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Breast cancer screening practices and correlates among American Indian and Alaska native women in California, 2003.
Womens Health Issues. 2010 Mar-Apr;20(2):139-45
Publication Type
Jan M Eberth
John Charles Huber
Antonio Rene
Author Affiliation
Division of Epidemiology and Disease Control, University of Texas Health Science Center at Houston, School of Public Health, Houston, TX 77098, USA.
Womens Health Issues. 2010 Mar-Apr;20(2):139-45
Publication Type
Attitude to Health - ethnology
Breast Neoplasms - diagnosis - ethnology
California - epidemiology
Health Knowledge, Attitudes, Practice
Health Promotion - methods
Indians, North American - statistics & numerical data
Inuits - statistics & numerical data
Mass Screening - statistics & numerical data
Middle Aged
Patient Acceptance of Health Care - ethnology
Socioeconomic Factors
Women's Health - ethnology
BACKGROUND: Breast cancer incidence and mortality have been increasing among American Indian and Alaska Native (AI/AN) women, and their survival rate is the lowest of all racial/ethnic groups. Nevertheless, knowledge of AI/AN women's breast cancer screening practices and their correlates is limited. METHODS: Using the 2003 California Health Interview Survey, we 1) compared the breast cancer screening practices of AI/AN women to other groups and 2) explored the association of several factors known or thought to influence AI/AN women's breast cancer screening practices. FINDINGS: Compared with other races, AI/AN women had the lowest rate of mammogram screening (ever and within the past 2 years). For clinical breast examination receipt, Asian women had the lowest rate, followed by AI/AN women. Factors associated with AI/AN women's breast cancer screening practices included older age, having a high school diploma or some college education, receipt of a Pap test within the past 3 years, and having visited a doctor within the past year. CONCLUSION: Significant differences in breast cancer screening practices were noted between races, with AI/AN women often having significantly lower rates. Integrating these epidemiologic findings into effective policy and practice requires additional applied research initiatives.
PubMed ID
20211430 View in PubMed
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