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Mammography Screening and Older AI/AN Women

Mammography Screening and Older AI/AN Women. A NCI-NPCC pilot project Rosalina James, PhD. Background. A pilot grant with NPCC for $60,797 Exploratory, needs assessment Qualitative methods

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Mammography Screening and Older AI/AN Women

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  1. Mammography Screening and Older AI/AN Women A NCI-NPCC pilot project Rosalina James, PhD

  2. Background • A pilot grant with NPCC for $60,797 • Exploratory, needs assessment • Qualitative methods • Identify factors that may prevent or facilitate the use of mammography screening among older American Indian and Alaska Native women.

  3. Background • high breast cancer mortality • increased risk with age • improved efficacy of mammography >49yr • low rates of screening among AI/AN women

  4. CDC-BCCEDP • Provides access to breast and cervical cancer screening and diagnostic services to low-income, uninsured, and underinsured women. • Services include: • clinical breast exams • mammograms • surgical consultation • referrals to treatment • diagnostic testing for abnormal outcomes

  5. CDC-BCCEDP

  6. Age distribution of women that received mammograms through the BCCEDPs 1999-2004 CDC BCCEDP 1999-2004 screening data published on website *Percentages are of total women that received mammograms through the listed tribal or state program nd = no data

  7. telephone interviews (1 hr) 2 staff at 13 BCCEDP sites (n=26) Phase I Tribal participation status Cheyenne River Sioux Eagle Butte, SD (confirmed) focus groups (1.5 hr) 2 fg at 2 BCCEDP sites (n=28) (1) tribal screeners + other screeners (2) non-screeners Phase II SPIPA Shelton, WA (pending) AI/AN Mammography Study Phase Overview and Participation Status

  8. PHASE I Telephone interviews with staff from 13 tribal Breast and Cervical Cancer Early Detection Programs • identify systematic and programmatic factors that influence access to and use of mammography screening • explore solutions developed by program sites to provide outreach to older AI/AN women

  9. PHASE II Focus groups with women 50 years and older that are eligible for screening through BCCED programs • identify barriers and motivators for receiving annual screening • knowledge and attitudes regarding cancer prevention, early detection, and treatment • assess whether older women receive mammography services outside of tribal clinic services

  10. Potential outcomes • clinical and programmatic implications • contribute knowledge to inform intervention or outreach efforts • define policy issues that affect tribal program abilities to serve older women in their communities

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