title: American Indian Community Leader and Provider Views of Needs and Barriers to Colorectal Cancer Screening.
abstract: Colorectal cancer is a great concern for the American Indian/Alaska Native (AI/AN) community, as incidence and mortality rates remain high and screening rates stay low. We conducted interviews with community leaders (n=13) and with providers from the Indian Health Service (IHS), tribal clinics, and urban safety-net clinics (n=17) in Northeast Kansas and the Kansas City Metro Area to determine their understanding of needs and barriers to colorectal cancer screening among American Indians. Using a community-based participatory research (CBPR) approach for this pilot study, community leaders and providers identified similar needs, including: culturally-appropriate education about colorectal cancer and screenings, the potential use of Native elders as patient navigators, and an emphasis on preventive care, particularly through the IHS. Barriers included culturally specific issues such as historic mistrust and gender roles. Other barriers are similar to members of other ethnic groups, such as cost, transportation, fear, and repulsion toward the screening process.
authors.affiliation: University of Kansas Medical Center.
authors.forename: Christine Makosky
authors.initials: CM
authors.lastname: Daley
authors.forename: Aimee S
authors.initials: AS
authors.lastname: James
authors.forename: Melissa
authors.initials: M
authors.lastname: Filippi
authors.forename: Maria
authors.initials: M
authors.lastname: Weir
authors.forename: Stacy
authors.initials: S
authors.lastname: Braiuca
authors.forename: Baljit
authors.initials: B
authors.lastname: Kaur
authors.forename: Won S
authors.initials: WS
authors.lastname: Choi
authors.forename: K Allen
authors.initials: KA
authors.lastname: Greiner