Posted July 30th, 2009 by merryjwhitney
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Part of a Special Series on Health Communications in Native American Populations
Findings in a study by University of California-Davis and community researchers indicate that high death rates from breast cancer among women in the Native American and Alaskan Native populations are due to cultural beliefs rather than lack of access to health care services. Breast cancer is second on a list of cancer-related deaths among these women, who have the lowest 5-year survival rate relative to other ethnic groups.
The translation in some native languages for cancer is “the sore that never heals,” indicating a belief that the disease cannot be cured. And, among some tribal groups, a stigma was attached to cancer that discouraged tribal members from participating in screening or treatment programs until the disease had progressed to an advanced state.
Marlene von Freiderichs-Fitzwater, assistant adjunct professor of hematology and oncology and director of the UC Davis Outreach, Research and Education Program stated, “The results highlight the significance of cultural beliefs and attitudes when designing effective cancer-risk reduction and cancer-control interventions. Access to mammography screening and quality follow-up care are critical, but we learned that access is not the only barrier to improving breast cancer screening rates among (Native American and Alaskan Native) women.”
Yet, holistic educational interventions designed by NA/AN women were found to encourage women in those communities to get mammograms and to make healthy dietary and exercise lifestyle changes.
Accordingly, grant funding was provided by the California Breast Cancer Research Program, leading to a culturally appropriate initiative called “The Mother’s Wisdom Breast Health Program.” The program utilized storytelling, talking circles, and other traditional and tribal communication methods to disseminate critical information and materials.