von Friederichs-Fitzwater Marlene M, Navarro Linda, Taylor Sandra L
Davis School of Medicine, University of California, UC Davis Cancer Center, 4501 X Street, Ste. 3016, Sacramento, CA 95817, USA.
J Cancer Educ. 2010 Dec;25(4):582-7. doi: 10.1007/s13187-010-0111-0. Epub 2010 Apr 20.
American Indian/Alaska Native (AI/AN) women have the lowest cancer-screening rate of any ethnic or racial group; AI/AN women in all regions are less likely than non-Hispanic white women to be diagnosed with localized breast cancer; and those AI/AN women presenting with breast cancer have the lowest 5-year survival rate compared to other ethnic groups. This study found that cultural beliefs are more of a factor in mammography screening behavior than other barriers such as access; and that a more holistic educational intervention designed by AI/AN women prompted individual intent and actions to seek mammograms among AI/AN women >40 and to change unhealthy eating and sedentary lifestyles.
美国印第安人/阿拉斯加原住民(AI/AN)女性的癌症筛查率在所有族裔或种族群体中是最低的;所有地区的AI/AN女性被诊断为局部乳腺癌的可能性低于非西班牙裔白人女性;与其他族裔群体相比,那些患有乳腺癌的AI/AN女性的5年生存率最低。本研究发现,文化信仰在乳房X光检查筛查行为中比其他障碍(如可及性)更是一个因素;并且由AI/AN女性设计的更全面的教育干预促使40岁以上的AI/AN女性有个人意愿和行动去进行乳房X光检查,并改变不健康的饮食和久坐不动的生活方式。