title: The evolution of a breast health program for Plains Indian women.
abstract: OBJECTIVE
  To discuss the development and implementation of a culturally sensitive breast cancer outreach program focusing on early detection, screening, and education for Plains Indian women living in Montana and northern Wyoming.
  
  
  METHODS
  Professional journals, government reports, culturally sensitive materials, and field experience.
  
  
  RESULTS
  Perceptions about cancer, the prevalence of poverty and alcoholism, the traditional role of the Native American woman, and rural living influence breast health and breast cancer education for Plains Indian women. An outreach program was developed specifically for this population and included individualized education, distribution of culturally sensitive materials, culturally sensitive professional education, and train-the-trainer seminars.
  
  
  CONCLUSIONS
  After years of working with Native American women, the percentages of mammograms and clinical breast examinations increased by more than 100%.
  
  
  CONCLUSIONS
  Nurses can bridge the cultural gap and work effectively with Native American women by building trust and being sensitive to cultural customs and related healthcare behaviors. Furthermore, this program provides a model that nurses can use to develop culturally sensitive breast health programs.
authors.affiliation: Saint Vincent Hospital and Health Center, Billings, MT, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Brant
authors.forename: D
authors.initials: D
authors.lastname: Fallsdown
authors.forename: M L
authors.initials: ML
authors.lastname: Iverson
mesh_terms: D001943:Breast Neoplasms / Q000208:ethnology / Q000451:nursing* / Q000517:prevention & control*; D003466:Cultural Characteristics; D003695:Delivery of Health Care; D005260:Female; D006285:Health Planning; D006801:Humans; D007198:Indians, North American; D008327:Mammography; D008403:Mass Screening; D009009:Montana; D010353:Patient Education as Topic; D011203:Poverty; D012424:Rural Population; D019966:Substance-Related Disorders / Q000150:complications / Q000523:psychology; D016387:Women's Health; D014959:Wyoming