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Intention to receive cancer screening in Native Americans from the Northern Plains

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Abstract

Background

Native Americans are disproportionately affected by cancer morbidity and mortality. This study examined intention to receive cancer screening in a large sample of Native Americans from the Northern Plains, a region with high cancer mortality rates.

Methods

A survey was administered orally to 975 individuals in 2004–2006 from three reservations and among the urban Native American community in the service region of the Rapid City Regional Hospital. Data analysis was conducted in 2009.

Results

About 63% of the sample planned to receive cancer screening. In multivariate analyses, individuals who planned to receive cancer screening were women, responsible for four or more people, received physical examinations at least yearly and had received prior cancer screening. They also were more likely to hold the belief that most people would go through cancer treatment even though these treatments can be emotionally or physically uncomfortable. About 90% of those who did not plan to receive cancer screening would be more likely to intend to receive cancer screening if additional resources were available.

Conclusions

In an area of high cancer morbidity and mortality, over one-third of screening eligible individuals did not plan to receive cancer screening. Future research should evaluate the potential for improving cancer screening rates through interventions that seek to facilitate increased knowledge about cancer screening and access to cancer screening services in the community.

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Acknowledgments

We acknowledge that this project was supported by the Community-Academic Partnerships core of the University of Wisconsin Institute for Clinical and Translational Research (UW ICTR) funded through an NIH Clinical and Translational Science Award (CTSA), grant number 1 UL1 RR025011, as well as funds from the National Cancer Institute, under contract no. N01-CO-12400 (National Institutes of Health grant RFA 1U56CA9901001). In addition, Nancy Pandhi is supported by a National Institute on Aging Mentored Clinical Scientist Research Career Development Award, grant number lK08AG029527. This research was also supported in part by NIH/NCI grant number 5U56CA99010 (to Daniel G. Petereit).

Disclaimer

The opinions expressed in this paper are those of the authors and do not necessarily reflect the views of the Indian Health Service, National Cancer Institute or the National Institutes of Health.

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Authors and Affiliations

  1. Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, 800 University Bay Drive, Box 9445, Madison, WI, 53705, USA

    Nancy Pandhi

  2. Department of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, 707 WARF Building, 610 North Walnut Street, Madison, WI, 53726, USA

    Nancy Pandhi, Chitra Karki & Maureen A. Smith

  3. Department of Radiation Oncology, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA

    B. Ashleigh Guadagnolo

  4. John T. Vucurevich Cancer Care Institute, Rapid City, SD, USA

    Shalini Kanekar & Daniel G. Petereit

  5. Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI, 53792, USA

    Daniel G. Petereit

  6. Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, 1100 Delaplaine Court, Madison, WI, 53715, USA

    Maureen A. Smith

  7. Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI, 53792, USA

    Maureen A. Smith

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  1. Nancy Pandhi
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  2. B. Ashleigh Guadagnolo
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  3. Shalini Kanekar
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  4. Daniel G. Petereit
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Correspondence to Nancy Pandhi.

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Pandhi, N., Guadagnolo, B.A., Kanekar, S. et al. Intention to receive cancer screening in Native Americans from the Northern Plains. Cancer Causes Control 22, 199–206 (2011). https://doi.org/10.1007/s10552-010-9687-2

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  • DOI: https://doi.org/10.1007/s10552-010-9687-2

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