Jennifer Giroux
Kathryn R. Kasicky
Bethany H. Fatupaito
Eric C. Wood
Renee Crichlow
Neil A. Sun Rhodes
Jennifer Tingueley
Andrea Walling
Kathryn Langwell
N. Cobb
Robin T. Wilson
2011
<h3>Objectives.</h3><div>We investigated factors associated with primary and secondary breast and cervical cancer screening among American Indian (AI) women receiving care from the Indian Health Service (IHS) in Montana and Wyoming.</div><h3>Methods.</h3><div>Rates of primary screening (i.e., screening without evidence of a prior abnormal) and secondary screening during a three-year period (2004–2006) were determined in an age- and clinic-stratified random sample of 1,094 women at six IHS units through medical record review.</div><h3>Results.</h3><div>Three-year mammography prevalence rates among AI women aged ≥45 years were 37.7% (95% confidence interval [CI] 34.1, 41.3) for primary and 58.7% (95% CI 43.9, 73.5) for secondary screening. Among women aged ≥18 years, three-year Pap test prevalence rates were 37.8% (95% CI 34.9, 40.6) for primary and 53.2% (95% CI 46.0, 60.4) for secondary screening. Primary mammography screening was positively associated with number of visits and receiving care at an IHS hospital (both<span> </span><i>p</i><0.001). Primary Pap test screening was inversely associated with age and positively associated with the number of patient visits (both<span> </span><i>p</i><0.001). Secondary mammography screening was inversely associated with driving distance to an IHS facility (<i>p</i>=0.035).</div><h3>Conclusion.</h3><div>Our results are consistent with other surveys among AI women, which report that Healthy People 2010 goals for breast (90%) and cervical (70%) cancer screening have not been met. Improvements in breast and cervical cancer screening among AI women attending IHS facilities are needed.</div>
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10.1177/003335491112600606
en
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Breast and cervical cancer screening patterns among American Indian women at IHS clinics in Montana and Wyoming
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