Chilton Janice A, Downing Cheryl, Lofton Melissa, Hernandez Mike, Allen Beth W, Hajek Richard A, Gor Beverly
J Health Care Poor Underserved. 2013 Aug;24(3):1167-79. doi: 10.1353/hpu.2013.0116.
The Circle of Sisters is a breast cancer education initiative that incorporates free mammography for American Indian women. In two separate but similar initiative-sponsored one-day events, 37 American Indian women underwent screening mammography and experienced a full day of culturally tailored educational activities. Women observed a cooking demonstration, participated in moderate exercise activity, strung beads to learn about the dimensions of breast tumors, and listened to an American Indian breast cancer survivor recount her story of diagnosis and treatment. Significant shifts in opinion included an increase in the understanding that a woman's chances of being diagnosed with breast cancer increase with age (p=.015) and with never bearing children (p <.001) and that breast cancer can be detected early (p=.043). The percentage of those expressing an intention to get a mammogram every year grew from 81.1% to 94.6%.
“姐妹圈”是一项针对美国印第安女性的乳腺癌教育倡议活动，其中包括为她们提供免费的乳房X光检查。在两个独立但类似的由该倡议活动主办的为期一天的活动中，37名美国印第安女性接受了乳房X光筛查，并参与了一整天符合其文化特点的教育活动。这些女性观看了烹饪示范，参加了适度的体育活动，通过串珠子了解乳腺肿瘤的大小，还聆听了一位美国印第安乳腺癌幸存者讲述她的诊断和治疗经历。观念上的显著转变包括：更多人认识到女性患乳腺癌的几率会随着年龄增长（p = 0.015）和从未生育（p < 0.001）而增加，以及乳腺癌可以早期发现（p = 0.043）。表示打算每年进行乳房X光检查的人数比例从81.1%增至94.6%。
