Views, Barriers, and Suggestions for Colorectal Cancer Screening Among American Indian Women Older Than 50 Years in the Midwest

Objective . 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 towar...

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Main Authors: Melissa K. Filippi, Aimee S. James, Sarah Brokenleg, Myrietta Talawyma, David G. Perdue, Won S. Choi, K. Allen Greiner, Christine M. Daley
Format: Article
Language:English
Published: SAGE Publishing 2013-07-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/2150131912457574
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author Melissa K. Filippi
Aimee S. James
Sarah Brokenleg
Myrietta Talawyma
David G. Perdue
Won S. Choi
K. Allen Greiner
Christine M. Daley
author_facet Melissa K. Filippi
Aimee S. James
Sarah Brokenleg
Myrietta Talawyma
David G. Perdue
Won S. Choi
K. Allen Greiner
Christine M. Daley
author_sort Melissa K. Filippi
collection DOAJ
description Objective . 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.
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spelling doaj.art-5f34d5276d2d4fbe86456863ca2e2b5c2022-12-22T01:23:51ZengSAGE PublishingJournal of Primary Care & Community Health2150-13192150-13272013-07-01410.1177/2150131912457574Views, Barriers, and Suggestions for Colorectal Cancer Screening Among American Indian Women Older Than 50 Years in the MidwestMelissa K. Filippi0Aimee S. James1Sarah Brokenleg2Myrietta Talawyma3David G. Perdue4Won S. Choi5K. Allen Greiner6Christine M. Daley7University of Kansas Medical Center, Kansas City, KS, USAWashington University School of Medicine, St. Louis, MO, USAUniversity of South Dakota, Sioux Falls, SD, USAUniversity of Kansas Medical Center, Kansas City, KS, USAUniversity of Minnesota, Minneapolis, MN, USAUniversity of Kansas Medical Center, Kansas City, KS, USAUniversity of Kansas Medical Center, Kansas City, KS, USAUniversity of Kansas, Lawrence, KS, USAObjective . 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.https://doi.org/10.1177/2150131912457574
spellingShingle Melissa K. Filippi
Aimee S. James
Sarah Brokenleg
Myrietta Talawyma
David G. Perdue
Won S. Choi
K. Allen Greiner
Christine M. Daley
Views, Barriers, and Suggestions for Colorectal Cancer Screening Among American Indian Women Older Than 50 Years in the Midwest
Journal of Primary Care & Community Health
title Views, Barriers, and Suggestions for Colorectal Cancer Screening Among American Indian Women Older Than 50 Years in the Midwest
title_full Views, Barriers, and Suggestions for Colorectal Cancer Screening Among American Indian Women Older Than 50 Years in the Midwest
title_fullStr Views, Barriers, and Suggestions for Colorectal Cancer Screening Among American Indian Women Older Than 50 Years in the Midwest
title_full_unstemmed Views, Barriers, and Suggestions for Colorectal Cancer Screening Among American Indian Women Older Than 50 Years in the Midwest
title_short Views, Barriers, and Suggestions for Colorectal Cancer Screening Among American Indian Women Older Than 50 Years in the Midwest
title_sort views barriers and suggestions for colorectal cancer screening among american indian women older than 50 years in the midwest
url https://doi.org/10.1177/2150131912457574
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