Marilyn A Roubidoux


Health disparities in breast cancer among American Indian women include historically higher stage at diagnosis, younger age at diagnosis, higher ratios of rates of mortality vs incidence, geographic variability of incidence and mortality rates, more difficult access to breast imaging and cancer treatment, and racial misclassification in medical records resulting in underestimation of breast cancer data. This population is understudied as well as underserved and more research is needed to reveal specific causes and interventions for these breast cancer disparities. Proactive efforts may include improving access to regular screening, diagnosis and treatment, identifying high risk women for intervention, and continuing community based research and educational programs. After a cancer diagnosis, patient navigators and prompt access to up to date breast cancer therapy treatment may improve outcomes.