Strategies for Increasing Cervical Cancer Screening Amongst First Nations Communities in Northwest Ontario, Canada

作     者：Maar, Marion Wakewich, Pamela Wood, Brianne Severini, Alberto Little, Julian Burchell, Ann N. Ogilvie, Gina Zehbe, Ingeborg 

作者机构：Northern Ontario Sch Med Sudbury ON Canada Lakehead Univ Dept Sociol & Womens Studies Thunder Bay ON P7B 5E1 Canada Thunder Bay Reg Res Inst Thunder Bay ON P7B 6V4 Canada Publ Hlth Agcy Canada Natl Microbiol Lab Viral Exanthemata & STD Sect Winnipeg MB Canada Univ Ottawa Dept Epidemiol & Community Med Ottawa ON Canada Ontario HIV Treatment Network Toronto ON Canada Dalla Lana Sch Publ Hlth Toronto ON Canada BC Ctr Dis Control Clin Prevent Serv Vancouver BC Canada Northern Ontario Sch Med Thunder Bay ON Canada 

出 版 物：《HEALTH CARE FOR WOMEN INTERNATIONAL》 (Health Care Woman Int.)

年 卷 期：2016年第37卷第4期

页      面：478-495页

核心收录：

学科分类：0303[法学-社会学] 12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

基　　金：Canadian Institutes of Health Research [MOP - 119344] 

摘      要：The high burden of cervical cancer in Indigenous populations worldwide is due to underscreening and inadequate follow-up. Using qualitative, participatory action research, we interviewed health care staff to identify ways to increase screening recruitment in First Nations communities in Northwest Ontario, Canada. Our findings suggest the value of a multilevel social-ecological model to promote behavioral changes at the community, health care service and stakeholder, and decision-maker level. Participants emphasized the central role of First Nations women as nurturers of life and for the well-being of their family members. They stressed the importance of building awareness and motivation for cervical cancer screening through various activities including continuous education, hosting screening events specifically for women, improving the attitude and service of health care providers, and promoting screening tools and policies that complement and are respectful of First Nations women.