ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Assessment of mammography experiences and satisfaction among American Indian/Alaska Native women.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 21 citations in OpenAlex.
- Diagnostic test accuracy of AI-assisted mammography for breast imaging: a narrative review.PeerJ. Computer science · 2025Article
- Creation of a Métis-Specific Instrument for Cancer Screening: A Scoping Review of Cancer-Screening Programs and Instruments.Current oncology (Toronto, Ont.) · 2023Article
- Bayesian Hierarchical Factor Analysis for Efficient Estimation across Race/Ethnicity.Revista Colombiana de estadistica · 2021Article
- Quantification of Potential Inequities in Breast Cancer Incidence in New Mexico Through Bayesian Disease Mapping.Preventing chronic disease · 2021Article
- Influence of Discomfort Tolerance of Women who Undergo Mammography on the Perceived Pain Intensity Due to the Procedure.European journal of breast health · 2021Article
- Regular Mammography Screening Among African American (AA) Women: Qualitative Application of the PEN-3 Framework.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2019Article
- Breast cancer literacy and health beliefs related to breast cancer screening among American Indian women.Social work in health care · 2018Article
- Indian Health Service Care System and Cancer Stage in American Indians and Alaska Natives.Journal of health care for the poor and underserved · 2018Article
- The influence of mammographic technologists on radiologists' ability to interpret screening mammograms in community practice.Academic radiology · 2015Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAmerican Indian/Alaska Native (AI/AN) women have lower breast cancer (BCA) screening and 5-year survival rates than non-Hispanic Whites. Understanding reasons for low screening rates is important to combatting later stage diagnoses. The purpose of this study was to assess mammography experiences and satisfaction among AI/AN women.
methodsNine focus groups were held with rural (N = 15) and urban (N = 38) AI/AN women 40 years and older in Kansas and Kansas City, Missouri, living both near and far from Indian Health Service (IHS) and tribal facilities, to examine experiences and satisfaction with mammography. Transcripts were coded and themes identified using a community-based participatory research approach.
findingsThemes were classified under knowledge, communication, and awareness of BCA; barriers to mammography; mammogram facility size; impressions of mammogram technologist; motivations for getting a mammogram; and how to improve the mammogram experience. Participants had knowledge of prevention, but described cultural reasons for not discussing it and described better experiences in smaller facilities. Participants indicated having a mammogram technologist who was friendly, knowledgeable, respectful, competent, and explained the test was a determining factor in satisfaction. Other factors included family history, physician recommendation, and financial incentives. Barriers included transportation, cost, perceptions of prejudice, and time constraints. Participants on reservations or near IHS facilities preferred IHS over mainstream providers. Suggestions for improvement included caring technologists, better machines with less discomfort, and education.
conclusionsInterventions to enhance the professionalism, empathy, and cultural awareness of mammogram technologists; reduce barriers; and provide positive expectations and incentives could improve satisfaction and compliance with screening mammography.
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