1 Rutgers University School of Nursing-Camden, Camden, NJ, USA.
2 University of Arizona, Tucson, AZ, USA.
J Transcult Nurs. 2019 Mar;30(2):173-186. doi: 10.1177/1043659618793706. Epub 2018 Aug 18.
The purpose of this systematic review was to synthesize the current knowledge of factors that enable or impede American Indian and Alaska Native (AI/AN) women from accessing breast cancer screening.
A systematic search of MEDLINE and CINAHL databases identified relevant research studies published from 2007 to 2017.
Consistent with other low-income populations, socioeconomic factors were related to lower rates of screening in AI/AN women. However, some factors, such as reliance on the Indian Health Service, cultural issues, and traditionality were unique to this population.
AI/AN women appear to face many of the difficulties that other low-income minority women face in accessing preventive care; however, they may face unique challenges and circumstances in accessing care. Efforts to work with tribes in the development of interventions framed by community-based participatory research are needed to tackle the disparities in the AI/AN community.
本系统综述的目的是综合目前关于美国印第安人和阿拉斯加原住民（AI/AN）女性获得乳腺癌筛查的因素，包括促进和阻碍的因素。
系统检索了 MEDLINE 和 CINAHL 数据库，以确定 2007 年至 2017 年发表的相关研究。
与其他低收入人群一致，社会经济因素与 AI/AN 女性筛查率较低有关。然而，一些因素，如依赖印第安人卫生服务、文化问题和传统性，是这一人群所特有的。
AI/AN 女性似乎面临着许多其他低收入少数民族女性在获得预防保健方面所面临的困难；然而，她们在获得医疗保健方面可能面临着独特的挑战和情况。需要通过社区参与性研究为基础的框架来与部落合作，制定干预措施，以解决 AI/AN 社区的差异。
