%0 Journal Article
%T A Systematic Review of Barriers and Facilitators to Mammography in American Indian/Alaska Native Women
%A Bonnie Jerome-DĄŻEmilia
%A Francine C. Gachupin
%A Patricia D. Suplee
%J Journal of Transcultural Nursing
%@ 1552-7832
%D 2019
%R 10.1177/1043659618793706
%X Introduction: The purpose of this systematic review was to synthesize the current knowledge of factors that enable or impede American Indian and Alaska Native (AI/AN) women from accessing breast cancer screening. Methodology: A systematic search of MEDLINE and CINAHL databases identified relevant research studies published from 2007 to 2017. Results: Consistent with other low-income populations, socioeconomic factors were related to lower rates of screening in AI/AN women. However, some factors, such as reliance on the Indian Health Service, cultural issues, and traditionality were unique to this population. Discussion: AI/AN women appear to face many of the difficulties that other low-income minority women face in accessing preventive care; however, they may face unique challenges and circumstances in accessing care. Efforts to work with tribes in the development of interventions framed by community-based participatory research are needed to tackle the disparities in the AI/AN community
%K health disparities
%K womenĄŻs health
%K native women
%K breast cancer
%K cancer prevention
%U https://journals.sagepub.com/doi/full/10.1177/1043659618793706