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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Perceptions of Cancer Causes, Prevention, and Treatment Among Navajo Cancer Survivors
Journal of cancer education, v 35(3), pp 493-500
01 Jun 2020
PMID: 30756323
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Native Americans experience cancer-related health disparities. Yet, little is known about the current cancer experience in one of the largest Native American tribe, Navajo. A qualitative study of among Navajo cancer survivors, in which focus groups and individual interviews included questions related to perceptions of cancer causes, prevention, and treatment, allowed us to evaluate several aspects of the cancer experience from the Navajo perspective. An experienced, bilingual facilitator led the discussions using a standardized guide. Discussions were audio-recorded, documented by field notes, translated, as needed, and transcribed. NVivo software was used to summarize major themes according to the PEN-3 and health belief models. Navajo cancer survivors (N = 32) were both males (n = 13) and females (n = 19) that had been previously diagnosed with a variety of cancers: colorectal, breast, ovarian, cervical, esophageal, gall bladder, stomach, prostate, kidney, and hematologic. Many survivors had accurate knowledge of risk factors for cancer. Barriers to screening and clinical care included language, expense, geography, fear, lack of information, skepticism related to Western medicine, and treatment side effects. While some survivors experienced familial support, others were isolated from the family and community due to the perspective of cancer as a contagion. However, resilience, hope, trust in select community organizations, a desire to restore balance, and to support younger generations were positive attributes expressed regarding the treatment and recovery process. These evaluations need to be replicated across a larger cross-section of the Native cancer survivor community.
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Details
- Title
- Perceptions of Cancer Causes, Prevention, and Treatment Among Navajo Cancer Survivors
- Creators
- Jennifer W Bea - University of ArizonaHendrik 'Dirk' de Heer - Northern Arizona UniversityBrian Kinslow - Flagstaff Medical CenterLuis Valdez - University of Massachusetts AmherstEtta Yazzie - University of ArizonaPearl Curley - Tuba City Regional Health CareShelby Dalgai - University of ArizonaAnna L Schwartz - Arizona Oncology
- Publication Details
- Journal of cancer education, v 35(3), pp 493-500
- Publisher
- Springer Nature
- Grant note
- 52006942 / Howard Hughes Medical Institute R25 GM102788 / NIGMS NIH HHS U54 CA143924 / NCI NIH HHS P30 CA023074 / NCI NIH HHS U54 CA143925 / NCI NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000534960600010
- Scopus ID
- 2-s2.0-85061501162
- Other Identifier
- 991021895712004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Education, Scientific Disciplines
- Oncology
- Public, Environmental & Occupational Health