Daley Christine Makosky, Kraemer-Diaz Anne, James Aimee S, Monteau Darryl, Joseph Stephanie, Pacheco Joseph, Bull Julia White, Cully Angel, Choi Won S, Greiner K Allen
Department of Family Medicine, Center for American Indian Community Health, University of Kansas Medical Center, MS 1030, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.
J Cancer Educ. 2012 Apr;27(1 Suppl):S32-40. doi: 10.1007/s13187-012-0334-3.
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.
美国印第安女性因乳腺癌导致的发病率不断上升且死亡率不成比例。我们采用基于社区的参与性研究方法，在堪萨斯州和密苏里州与美国印第安女性进行了十次焦点小组讨论，以了解她们进行乳房X光检查的障碍，并确定干预方法以提高筛查率。焦点小组按筛查状态分层，包括符合当前乳房X光检查筛查建议的女性（过去两年内进行过乳房X光检查，7个小组，66名参与者）和不符合建议的女性（3个小组，18名参与者）。虽然各层之间发现了许多相似之处，但也出现了一些差异，特别是在不符合筛查建议的女性中，她们描述了此前在医疗保健系统中的负面经历。参与者确定的主要干预领域包括符合文化习惯的教育材料以及专门旨在提高美国印第安女性对西医的信任并减轻歧视感的干预措施。
