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Urban American Indian Community Health Beliefs Associated with Addressing Cancer in the Northern Plains Region.
Idoate, Regina; Gilbert, Mark; King, Keyonna M; Spellman, Lisa; McWilliams, Bobbie; Strong, Brittany; Bronner, Liliana; Siahpush, Mohammad; Ramos, Athena K; Clarke, Martina; Michaud, Tzeyu; Godfrey, Maurice; Solheim, Joyce.
Afiliación
  • Idoate R; Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, 984365 Nebraska Medical Center, Omaha, NE, 68198-4365, USA. regina.robbins@unmc.edu.
  • Gilbert M; Faculty of Medicine, Medical Humanities (HEALS) program, Medical Division of Medical Education, Dalhousie University, B3H4R2, Halifax, NS, Canada.
  • King KM; Department of Health Promotion, College of Public Health, Center for Reducing Health Disparities, University of Nebraska Medical Center, 5050 Ames Avenue, Omaha, NE, 68104, USA.
  • Spellman L; UNMC Public Relations, University of Nebraska Medical Center, 985230 Nebraska Medical Center, Omaha, NE, 68198-5230, USA.
  • McWilliams B; University of Nebraska Medical Center, Youth Enjoy Science Program, 984365 Nebraska Medical Center, Omaha, NE, 68198-4365, USA.
  • Strong B; Omaha Public Schools, Native Indigenous Centered Education Program, 3215 Cuming Street, Omaha, NE, 68131, USA.
  • Bronner L; Department of Family Medicine, Primary Care Center for Education, Research, & Healthcare Design, University of Nebraska Medical Center, 983075 Nebraska Medical Center, Omaha, NE, 68198-3075, USA.
  • Siahpush M; College of Public Health, Department of Health Services Research and Administration, University of Nebraska Medical Center, 984365 Nebraska Medical Center, Omaha, NE, 68198-4365, USA.
  • Ramos AK; Department of Health Promotion, Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, 984340 Nebraska Medical Center, Omaha, NE, 68198-4340, USA.
  • Clarke M; Department of Internal Medicine, University of Nebraska Medical Center, 982265 Nebraska Medical Center, Omaha, NE, 68198-2265, USA.
  • Michaud T; Department of Health Promotion, Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, 984340 Nebraska Medical Center, Omaha, NE, 68198-4340, USA.
  • Godfrey M; Munroe-Meyer Institute, University of Nebraska Medical Center, 985450 Nebraska Medical Center, Omaha, NE, 68198-5450, USA.
  • Solheim J; Department of Biochemistry & Molecular Biology/Pathology & Microbiology, Eppley Institute, Cancer Research Doctoral Program, University of Nebraska Medical Center, 985950 Nebraska Medical Center, Omaha, NE, 68198-5950, USA.
J Cancer Educ ; 36(5): 996-1004, 2021 10.
Article en En | MEDLINE | ID: mdl-32162283
American Indians residing in the Northern Plains region of the Indian Health Service experience some of the most severe cancer-related health disparities. We investigated ways in which the community climate among an American Indian population in an urban community in the Northern Plains region influences community readiness to address cancer. A Community Readiness Assessment, following the Community Readiness Model, conducted semi-structured interviews with eight educators, eight students, and eight community leaders from the American Indian community in Omaha's urban American Indian population and established the Northern Plains region community at a low level of readiness to address cancer. This study reports on a subsequent qualitative study that analyzed all 24 interview transcriptions for emergent themes to help understand the prevailing attitude of the community toward cancer. A synthesis of six emergent themes revealed that the community's perceptions of high levels of severity and barriers, paired with perceptions of low levels of susceptibility and benefits, lead to low levels of self-efficacy, all of which are reflected in minimal cues to action and little effort to address cancer. These findings, interpreted through the lens of the Health Belief Model, can inform the development of more community-based, comprehensive, and culturally appropriate approaches to address the multilevel determinants of health behaviors in relation to cancer among American Indians in the Northern Plains region.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Indígenas Norteamericanos / Neoplasias Tipo de estudio: Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Humans Idioma: En Revista: J Cancer Educ Asunto de la revista: EDUCACAO / NEOPLASIAS Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Indígenas Norteamericanos / Neoplasias Tipo de estudio: Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Humans Idioma: En Revista: J Cancer Educ Asunto de la revista: EDUCACAO / NEOPLASIAS Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido