Tribal‐based cancer control activities: Services and perceptions

Regional differences in colorectal cancer incidence, stage, and subsite among American Indians and Alaska Natives, 1999-2004

“…In addition, cultural hesitance to access Western medicine for nonacute health problems, infrequent provider recommendations to get screened, insufficient health coverage, inability to afford Medicare or insurance copays, and transportation difficulties are factors commonly cited as cancer screening barriers by AI/AN individuals. 46,[64][65][66] Alaska, although it has the highest AI/AN population CRC rates, had the highest proportion of cases detected in early stages. Among IHS regions, Alaska has been the most proactive toward CRC screening.…”

Regional differences in cervical cancer incidence among American Indians and Alaska Natives, 1999-2004

“…In addition, cultural reluctance to access Western medicine for nonacute health problems and transportation difficulties are factors commonly cited as barriers to cancer screening by AI/AN individuals. [47][48][49][50] Although 2 HPV vaccines designed to prevent cervical neoplasia are being tested, only 1, the quadrivalent vaccine, is now licensed in the US and recommended for use among females ages 9 years to 26 years. In some parts of the country, health administrators are aggressively promoting vaccine uptake among AI/AN patients (unpublished data).…”

The “Spirit of Eagles” legacy

“…5,6 Recognizing that national efforts to reduce the cancer burden among American Indians and Alaska Natives had been fragmented, the Network also assessed the types of cancer-related activities in progress among American Indians and Alaska Natives. [7][8][9] It was concluded that while Federal and state agencies, foundations, and special interest groups had taken diverse roles to reduce cancer incidence and mortality among AI/ANs, collaborative efforts among these various agencies/organizations/programs had been infrequent. No ''blanket effort'' had been undertaken to develop an infrastructure for AI/ AN cancer control.…”