Idoate Regina, Rookwood Aislinn C, Spellman Lisa, Robbins Hannah, Stabler Mi'oux, Gilbert Mark, Godfrey Maurice, Solheim Joyce C, Watanabe-Galloway Shinobu
Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, 984365 Nebraska Medical Center, Omaha, NE 68198-4365.
Department of Pediatrics, College of Medicine, University of Nebraska Medical Center, 984365 Nebraska Medical Center, Omaha NE 68198-4365.
Gt Plains Res. 2023 Spring;33(1):33-46. doi: 10.1353/gpr.2023.0003. Epub 2023 May 19.
American Indians' cancer disparities vary by region, signifying the importance of understanding community-specific levels of readiness to address cancer. Twenty-four key respondents from an urban American Indian community in the Great Plains, community leaders ( = 8), educators ( = 8), and students ( = 8), were interviewed following the Community Readiness Model. Using framework analysis, we qualitatively examined data related to efforts and resources in interview transcripts. One overarching emergent theme and three subthemes were identified. We found that communication of efforts and resources is critical to increasing community readiness to address cancer and is most successful when the community (1) prioritizes cancer as an issue in the community, (2) cultivates trusting relationships among stakeholders, and (3) practices cultural responsiveness in efforts. These findings emphasize the need for better communication of cancer efforts and resources and can inform strategic efforts to promote cancer prevention, treatment, and research among American Indians/Alaska Natives in the Great Plains.
美国印第安人的癌症差异因地区而异,这表明了解特定社区应对癌症的准备程度非常重要。根据社区准备度模型,对大平原地区一个城市美国印第安社区的24名关键受访者进行了访谈,这些受访者包括社区领袖(8名)、教育工作者(8名)和学生(8名)。我们采用框架分析法,对访谈记录中与努力和资源相关的数据进行了定性分析。确定了一个总体新出现的主题和三个子主题。我们发现,努力和资源的沟通对于提高社区应对癌症的准备程度至关重要,并且当社区(1)将癌症作为社区中的一个问题进行优先排序,(2)在利益相关者之间建立信任关系,以及(3)在努力中践行文化响应性时最为成功。这些发现强调了更好地沟通癌症防治努力和资源的必要性,并可为在大平原地区的美国印第安人/阿拉斯加原住民中促进癌症预防、治疗和研究的战略努力提供参考。