title: Developing a culturally responsive breast cancer screening promotion with Native Hawaiian women in churches.
abstract: This article presents findings from research to develop the promotional component of a breast cancer screening program for Native Hawaiian women associated with historically Hawaiian churches in medically underserved communities.The literature on adherence to health recommendations and health promotions marketing guided inquiry on screening influences. Focus groups and individual interviews patterned on the culturally familiar practice of talk story were conducted with 60 Hawaiian women recruited through religious and social organizations.Text data were analyzed with an incremental process involving content analysis and Airhihenbuwa's PEN-3 model. Key informants and senior colleagues reviewed preliminary findings to ensure accuracy of interpretation. Findings reflect collectivist values at the intersection of indigenous Hawaiian culture and religiosity. Inclusion of messages that encourage holistic health across the intergenerational continuum of extended family and fictive kin, reinforcement from spiritual leaders, and testimonials of cancer survivors and family members may facilitate Hawaiian women's screening intent.
authors.affiliation: University of Hawai'i School of Social Work, Honolulu, HI 96822, USA. lskaopua@hawaii.edu
authors.forename: Lana Sue
authors.initials: LS
authors.lastname: Ka'opua
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D003469:Culture; D004522:Educational Status; D005260:Female; D006254:Hawaii; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D008507:Medically Underserved Area; D008962:Models, Theoretical; D044468:Native Hawaiian or Pacific Islander; D044382:Population Groups; D012067:Religion; D040241:Social Marketing; D012947:Social Work; D029181:Spirituality
references.citation: J Cancer Educ. 2005 Spring;20(1):39-44
references.pmid: 15876181
references.citation: Am J Health Behav. 2004 May-Jun;28(3):195-207
references.pmid: 15152880
references.citation: Pac Health Dialog. 2001 Sep;8(2):436-45
references.pmid: 12180528
references.citation: Cancer Pract. 1998 May-Jun;6(3):191-4
references.pmid: 9652252
references.citation: Soc Work. 2004 Jan;49(1):55-63
references.pmid: 14964518
references.citation: Am J Health Promot. 2005 Nov-Dec;20(2):96-107
references.pmid: 16295701
references.citation: Am J Prev Med. 1997 Nov-Dec;13(6):439-43
references.pmid: 9415789
references.citation: Int J Epidemiol. 1997 Dec;26(6):1151-8
references.pmid: 9447393
references.citation: Pac Health Dialog. 2004 Sep;11(2):170-5
references.pmid: 16281696
references.citation: Prev Med. 2001 Sep;33(3):190-203
references.pmid: 11522160
references.citation: Pac Health Dialog. 2001 Sep;8(2):280-9
references.pmid: 12180507
references.citation: Health Soc Work. 2006 Feb;31(1):36-43
references.pmid: 16550846
references.citation: J Natl Med Assoc. 2000 Mar;92(3):136-42
references.pmid: 10745644
references.citation: Cancer Pract. 1998 Jan-Feb;6(1):31-7
references.pmid: 9460324
references.citation: Cancer Epidemiol Biomarkers Prev. 2003 Apr;12(4):314-20
references.pmid: 12692105
references.citation: Health Educ Behav. 2005 Aug;32(4):441-51
references.pmid: 16009743
references.citation: Prev Med. 2000 Nov;31(5):529-37
references.pmid: 11071833