American Indian community leader and provider views of needs and barriers to mammography

Christine M. Daley, Melissa Filippi, Aimee S. James, Maria Weir, Stacy Braiuca, Baljit Kaur, Won S. Choi, K. Allen Greiner

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


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.

Original languageEnglish
Pages (from-to)307-315
Number of pages9
JournalJournal of Community Health
Issue number2
StatePublished - Apr 2012


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


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