172647 Increasing breast cancer screening rates among Hopi women

Tuesday, October 28, 2008: 3:00 PM

Sylvia Brown, MPH , Department of Epidemiology and Biostatistics, University of Arizona, College of Public Health, Tucson, AZ
Robin Harris, PhD , Department of Epidemiology and Biostatistics, University of Arizona: College of Public Health & Arizona Cancer Center, Tucson, AZ
Lorencita Martin, MPH , Hopi Women's Health Program, Kykotsmovi, AZ
Tomas Nuņo, MA , Mel and Enid Zuckerman College of Public Health, Epidemiology Graduate Program, University of Arizona, Tucson, AZ
Delores Ami , Hopi Women's Health Program, Kykotsmovi, AZ
Charlotte Goodluck, MSW, PhD , Sociology and Social Work, Northern Arizona University, Flagstaff, AZ
R. Cruz Begay, DrPH , Health Sciences, Northern Arizona University, Flagstaff, AZ
The Hopi Women's Health Program (HWHP) has been participating in the CDC sponsored Breast and Cervical Cancer Program (BCCP) since 1996. The HWHP partnered the University of Arizona and Northern Arizona University, through the Native American Cancer Research Partnership, to evaluate its BCCP program and to conduct a population based survey about breast cancer knowledge, attitudes, beliefs and behaviors among Hopi women age 18 and older. Community meetings and focus groups were held to create a culturally appropriate survey instrument. Participants were randomly selected from Hopi Tribal Enrollment lists. Interviews were conducted in-person by trained Hopi women in Hopi and/or English and yielded an extraordinarily high (87%) response rate. Among women age 40 and older (40+), 80.13% reported ever having a Clinical Breast Exam, the same rate (80.90%) reported in the 1993 Hopi survey conducted by Guiliano et al. 77.5 % of women reported ever having had a mammogram and 68.9% reported having done so within the past 2 years, an increase from the 45.2% and 46% utilization rates reported in 1993. More women in 2006 (88.1%) believed that a mammogram can detect cancer, compared to those surveyed in 1993 (59%). Finally, women showed a preference (60%) for receiving health care locally - at the HWHP. These self-reported mammogram screening rates and location of service are substantiated by the programmatic data submitted to the CDC which indicate that 77% of all Hopi women age 40+ were screened for breast cancer and 58.9% of those screenings were done at the HWHP.

Learning Objectives:
1.Describe the public health benefits accrued to both the tribes and university researchers when engaged in ongoing collaborations. 2.Recognize the challenges when conducting collaborative research in Indian Country 3.Describe the changes in knowledge, attitudes and beliefs and behaviors resulting from the implementation of a tribal centered Breast and Cervical Cancer Screening Program 4.List the ongoing challenges to the effective implementation of a Breast and Cervical Cancer Screening Program on the reservation.

Keywords: Cancer Screening, Epidemiology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked continuously on this project for the past 2 years, have compiled the results and have written the abstract
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.