Assessing Needs for Cancer Education and Support in American Indian and Alaska Native Communities in the Northwestern United States. Issue 6 (November 2016)

• Record Type: Journal Article
• Authors: Harris, Raymond; Van Dyke, Emily R.; Ton, Thanh G. N.; Nass, Carrie A.; Buchwald, Dedra
• Is Part Of: Health promotion practice. Volume 17:Issue 6(2016:Nov.)
• Page Start: 891
• Page End: 898
• Publication Date: 2016-11
• Subjects: American Indians -- Alaska Natives -- cancer education -- cancer survivorship -- health needs assessment -- barriers to care; Health promotion -- Periodicals; Health promotion -- United States -- Periodicals; Health education -- Periodicals; Health education -- United States -- Periodicals; 613
• DOI: 10.1177/1524839915611869
• Languages: English
• ISSNs: 1524-8399

Abstract

American Indians and Alaska Natives (AI/ANs) experience significant cancer disparities. To inform future public health efforts, a web-based needs assessment survey collected quantitative and qualitative data from AI/AN community health workers and cancer survivors in the northwestern United States. Content analysis of qualitative responses identified themes to contextualize quantitative results. Seventy-six AI/AN respondents (93% female) described substantial unmet needs for education and resources to assist cancer survivors, including a shortage of patient navigators, support groups, and home health care workers. Fear of negative outcomes, a culturally rooted avoidance of discussing illness, and transportation difficulties were cited as major barriers to participation in cancer education and receipt of health services. Face-to-face contact was overwhelmingly preferred for community education and support, but many respondents were receptive to other communication channels, including e-mail, social media, and webinars. Survey results highlight the importance of culturally sensitive approaches to overcome barriers to cancer screening and education in AI/AN communities. Qualitative analysis revealed a widespread perception among respondents that available financial and human resources were insufficient to support AI/AN cancer patients' needs.