Skip to main content
NCBI home page
Public Health Reports logoLink to Public Health Reports
. 1994 Jan-Feb;109(1):99–103.

Mammography and Pap smear screening of Yaqui Indian women.

P R Gordon 1, D Campos-Outcalt 1, L Steele 1, C Gonzales 1
PMCID: PMC1402248  PMID: 8303022

Abstract

The Pascua-Yaqui Tribe of Arizona receives its health care services at a local neighborhood health center in Tucson and a satellite clinic located on the reservation. Using a computerized data base from the health center, the authors determined the use rates by Pascua-Yaqui women ages 35-65 of the Papanicolaou smear and mammography screening. Among active users of the health center, 31-36 percent had received a Papanicolaou smear, according to the yearly data bases examined from 1986 to 1990, while 65 percent of the women had received at least one smear test over the entire 5-year period. Regarding mammography screening, 41-43 percent of the women ages 50-65 had received a mammogram in the years studied, and 51-58 percent of the women ages 40-49 had been screened. In all, 67 percent had received at least one mammogram during the 1988-90 period when the center offered mammography. This population of 35-65-year-old American Indian women, for whom financial access is not a barrier, were receiving Papanicolaou smears and mammograms at rates comparable with other segments of the U.S. population but at lower rates than those recommended by the American Cancer Society and National Cancer Institute. The challenge for the health center is to reach those women who are eligible for services but do not use them and to address the nonfinancial barriers to care such as language, transportation, and gender-specific issues.

Full text

PDF
99

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bleed D. M., Risser D. R., Sperry S., Hellhake D., Helgerson S. D. Cancer incidence and survival among American Indians registered for Indian health service care in Montana, 1982-1987. J Natl Cancer Inst. 1992 Oct 7;84(19):1500–1505. doi: 10.1093/jnci/84.19.1500. [DOI] [PubMed] [Google Scholar]
  2. Creagan E. T., Fraumeni J. F., Jr Cancer mortality among American Indians, 1950-67. J Natl Cancer Inst. 1972 Oct;49(4):959–967. [PubMed] [Google Scholar]
  3. Devesa S. S. Descriptive epidemiology of cancer of the uterine cervix. Obstet Gynecol. 1984 May;63(5):605–612. [PubMed] [Google Scholar]
  4. Farley T. A., Flannery J. T. Late-stage diagnosis of breast cancer in women of lower socioeconomic status: public health implications. Am J Public Health. 1989 Nov;79(11):1508–1512. doi: 10.2105/ajph.79.11.1508. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Fink D. J. Change in American Cancer Society Checkup Guidelines for detection of cervical cancer. CA Cancer J Clin. 1988 Mar-Apr;38(2):127–128. doi: 10.3322/canjclin.38.2.127. [DOI] [PubMed] [Google Scholar]
  6. Frost F., Taylor V., Fries E. Racial misclassification of Native Americans in a surveillance, epidemiology, and end results cancer registry. J Natl Cancer Inst. 1992 Jun 17;84(12):957–962. doi: 10.1093/jnci/84.12.957. [DOI] [PubMed] [Google Scholar]
  7. Harlan L. C., Bernstein A. B., Kessler L. G. Cervical cancer screening: who is not screened and why? Am J Public Health. 1991 Jul;81(7):885–890. doi: 10.2105/ajph.81.7.885. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hart B. L., Steinbock R. T., Mettler F. A., Jr, Pathak D. R., Bartow S. A. Age and race related changes in mammographic parenchymal patterns. Cancer. 1989 Jun 15;63(12):2537–2539. doi: 10.1002/1097-0142(19890615)63:12<2537::aid-cncr2820631230>3.0.co;2-0. [DOI] [PubMed] [Google Scholar]
  9. Hayward R. A., Shapiro M. F., Freeman H. E., Corey C. R. Who gets screened for cervical and breast cancer? Results from a new national survey. Arch Intern Med. 1988 May;148(5):1177–1181. [PubMed] [Google Scholar]
  10. Horner R. D. Cancer mortality in Native Americans in North Carolina. Am J Public Health. 1990 Aug;80(8):940–944. doi: 10.2105/ajph.80.8.940. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Lanier A. P., Bender T. R., Blot W. J., Fraumeni J. F., Jr, Hurlburt W. B. Cancer incidence in Alaska natives. Int J Cancer. 1976 Oct 15;18(4):409–412. doi: 10.1002/ijc.2910180403. [DOI] [PubMed] [Google Scholar]
  12. Lanier A. P., Knutson L. R. Cancer in Alaskan natives: a 15-year summary. Alaska Med. 1986 Apr-Jun;28(2):37–41. [PubMed] [Google Scholar]
  13. Mahoney M. C., Michalek A. M., Cummings K. M., Nasca P. C., Emrich L. J. Cancer mortality in a northeastern native American population. Cancer. 1989 Jul 1;64(1):187–190. doi: 10.1002/1097-0142(19890701)64:1<187::aid-cncr2820640132>3.0.co;2-7. [DOI] [PubMed] [Google Scholar]
  14. Mahoney M. C., Michalek A. M., Cummings K. M., Nasca P. C., Emrich L. J. Cancer mortality in a northeastern native American population. Cancer. 1989 Jul 1;64(1):187–190. doi: 10.1002/1097-0142(19890701)64:1<187::aid-cncr2820640132>3.0.co;2-7. [DOI] [PubMed] [Google Scholar]
  15. Mahoney M. C., Michalek A. M., Cummings K. M., Nasca P. C., Emrich L. J. Cancer surveillance in a northeastern native American population. Cancer. 1989 Jul 1;64(1):191–195. doi: 10.1002/1097-0142(19890701)64:1<191::aid-cncr2820640133>3.0.co;2-l. [DOI] [PubMed] [Google Scholar]
  16. Mahoney M. C., Michalek A. M., Cummings K. M., Nasca P. C., Emrich L. J. Cancer surveillance in a northeastern native American population. Cancer. 1989 Jul 1;64(1):191–195. doi: 10.1002/1097-0142(19890701)64:1<191::aid-cncr2820640133>3.0.co;2-l. [DOI] [PubMed] [Google Scholar]
  17. Mandelblatt J., Gopaul I., Wistreich M. Gynecological care of elderly women. Another look at Papanicolaou smear testing. JAMA. 1986 Jul 18;256(3):367–371. [PubMed] [Google Scholar]
  18. Norsted T. L., White E. Cancer incidence among native Americans of western Washington. Int J Epidemiol. 1989 Mar;18(1):22–27. doi: 10.1093/ije/18.1.22. [DOI] [PubMed] [Google Scholar]
  19. SMITH R. L., SALSBURY C. G., GILLIAM A. G. Recorded and expected mortality among the Navajo, with special reference to cancer. J Natl Cancer Inst. 1956 Jul;17(1):77–89. [PubMed] [Google Scholar]
  20. Samet J. M., Key C. R., Hunt W. C., Goodwin J. S. Survival of American Indian and Hispanic cancer patients in New Mexico and Arizona, 1969-82. J Natl Cancer Inst. 1987 Sep;79(3):457–463. [PubMed] [Google Scholar]
  21. Skubi D. Pap smear screening and cervical pathology in an American Indian population. J Nurse Midwifery. 1988 Sep-Oct;33(5):203–207. doi: 10.1016/0091-2182(88)90212-1. [DOI] [PubMed] [Google Scholar]
  22. Whitman S., Ansell D., Lacey L., Chen E. H., Ebie N., Dell J., Phillips C. W. Patterns of breast and cervical cancer screening at three public health centers in an inner-city urban area. Am J Public Health. 1991 Dec;81(12):1651–1653. doi: 10.2105/ajph.81.12.1651. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Public Health Reports are provided here courtesy of SAGE Publications

RESOURCES