Breast and Cervical Cancer Screening Patterns among American Indian Women at IHS Clinics in Montana and Wyoming

Wilson, Robin Taylor; Giroux, Jennifer; Kasicky, Kathryn Rita; Fatupaito, Bethany; Wood, Eric C.; Crichlow, Renée; Rhodes, Neil A. Sun; Tingueley, Jennifer; Walling, Andrea; Langwell, Kathryn M.; Cobb, Nathaniel

doi:10.1177/003335491112600606

Cited by 10 publications

(13 citation statements)

References 36 publications

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“…Travel time was a significant factor for all cancer screenings in this study, which corroborated previous studies that distance and transportation were significant barriers for American Indian communities [6] , [10] , [14] , [20] . Because most American Indians resided in rural areas especially western South Dakota who experienced longer travel time to PCPs as shown in Figure 1a , travel distance poses a barrier to seek primary care services.…”

Section: Discussionsupporting

confidence: 91%

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Barriers of Female Breast, Colorectal, and Cervical Cancer Screening Among American Indians—Where to Intervene?

2016

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Female breast, colorectal, and cervical cancer are three common cancers among people in the United States. Both their incidence and mortality rates can be dramatically reduced if effective prevention and intervention programs are developed and implemented, because these cancers are preventable through regular screenings. American Indians in the United States especially in the Northern Plains have a disproportionally high burden of these cancers. As a hard-to-reach population group, less attention has been paid to American Indians regarding cancer screening compared with other population groups. This study examined barriers experienced by American Indians residing in South Dakota regarding three cancer sites: female breast, colorectal, and cervical cancer through a community-based survey. A total of 199 participants were recruited and factors significantly associated with cancer screening included knowledge about cancer screening, geographic access to PCPs, encouragement by doctors, as well as socioeconomic barriers. Meanwhile, integrating geographic access, socioeconomic deprivation, and geographic distribution of American Indians, the study identified geographic areas of low access to cancer screening where hard-to-reach populations resided. Results from the study will provide crucial information for the development of targeted intervention programs to increase the acceptability and uptake of cancer screening among American Indians.

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Section: Discussionsupporting

confidence: 91%

“…For cervical cancer, this study identified significant barriers that have been proven significant in previous studies, including marital status, age, self-rated health status, whether or not having a PCP, and socioeconomic factors [11] , [15] , [20] .…”

Section: Discussionmentioning

confidence: 81%

Barriers of Female Breast, Colorectal, and Cervical Cancer Screening Among American Indians—Where to Intervene?

2016

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“…These differences exist for all age groups and for all cancer screening tests; this is particularly true for immigrant and less acculturated Hispanic women [18,21]. AI women have among the lowest breast and cervical cancer screening rates in the US and this particularly pronounced among AI women in the Southwestern US [20,22,23]. Thus, the benefit of early detection of breast and cervical cancer has been much less apparent among Hispanic and AI populations [8,24].…”

Section: Introductionmentioning

confidence: 99%

Comparison of breast and cervical cancer screening utilization among rural and urban Hispanic and American Indian women in the Southwestern United States

Nuño

Gerald

Harris

et al. 2012

Cancer Causes Control

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“…IRB approval from UW-Madison and the national federal Indian Health Service (IHS) was received. From May to October 2010, healthcare providers (i.e., physicians, nurse practitioners, and physician assistants) who work exclusively with Indigenous patients were recruited in IHS service facilities across the United States, including 15 IHS hospitals, 221 health centers, 34 urban clinics, and 176 Alaska village clinics (Wilson et al, 2011). To help maximize anonymity and expand the study's geographic range of provider representation, IHS headquarters sent a recruitment email to district chief medical officers, who asked clinical directors to forward the message to providers.…”

Section: Study Participantsmentioning

confidence: 99%

“…American Indian Alaska Natives, or as herein referred to, Indigenous populations, experience significantly higher chronic pain rates than other U.S. racial groups (Jimenez, Garroutte, Kundu, Morales, & Buchwald, 2011;Wilson et al, 2011). Pain disparities in Indigenous populations may stem from their shared history of oppression and systemic discrimination, which subsequently set a path toward health disparities for present generations (Evans-Campbell, 2008;Sotero, 2006;Yellow Horse Brave Heart, 2003).…”

Section: Introductionmentioning

confidence: 99%

The healing relationship in Indigenous patients' pain care: Influences of racial concordance and patient ethnic salience on healthcare providers' pain assessment

Johnson-Jennings¹,

Tarraf²,

González³

2015

IJIH

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Indigenous persons suffer from among the highest rates of chronic pain in the United States. Using a relationship-centered medical decision-making framework, this study sought to examine the influence of Indigenous racial concordance and patient ethnic salience on providers' assessment of pain. From May to October 2010, pre-identified healthcare providers working exclusively with Indigenous patients in the United States were randomly assigned an online clinical case vignette presenting an Indigenous patient reporting chronic lower back pain. A 2 × 2 analysis of variance, between-subjects design, was conducted with the predictor variables racial concordance and patient ethnic salience on the outcome measure of providers' ratings of patient's pain on a visual analogue scale. We found a significant interactional effect between racial concordance and patient ethnic salience on providers' pain assessment ratings. Indigenous providers tended to rate the patient with higher Indigenous ethnic salience more congruently with the self-reported pain ratings, perhaps due to perceived similarities and lowered unconscious bias. This is the first known study to examine racial concordance of the healthcare provider and ethnic salience of the patient in pain care. This study informs healthcare provider practice and consideration of patients' racial/cultural attributes and possible influence on assessment bias, which may be particularly relevant among Indigenous patients. More research is needed to identify specific interventions to improve cultural awareness and sensitivity for Indigenous persons who suffer from pain.

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Breast and Cervical Cancer Screening Patterns among American Indian Women at IHS Clinics in Montana and Wyoming

Abstract: Our results are consistent with other surveys among AI women, which report that Healthy People 2010 goals for breast (90%) and cervical (70%) cancer screening have not been met. Improvements in breast and cervical cancer screening among AI women attending IHS facilities are needed.

Cited by 10 publications

References 36 publications

Barriers of Female Breast, Colorectal, and Cervical Cancer Screening Among American Indians—Where to Intervene?

Barriers of Female Breast, Colorectal, and Cervical Cancer Screening Among American Indians—Where to Intervene?

Comparison of breast and cervical cancer screening utilization among rural and urban Hispanic and American Indian women in the Southwestern United States

The healing relationship in Indigenous patients' pain care: Influences of racial concordance and patient ethnic salience on healthcare providers' pain assessment

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