Document Detail

Cervical and breast cancer screening rates in Sioux Indian women.
MedLine Citation:
PMID:  9076304     Owner:  NLM     Status:  MEDLINE    
With increasing evidence of the effectiveness of mass screening in reducing mortality from both cervical and breast cancer, we began to study the rates of cervical cytology and mammography in 1994 for its impact on increased efforts to gain participation among its target population, the Sioux Indian women. Data were collected from 100 diabetic and 100 randomly selected patients aged 50 to 69 years. Patients with diabetes were selected to better evaluate the effects of patient acceptance of screening tests, since these patients are believed to be more motivated to have preventive care. However, this study showed no observable differences. Among the patients with diabetes, 33% had at least one cervical smear and 45% had a mammogram. For patients without diabetes, the rates were 32% and 42%, respectively. The number of patient visits to physicians during the 12-month study period averaged 7 for patients with diabetes and 4 for randomized patients. Thus, this paper contends that missed opportunity and limited access to cancer screening were the main reasons for such displeasing statistics.
S Mahmoodian
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  90     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1997-04-17     Completed Date:  1997-04-17     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  316-20     Citation Subset:  AIM; IM    
Epidemiology Program, Aberdeen Area Indian Health Service, Rapid City, SD, USA.
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MeSH Terms
Breast Neoplasms / prevention & control*
Diabetes Complications
Health Services Accessibility
Indians, North American*
Mass Screening*
Medical Records
Middle Aged
Obesity / complications
Patient Acceptance of Health Care
Pilot Projects
Reproductive History
Retrospective Studies
Risk Factors
South Dakota
United States
United States Indian Health Service / utilization
Uterine Cervical Neoplasms / prevention & control*
Vaginal Smears

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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