-appropriate mammography education, use of Native elders as patient navigators, and an emphasis on preventive care. Pertinent barriers included culturally-specific issues (e.g., historic mistrust and gender roles), cost, transportation, and fear of mammography and potential results. The results reflect the struggles of promoting mammography across diverse populations.

• 出版日期2012-4