Purpose

Breast cancer is the leading form of cancer and has the second highest mortality rate of cancers for American Indian/Alaska Native (AI/AN) women. Early screening is critical. This study examines the breast cancer-related knowledge, beliefs, and behaviors of Zuni women in the Southwest United States (U.S.).

Methods

In 2020 and 2021, a survey was administered to better understand cancer screening patterns in Zuni Pueblo; 110 women from 50 to 75 years of age were recruited to respond to the breast cancer screening portion. Inclusion criteria included self-identifying as AI, a member of the Zuni tribe, or married to a Zuni tribal member, and meeting the age and gender requirements. Descriptive statistics and bivariate analyses were conducted examining the associations between measures of breast cancer knowledge, beliefs, and behaviors and breast cancer screening status (never, ever/non-compliant, and ever/compliant).

Results

Of survey participants, 47.3% have had a breast cancer screening and are up-to-date, 39.1% have had a screening in the past but are not up-to-date, and 13.6% have never been screened. Age was the only statistically significant socioeconomic predictor of breast cancer screening; the median (interquartile range) ages of each group are 62 (54, 68) ever/compliant, 56 (54, 68) ever/non-compliant, and 53 (51, 55) never (p-value < 0.001). Significant differences by health status and access to medical care include having a regular health care provider and going to see a provider for routine check-ups. The survey also shows differences in knowledge about breast cancer risk factors, beliefs, and behaviors. Women across all three screening statuses reported that they would get screened if encouraged by a health care provider.

Conclusion

While survey respondents report a relatively high rate of ever having had a breast cancer screening, less than half are compliant with screening guidelines, which shows there is an opportunity to improve breast cancer screening rates. With culturally tailored interventions, providers have the potential to improve breast cancer screening for Zuni women.

中文翻译：

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祖尼普韦布洛妇女的乳腺癌筛查态度、信念和行为：确定建立有效的乳房 X 光检查干预计划的基石

目的

乳腺癌是主要的癌症形式，对于美洲印第安人/阿拉斯加原住民 (AI/AN) 女性来说，乳腺癌死亡率位居第二。早期筛查至关重要。本研究调查了美国西南部 (US) 祖尼女性的乳腺癌相关知识、信仰和行为。

方法

2020 年和 2021 年进行了一项调查，以更好地了解祖尼普韦布洛的癌症筛查模式；招募了 110 名 50 至 75 岁的女性来参与乳腺癌筛查部分。纳入标准包括自我认同为人工智能、祖尼部落成员或与祖尼部落成员结婚，并满足年龄和性别要求。进行描述性统计和双变量分析，检查乳腺癌知识、信念和行为的测量与乳腺癌筛查状态（从未、曾经/不合规和曾经/合规）之间的关联。

结果

在调查参与者中，47.3% 的人曾接受过乳腺癌筛查并及时更新，39.1% 的人过去曾接受过筛查但未及时更新，13.6% 的人从未接受过筛查。年龄是乳腺癌筛查唯一具有统计学意义的社会经济预测因素；每组的中位年龄（四分位距）为 62 (54, 68) 曾经/不合规，56 (54, 68) 曾经/不合规，以及 53 (51, 55) 从未（p 值 < 0.001 ）。健康状况和获得医疗保健的机会之间的显着差异包括拥有定期的医疗保健提供者和去看提供者进行例行检查。该调查还显示了人们对乳腺癌危险因素、信念和行为的认识存在差异。所有三种筛查状态的女性都报告说，如果医疗保健提供者的鼓励，她们会接受筛查。

结论

虽然调查受访者表示曾经接受过乳腺癌筛查的比例相对较高，但只有不到一半的人遵守筛查指南，这表明有机会提高乳腺癌筛查率。通过根据文化量身定制的干预措施，提供者有可能改善祖尼女性的乳腺癌筛查。