Journal of Cancer Education

, Volume 27, Supplement 1, pp 32–40

Breast Cancer Screening Beliefs and Behaviors Among American Indian Women in Kansas and Missouri: a Qualitative Inquiry

Authors

    • Department of Family Medicine, Center for American Indian Community HealthUniversity of Kansas Medical Center
  • Anne Kraemer-Diaz
    • Center for American Indian Community HealthUniversity of Kansas Medical Center
  • Aimee S. James
    • Department of SurgeryWashington University
  • Darryl Monteau
    • Center for American Indian Community HealthUniversity of Kansas Medical Center
  • Stephanie Joseph
    • Center for American Indian Community HealthUniversity of Kansas Medical Center
  • Joseph Pacheco
    • Center for American Indian Community HealthUniversity of Kansas Medical Center
  • Julia White Bull
    • Center for American Indian Community HealthUniversity of Kansas Medical Center
  • Angel Cully
    • Center for American Indian Community HealthUniversity of Kansas Medical Center
  • Won S. Choi
    • Department of Preventive Medicine & Public Health, MPH ProgramUniversity of Kansas Medical Center
  • K. Allen Greiner
    • Department of Family MedicineUniversity of Kansas Medical Center
Article

DOI: 10.1007/s13187-012-0334-3

Cite this article as:
Daley, C.M., Kraemer-Diaz, A., James, A.S. et al. J Canc Educ (2012) 27: 32. doi:10.1007/s13187-012-0334-3

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, N = 7 groups, 66 participants) and women who were not (N = 3 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.

Keywords

Breast cancerAmerican IndiansMammography

Copyright information

© Springer Science+Business Media, LLC 2012