title: A value-based approach to increase breast cancer screening and health-directed behaviors among American Indian women.
abstract: American Indian/Alaska Native (AI/AN) women have the lowest cancer-screening rate of any ethnic or racial group; AI/AN women in all regions are less likely than non-Hispanic white women to be diagnosed with localized breast cancer; and those AI/AN women presenting with breast cancer have the lowest 5-year survival rate compared to other ethnic groups. This study found that cultural beliefs are more of a factor in mammography screening behavior than other barriers such as access; and that a more holistic educational intervention designed by AI/AN women prompted individual intent and actions to seek mammograms among AI/AN women >40 and to change unhealthy eating and sedentary lifestyles.
authors.affiliation: Davis School of Medicine, University of California, UC Davis Cancer Center, 4501 X Street, Ste. 3016, Sacramento, CA 95817, USA. marlene.vonfriederichs-fitzwater@ucdmc.ucdavis.edu
authors.forename: Marlene M
authors.initials: MM
authors.lastname: von Friederichs-Fitzwater
authors.forename: Linda
authors.initials: L
authors.lastname: Navarro
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Taylor
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000208:ethnology* / Q000517:prevention & control* / Q000523:psychology; D055088:Early Detection of Cancer / Q000523:psychology*; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006801:Humans; D007198:Indians, North American / Q000523:psychology* / Q000706:statistics & numerical data*; D008403:Mass Screening; D008875:Middle Aged; D011159:Population Surveillance
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