School of Public Administration, University of New Mexico, Albuquerque, NM, USA.
Comprehensive Cancer Center, University of New Mexico, Albuquerque, NM, USA.
Cancer Causes Control. 2024 Apr;35(4):583-595. doi: 10.1007/s10552-023-01814-8. Epub 2023 Nov 9.
Breast cancer is the leading form of cancer and has the second highest mortality rate of cancers for American Indian/Alaska Native (AI/AN) women. Early screening is critical. This study examines the breast cancer-related knowledge, beliefs, and behaviors of Zuni women in the Southwest United States (U.S.).
In 2020 and 2021, a survey was administered to better understand cancer screening patterns in Zuni Pueblo; 110 women from 50 to 75 years of age were recruited to respond to the breast cancer screening portion. Inclusion criteria included self-identifying as AI, a member of the Zuni tribe, or married to a Zuni tribal member, and meeting the age and gender requirements. Descriptive statistics and bivariate analyses were conducted examining the associations between measures of breast cancer knowledge, beliefs, and behaviors and breast cancer screening status (never, ever/non-compliant, and ever/compliant).
Of survey participants, 47.3% have had a breast cancer screening and are up-to-date, 39.1% have had a screening in the past but are not up-to-date, and 13.6% have never been screened. Age was the only statistically significant socioeconomic predictor of breast cancer screening; the median (interquartile range) ages of each group are 62 (54, 68) ever/compliant, 56 (54, 68) ever/non-compliant, and 53 (51, 55) never (p-value < 0.001). Significant differences by health status and access to medical care include having a regular health care provider and going to see a provider for routine check-ups. The survey also shows differences in knowledge about breast cancer risk factors, beliefs, and behaviors. Women across all three screening statuses reported that they would get screened if encouraged by a health care provider.
While survey respondents report a relatively high rate of ever having had a breast cancer screening, less than half are compliant with screening guidelines, which shows there is an opportunity to improve breast cancer screening rates. With culturally tailored interventions, providers have the potential to improve breast cancer screening for Zuni women.
乳腺癌是癌症的主要形式，也是美国印第安人/阿拉斯加原住民（AI/AN）女性癌症死亡率第二高的癌症。早期筛查至关重要。本研究考察了美国西南部祖尼妇女的乳腺癌相关知识、信念和行为。
在 2020 年和 2021 年，进行了一项调查，以更好地了解祖尼普韦布洛的癌症筛查模式；招募了 110 名年龄在 50 至 75 岁之间的妇女来回答乳腺癌筛查部分。纳入标准包括自我认同为 AI、祖尼部落成员或与祖尼部落成员结婚，以及符合年龄和性别要求。进行了描述性统计和双变量分析，以检查乳腺癌知识、信念和行为与乳腺癌筛查状况（从未、曾经/不合规和曾经/合规）之间的关联。
在调查参与者中，47.3%的人进行了乳腺癌筛查且最新，39.1%的人过去曾进行过筛查但不合规，13.6%的人从未进行过筛查。年龄是唯一具有统计学意义的社会经济预测因素；每组的中位数（四分位距）年龄分别为：曾经/合规组 62（54，68）岁，曾经/不合规组 56（54，68）岁，从未筛查组 53（51，55）岁（p 值<0.001）。健康状况和获得医疗保健的差异显著，包括有常规医疗保健提供者和因常规检查去看医生。该调查还显示了乳腺癌危险因素、信念和行为方面的知识差异。所有三种筛查状况的女性均表示，如果得到医疗保健提供者的鼓励，她们将接受筛查。
尽管调查参与者报告了相对较高的曾接受过乳腺癌筛查的比例，但只有不到一半的人符合筛查指南，这表明提高乳腺癌筛查率仍有机会。通过有针对性的文化干预，提供者有可能提高祖尼妇女的乳腺癌筛查率。
