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Views, barriers, and suggestions for colorectal cancer screening among american Indian women older than 50 years in the midwest

TitleViews, barriers, and suggestions for colorectal cancer screening among american Indian women older than 50 years in the midwest
Publication TypeJournal Article
Year of Publication2013
AuthorsFilippi, MK, James, AS, Brokenleg, S, Talawyma, M, Perdue, DG, Choi, WS, Greiner, KA, Daley, CM
JournalJ Prim Care Community HealthJ Prim Care Community Health
Volume4
Pagination160-6
Date PublishedJul 1
ISBN Number2150-1327 (Electronic)<br/>2150-1319 (Linking)
Accession Number23799701
KeywordsColonoscopy/economics/ psychology/statistics & numerical data, Colorectal Neoplasms/diagnosis/ethnology/ prevention & control, Community-Based Participatory Research, Early Detection of Cancer/methods/ psychology/statistics & numerical data, Educational Status, Female, Focus Groups, Health Knowledge, Attitudes, Practice/ ethnology, Humans, Indians, North American/ psychology/statistics & numerical data, Insurance, Health, Kansas/epidemiology, Marital Status, Middle Aged, Missouri/epidemiology, Patient Acceptance of Health Care/ ethnology/psychology, Pilot Projects
AbstractOBJECTIVE: Although colorectal cancer (CRC) mortality rates in the US population have shown a decline, American Indian (AI) CRC mortality rates appear to be increasing. CRC screening rates of AIs remain low when compared with other ethnic groups. The research team explored women's perceptions toward CRC screening, existing barriers, and suggestions to promote education and screening among AI women in Kansas and Missouri. METHODS: Using a community-based participatory research approach, the authors conducted 7 focus groups with AI women older than 50 years (N = 52) to better understand their perceptions of and attitudes toward CRC screening. RESULTS: Women recognized barriers to screening, such as embarrassment, privacy issues, fear, insurance, and cost. They countered perceived barriers through inventive suggestions for education and awareness via social support systems and intergenerational relationships. DISCUSSION: CRC screening interventions for AI must be culturally tailored.
Ethno Med: