Sheche Judith, Leekity Samantha, Lalio Kassie, Jim Cheyenne, Cartwright Kate, Mishra Shiraz I
University of New Mexico Comprehensive Cancer Center, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Albuquerque Area Indian Health Board, Albuquerque, NM, USA.
J Cancer Educ. 2025 Aug;40(4):567-574. doi: 10.1007/s13187-024-02544-4. Epub 2024 Dec 17.
American Indians (AIs) experience continued disparities in incidence, mortality, and survival on cancers responsive to early screening in the USA. In New Mexico, AIs compared with other racial/ethnic populations are substantially less likely to adhere to recommended screening guidelines. Our study focuses on increasing cancer awareness using culturally, linguistically, and health literacy appropriate informational materials. We conducted 10 focus groups between June and December 2021 using non-probability purposive sampling methods in the Zuni Pueblo in rural New Mexico. We established a nine-member Tribal Advisory Panel (TAP) that included representation from tribal organizations, healthcare providers, and Zuni Pueblo leadership. We recruited TAP and other tribal members for the focus groups. The focus group questions inquired about cultural and traditional tailoring of the informational materials, specifically in terms of conveying traditional health beliefs, graphic layout, and native artwork. Focus group participants recommended designing Zuni-specific informational materials incorporating vignettes by Zuni Tribal leaders, using Zuni terms, photographs, artwork, and resources. Perspectives elicited during the focus groups informed the adaptation and development of the informational materials designed to raise awareness about cancers of the breast, colon-rectum, and cervix. These materials convey information about the cancers, their risk factors, screening options, and informational resources. The new informational materials form integral components of multi-level, multi-component interventions designed to enhance cancer screening uptake through heightened awareness about the benefits of guideline-concordant cancer screening. Designing informational materials with Zuni-specific cultural, linguistic, and tribal representation should enhance participation of Zuni Tribal members in cancer control educational interventions.
在美国，美国印第安人（AI）在癌症发病率、死亡率和生存率方面持续存在差异，而这些癌症是可以通过早期筛查得到应对的。在新墨西哥州，与其他种族/族裔人群相比，美国印第安人遵循推荐筛查指南的可能性要低得多。我们的研究重点是使用符合文化、语言和健康素养的信息材料来提高癌症意识。2021年6月至12月期间，我们在新墨西哥州农村的祖尼普韦布洛使用非概率目的抽样方法进行了10次焦点小组讨论。我们成立了一个由九名成员组成的部落咨询小组（TAP），其成员包括部落组织、医疗保健提供者和祖尼普韦布洛领导层的代表。我们招募了TAP成员和其他部落成员参加焦点小组讨论。焦点小组的问题询问了信息材料在文化和传统方面的定制情况，特别是在传达传统健康观念、图形布局和本土艺术作品方面。焦点小组参与者建议设计包含祖尼部落领导人短文、使用祖尼术语、照片、艺术作品和资源的特定于祖尼的信息材料。焦点小组讨论中引发的观点为旨在提高对乳腺癌、结肠直肠癌和宫颈癌认识的信息材料的改编和开发提供了参考。这些材料传达了有关这些癌症、其风险因素、筛查选项和信息资源的信息。新的信息材料是多层次、多组件干预措施的组成部分，这些干预措施旨在通过提高对符合指南的癌症筛查益处的认识来增加癌症筛查的参与度。设计具有祖尼特定文化、语言和部落代表性的信息材料应能提高祖尼部落成员参与癌症控制教育干预的程度。
