Breast cancer screening beliefs and behaviors among american indian women in kansas and missouri: A qualitative inquiry

Christine Makosky Daley, Anne Kraemer-Diaz, Aimee S. James, Darryl Monteau, Stephanie Joseph, Joseph Pacheco, Julia White Bull, Angel Cully, Won S. Choi, K. Allen Greiner

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

American Indian women have rising incidence and disproportionate mortality rates due to breast cancer. Using a community-based participatory research approach, we conducted ten focus groups with American Indian women in Kansas and Missouri to understand their barriers to mammography and identify ways to intervene to improve screening rates. Focus groups were stratified by screening status, including women who were up to date with current screening mammography recommendations (mammogram within the last 2 years, N07 groups, 66 participants) and women who were not (N03 groups, 18 participants). While many similarities were identified across strata, some differences emerged, particularly descriptions of prior negative experiences with the health care system among women who were not up to date with screening recommendations. Primary areas identified by participants for intervention included culturally appropriate educational materials and interventions directed specifically at improving American Indian women's trust in Western medicine and alleviating feelings of discrimination.

Original languageEnglish
Pages (from-to)S32-S40
JournalJournal of Cancer Education
Volume27
Issue numberSUPPL. 1
DOIs
StatePublished - Apr 1 2012

Keywords

  • American indians
  • Breast cancer
  • Mammography

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    Daley, C. M., Kraemer-Diaz, A., James, A. S., Monteau, D., Joseph, S., Pacheco, J., Bull, J. W., Cully, A., Choi, W. S., & Greiner, K. A. (2012). Breast cancer screening beliefs and behaviors among american indian women in kansas and missouri: A qualitative inquiry. Journal of Cancer Education, 27(SUPPL. 1), S32-S40. https://doi.org/10.1007/s13187-012-0334-3