Public education strategies for delivering breast and cervical cancer screening in American Indian and Alaska Native populations.
A 1993 amendment to the authorizing legislation for the Center of Disease Control and Prevention's National Breast and Cervical Cancer Early Detection Program allows direct funding to tribal organizations and urban Native health centers. This study examined tribal programs' implementation of the public education and outreach component utilizing a multisite case study design implemented in partnership with tribal programs. Data were collected from 141 semistructured interviews with key informants and 16 focus groups with program-eligible women. Innovative strategies built on native iconography and personal encounters have encouraged participation and made the programs culturally relevant, providing insights for other communities with little experience in providing early detection services.
Orians
Carlyn E
CE
Battelle Centers for Public Health Research and Evaluation, Seattle, Washington 98105-3949, USA.
Erb
Julie
J
Kenyon
Kathryn L
KL
Lantz
Paula M
PM
Liebow
Edward B
EB
Joe
Jennie R
JR
Burhansstipanov
Linda
L
D001943:Breast Neoplasms / Q000175:diagnosis* / Q000208:ethnology*; D003256:Community Participation; D003159:Community-Institutional Relations; D003469:Culture; D005260:Female; D005380:Financing, Government / Q000331:legislation & jurisprudence; D006266:Health Education / Q000191:economics / Q000379:methods*; D006303:Health Services, Indigenous / Q000458:organization & administration* / Q000706:statistics & numerical data; D006801:Humans; D007198:Indians, North American / Q000193:education* / Q000523:psychology; D008403:Mass Screening / Q000458:organization & administration* / Q000706:statistics & numerical data; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D013997:Time Factors; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000208:ethnology*; D014932:Women's Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data