“…Nevertheless, AI/Alaskan Native (AN) women have the lowest survival rates for breast cancer compared with any other ethnic group (Clegg, Li, Hankey, Chu, & Edwards, 2002;Lee, Li, Arai, & Puntillo, 2009;Ward et al, 2004). The smaller proportion of localized breast cancers among AI/AN female patients compared with NHW or other ethnic minority women could partly explain their relatively low survival rates (Clegg et al, 2002;Espey et al, 2007;Lee et al, 2009;Ward et al, 2004). Among U.S. NHW women, 63% of breast cancers are diagnosed at a localized stage in contrast to 56% among AI/AN women (American Cancer Society 2004;Espey, Paisano, & Cobb, 2005).…”