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 language | American English |
|---|---|
| Pages (from-to) | 173-186 |
| Number of pages | 14 |
| Journal | Journal of Transcultural Nursing |
| Volume | 30 |
| Issue number | 2 |
| DOIs | |
| State | Published - Mar 1 2019 |
ASJC Scopus subject areas
- General Nursing
Keywords
- breast cancer
- cancer prevention
- health disparities
- native women
- women’s health