{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:03:21Z","timestamp":1787018601190,"version":"build-2736575974"},"reference-count":44,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2011,11,1]],"date-time":"2011-11-01T00:00:00Z","timestamp":1320105600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives.<\/jats:title>\n                    <jats:p>We investigated factors associated with primary and secondary breast and cervical cancer screening among American Indian (AI) women receiving care from the Indian Health Service (IHS) in Montana and Wyoming.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>Rates of primary screening (i.e., screening without evidence of a prior abnormal) and secondary screening during a three-year period (2004\u20132006) were determined in an age- and clinic-stratified random sample of 1,094 women at six IHS units through medical record review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>Three-year mammography prevalence rates among AI women aged \u226545 years were 37.7% (95% confidence interval [CI] 34.1, 41.3) for primary and 58.7% (95% CI 43.9, 73.5) for secondary screening. Among women aged \u226518 years, three-year Pap test prevalence rates were 37.8% (95% CI 34.9, 40.6) for primary and 53.2% (95% CI 46.0, 60.4) for secondary screening. Primary mammography screening was positively associated with number of visits and receiving care at an IHS hospital (both p&lt;0.001). Primary Pap test screening was inversely associated with age and positively associated with the number of patient visits (both p&lt;0.001). Secondary mammography screening was inversely associated with driving distance to an IHS facility ( p=0.035).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>Our results are consistent with other surveys among AI women, which report that Healthy People 2010 goals for breast (90%) and cervical (70%) cancer screening have not been met. Improvements in breast and cervical cancer screening among AI women attending IHS facilities are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/003335491112600606","type":"journal-article","created":{"date-parts":[[2017,7,3]],"date-time":"2017-07-03T05:03:00Z","timestamp":1499058180000},"page":"806-815","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Breast and Cervical Cancer Screening Patterns among American Indian Women at IHS Clinics in Montana and Wyoming"],"prefix":"10.1177","volume":"126","author":[{"given":"Robin Taylor","family":"Wilson","sequence":"first","affiliation":[{"name":"Pennsylvania State University College of Medicine and Penn State Hershey Cancer Institute, Hershey, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Giroux","sequence":"additional","affiliation":[{"name":"Indian Health Service (IHS), Division of Epidemiology and Disease Prevention, Aberdeen Area IHS, and Great Plains Tribal Chairmen's Health Board, Rapid City, SD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn Rita","family":"Kasicky","sequence":"additional","affiliation":[{"name":"Wake Forest School of Medicine, Winston-Salem, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bethany Hemlock","family":"Fatupaito","sequence":"additional","affiliation":[{"name":"Montana Wyoming Tribal Leaders Council, Billings, MT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric C.","family":"Wood","sequence":"additional","affiliation":[{"name":"U.S. Geological Survey, Sioux Falls, SD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renee","family":"Crichlow","sequence":"additional","affiliation":[{"name":"University of Minnesota, Department of Family and Community Medicine, Minneapolis, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil A. 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