A Systematic Review of Barriers and Facilitators to Mammography in American Indian/Alaska Native Women

Bonnie Jerome-D’Emilia, Francine C. Gachupin, Patricia D. Suplee

Research output: Contribution to journalReview article

2 Scopus citations

Abstract

Introduction: The purpose of this systematic review was to synthesize the current knowledge of factors that enable or impede American Indian and Alaska Native (AI/AN) women from accessing breast cancer screening. Methodology: A systematic search of MEDLINE and CINAHL databases identified relevant research studies published from 2007 to 2017. Results: Consistent with other low-income populations, socioeconomic factors were related to lower rates of screening in AI/AN women. However, some factors, such as reliance on the Indian Health Service, cultural issues, and traditionality were unique to this population. Discussion: AI/AN women appear to face many of the difficulties that other low-income minority women face in accessing preventive care; however, they may face unique challenges and circumstances in accessing care. Efforts to work with tribes in the development of interventions framed by community-based participatory research are needed to tackle the disparities in the AI/AN community.

Original languageEnglish (US)
Pages (from-to)173-186
Number of pages14
JournalJournal of Transcultural Nursing
Volume30
Issue number2
DOIs
StatePublished - Mar 1 2019

Keywords

  • breast cancer
  • cancer prevention
  • health disparities
  • native women
  • women’s health

ASJC Scopus subject areas

  • Nursing(all)

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