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A Value-Based Approach to Increase Breast Cancer Screening and Health-Directed Behaviors among American Indian Women

  • Author(s): Friederichs-Fitzwater, Marlene M.
  • Navarro, Linda
  • Taylor, Sandra L.
  • et al.

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.

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