title: Breast cancer and screening in American Indian and Alaska Native women.
abstract: Data relative to breast cancer among American Indian and Alaska native (AI/AN) women are limited and vary by regions. Despite national decreases in breast cancer incidence and mortality rates, declines in these measures have not yet appeared among AI/AN women. Health disparities in breast cancer persist, manifest by higher stage at diagnosis, and lower screening rates compared to other racial and ethnic groups. Disproportionately more AI/AN are younger at diagnosis. Screening beginning at age 40, improving access, annual rescreening, community education and outreach, and mobile mammography for rural areas are ways to improve these disparities in breast cancer.
authors.affiliation: Department of Radiology, University of Michigan Health Systems, Box 5326, TC 2910, 1500 E. Medical Center Drive, Ann Arbor, MI 48109-5326, USA. roubidou@umich.edu
authors.forename: Marilyn A
authors.initials: MA
authors.lastname: Roubidoux
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000208:ethnology*; D055088:Early Detection of Cancer / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D054624:Health Status Disparities; D006801:Humans; D015994:Incidence; D007198:Indians, North American / Q000523:psychology* / Q000706:statistics & numerical data; D004930:Inuit / Q000523:psychology* / Q000706:statistics & numerical data; D008327:Mammography; D008875:Middle Aged; D017060:Patient Satisfaction; D014481:United States / Q000453:epidemiology; D016387:Women's Health / Q000208:ethnology / Q000706:statistics & numerical data*