“Nobody Is Talking About It”: Diné (Navajo) Communities Speak About Stomach Cancer and Helicobacter pylori Infections

Chief, Carmenlita; Sanderson, Priscilla R.; Willeto, Angela A. A.; Yazzie, Alfred; McKinley, Alexis; Monroy, Fernando P.; Harris, Robin B.; Oren, Eyal

doi:10.1007/s13187-020-01831-0

Cited by 4 publications

(13 citation statements)

References 18 publications

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“…Studies15 25 have mentioned that it is necessary to strengthen the general population’s knowledge of HP infection. In a qualitative study on the relationship between GC and HP infection, participants voiced a strong desire for more, holistic, health education 37. Such education can be provided by hanging posters in popular places, through social media, and through medical workers 15 37…”

Section: Discussionmentioning

confidence: 99%

What is the general Chinese public’s awareness of and attitudes towardsHelicobacter pyloriscreening and associated health behaviours? A cross-sectional study

Wang

Zou

et al. 2022

BMJ Open

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ObjectiveTo evaluate the general population’s awareness of and attitudes toward Helicobacter pylori (HP) screening and health behaviours.DesignCross-sectional study.SettingHengyang, Hunan Province, China.ParticipantsUsing stratified cluster random sampling, a pretested structured questionnaire was used to interview members of the general population aged ≥18 years.Primary and secondary outcome measuresKnowledge of and attitudes toward HP screening and associated health behaviours, sociodemographic factors associated with HP knowledge, and screening behaviours.ResultsThis study featured 1042 participants. The average knowledge score was 11 (QL=4, QU=20, range 0–29). Approximately 68.9% of the participants said they had heard of HP, but 67.5% had never had an HP test. The most common reasons for not undergoing screening were ‘no symptoms’ (55.7%) and ‘lack of knowledge regarding the benefits of the test’ (21.1%). Independent factors related to knowledge included age, education level, occupation, HP infection, frequency of drinking unboiled water (p<0.05). Factors independently associated with screening behaviour included occupation, average monthly income, presence/absence of indigestion, stomach discomfort or pain, and/or stomach disease and knowledge score (p<0.05). Overall, 941 (90.3%) participants never used anti-HP toothpaste, and 442 (40.5%) never used serving spoons or chopsticks. The risk factors for HP infection included eating out and eating in groups (p<0.05).ConclusionIn China, the general population has poor knowledge of HP, but most people have a positive attitude towards HP screening. Being asymptomatic and lacking knowledge about testing were the main reasons for reluctance to be screened. These results highlight the urgent need for educational activities to raise awareness, enhance screening rates for HP, and encourage people to adopt a healthy lifestyle.

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Section: Discussionmentioning

confidence: 99%

What is the general Chinese public’s awareness of and attitudes towardsHelicobacter pyloriscreening and associated health behaviours? A cross-sectional study

Wang

Zou

et al. 2022

BMJ Open

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“…In the United States, many Tribal Nations including the Navajo Nation reside near uranium mines, with an estimated 40% of the western watershed contaminated with uranium [21]. Navajo (Diné) people living on or near uranium mines or working for coal companies and the railroad industry are significantly exposed to environmental contaminants [28]. The past infringement of mining for natural resources on Indigenous people's lands may have produced unexpected negative consequences.…”

Section: Uranium Exposurementioning

confidence: 99%

“…The lack of access to in-home plumbing leads to increased risk of infectious disease, and less water consumption overall, propagating intake of sugar sweetened beverages and other unhealthy food choices [36]. Due to lack of refrigeration and running water, Navajo households with a lower socioeconomic status are hard-pressed to adopt the kind of lifestyle behaviors that reduce the risk of gastric cancer [28].…”

Section: The Built Environment and Watermentioning

confidence: 99%

“…Frustration with the western medical system has been an ongoing issue. This is exacerbated by inadequate information on prevention and management for gastric cancer, and inconclusive diagnosis requiring additional travel (due to geography) and wait times [28].…”

Section: Indigenous Gastric Cancer Patients: Challenges Of Access To ...mentioning

confidence: 99%

“…While the significance of H. pylori in gastric cancer has been established, a lack of understanding of what H. pylori is and how it relates to gastric cancer continues to exist in American Indian/Alaskan Native populations [28]. A focus group of 31 Diné members expressed that they had never heard of gastric cancer or H. pylori, and they developed great concern upon explanation of the disease [28]. There is no known way to completely prevent gastric cancer, but there are methods and programs for risk reduction.…”

Section: Examples Of Successful Indigenous Gastric Cancer Programmingmentioning

confidence: 99%

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Native and Indigenous Populations and Gastric Cancer: A Worldwide Review

Cordova

Carson

Monetathchi

et al. 2022

IJERPH

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Gastric cancer is a worldwide concern, particularly for Indigenous populations who face greater disparities in healthcare. With decreased access to screening and critical treatment delays, this group is experiencing adverse health effects. To determine what factors drive these disparities, a systematic review was performed in PubMed. This revealed a lack of research on gastric cancer specific to this population. The literature primarily focused on subset analyses and biological aspects with sparse focus on determinants of health. The results informed this presentation on factors related to Indigenous gastric cancer, which are influenced by colonialism. Indigenous populations encounter high rates of food shortage, exposure to harmful environmental agents, structural racism in the built environment, H. pylori, and compromised healthcare quality as an effect of colonialism, which all contribute to the gastric cancer burden. Putting gastric cancer into a cultural context is a potential means to respond to colonial perspectives and their negative impact on Indigenous patients. The objective of this manuscript is to examine the current state of gastric cancer literature from a global perspective, describe what is currently known based on this literature review, supplemented with additional resources due to lack of published works in PubMed, and to present a model of gastric cancer through the lens of a modified medicine wheel as a potential tool to counter colonial healthcare perspectives and to honor Indigenous culture.

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Infectious diseases in Indigenous populations in North America: learning from the past to create a more equitable future

Lee

King

Vigil

et al. 2023

The Lancet Infectious Diseases

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“Nobody Is Talking About It”: Diné (Navajo) Communities Speak About Stomach Cancer and Helicobacter pylori Infections

Cited by 4 publications

References 18 publications

What is the general Chinese public’s awareness of and attitudes towardsHelicobacter pyloriscreening and associated health behaviours? A cross-sectional study

What is the general Chinese public’s awareness of and attitudes towardsHelicobacter pyloriscreening and associated health behaviours? A cross-sectional study

Native and Indigenous Populations and Gastric Cancer: A Worldwide Review

Infectious diseases in Indigenous populations in North America: learning from the past to create a more equitable future

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