Colorectal cancer community engagement: a qualitative exploration of American Indian voices from North Dakota
Abstract Background American Indians (AI) in North Dakota present with higher rates of advanced-stage disease for screening detectable colorectal cancers and have lower overall baseline colorectal cancer screening rates than non-AIs. We sought to identify the perceived barriers and facilitators for...
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| Format: | Article |
| Language: | English |
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BMC
2022-02-01
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| Series: | BMC Cancer |
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| Online Access: | https://doi.org/10.1186/s12885-021-09119-2 |
| _version_ | 1818332023117316096 |
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| author | Nicole Redvers Mia Wilkinson Courtney Fischer |
| author_facet | Nicole Redvers Mia Wilkinson Courtney Fischer |
| author_sort | Nicole Redvers |
| collection | DOAJ |
| description | Abstract Background American Indians (AI) in North Dakota present with higher rates of advanced-stage disease for screening detectable colorectal cancers and have lower overall baseline colorectal cancer screening rates than non-AIs. We sought to identify the perceived barriers and facilitators for the engagement with colorectal cancer prevention within North Dakota tribal communities. Methods Twelve semi-structured interviews were carried out across four tribal reservation communities in the state of North Dakota with American Indian adults between the ages of 30 and 75 years. We utilized purposive sampling to ensure maximum variation in age, sex, and tribal community until data saturation was achieved. The interviews were transcribed, and thematic analysis was carried out to identify consistent themes rooted within the data. Ethical approval was gained for this project from all relevant institutional review boards. Results Four main themes were identified as barriers for the engagement with colorectal cancer prevention, including: colorectal cancer screening barriers, focused on other health problems, lack of colorectal cancer tailored health promotion, and socio-cultural factors affecting colorectal cancer prevention. Three main themes were identified as facilitators for the engagement with colorectal cancer prevention, including: reasons for getting colorectal cancer screening, role of culture, and getting out into the community. Conclusion There is need for more community-rooted, strengths-based approaches to colorectal cancer prevention activities in AI communities in North Dakota. Socio-cultural factors, such as the use of storytelling, and the use of traditional knowledge have been demonstrated to be an important element of consideration for colorectal cancer tribal community engagement and prevention planning in the state. |
| first_indexed | 2024-12-13T13:29:09Z |
| format | Article |
| id | doaj.art-f16382128e034cc180e1757f2d875708 |
| institution | Directory Open Access Journal |
| issn | 1471-2407 |
| language | English |
| last_indexed | 2024-12-13T13:29:09Z |
| publishDate | 2022-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cancer |
| spelling | doaj.art-f16382128e034cc180e1757f2d8757082022-12-21T23:44:13ZengBMCBMC Cancer1471-24072022-02-0122111310.1186/s12885-021-09119-2Colorectal cancer community engagement: a qualitative exploration of American Indian voices from North DakotaNicole Redvers0Mia Wilkinson1Courtney Fischer2Department of Family & Community Medicine, University of North Dakota School of Medicine & Health SciencesDepartment of Indigenous Health, University of North Dakota School of Medicine & Health SciencesDepartment of Indigenous Health, University of North Dakota School of Medicine & Health SciencesAbstract Background American Indians (AI) in North Dakota present with higher rates of advanced-stage disease for screening detectable colorectal cancers and have lower overall baseline colorectal cancer screening rates than non-AIs. We sought to identify the perceived barriers and facilitators for the engagement with colorectal cancer prevention within North Dakota tribal communities. Methods Twelve semi-structured interviews were carried out across four tribal reservation communities in the state of North Dakota with American Indian adults between the ages of 30 and 75 years. We utilized purposive sampling to ensure maximum variation in age, sex, and tribal community until data saturation was achieved. The interviews were transcribed, and thematic analysis was carried out to identify consistent themes rooted within the data. Ethical approval was gained for this project from all relevant institutional review boards. Results Four main themes were identified as barriers for the engagement with colorectal cancer prevention, including: colorectal cancer screening barriers, focused on other health problems, lack of colorectal cancer tailored health promotion, and socio-cultural factors affecting colorectal cancer prevention. Three main themes were identified as facilitators for the engagement with colorectal cancer prevention, including: reasons for getting colorectal cancer screening, role of culture, and getting out into the community. Conclusion There is need for more community-rooted, strengths-based approaches to colorectal cancer prevention activities in AI communities in North Dakota. Socio-cultural factors, such as the use of storytelling, and the use of traditional knowledge have been demonstrated to be an important element of consideration for colorectal cancer tribal community engagement and prevention planning in the state.https://doi.org/10.1186/s12885-021-09119-2American IndianColorectal cancerCommunity engagementCancer preventionCancer educationNorth Dakota |
| spellingShingle | Nicole Redvers Mia Wilkinson Courtney Fischer Colorectal cancer community engagement: a qualitative exploration of American Indian voices from North Dakota BMC Cancer American Indian Colorectal cancer Community engagement Cancer prevention Cancer education North Dakota |
| title | Colorectal cancer community engagement: a qualitative exploration of American Indian voices from North Dakota |
| title_full | Colorectal cancer community engagement: a qualitative exploration of American Indian voices from North Dakota |
| title_fullStr | Colorectal cancer community engagement: a qualitative exploration of American Indian voices from North Dakota |
| title_full_unstemmed | Colorectal cancer community engagement: a qualitative exploration of American Indian voices from North Dakota |
| title_short | Colorectal cancer community engagement: a qualitative exploration of American Indian voices from North Dakota |
| title_sort | colorectal cancer community engagement a qualitative exploration of american indian voices from north dakota |
| topic | American Indian Colorectal cancer Community engagement Cancer prevention Cancer education North Dakota |
| url | https://doi.org/10.1186/s12885-021-09119-2 |
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