Effect of Tribal Language Use on Colorectal Cancer Screening Among American Indians
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American Indians have one of the lowest colorectal cancer (CRC) screening rates for any racial/ethnic group in the U.S., yet reasons for their low screening participation are poorly understood. We examine whether tribal language use is associated with knowledge and use of CRC screening in a community-based sample of American Indians. Using logistic regression to estimate the association between tribal language use and CRC test knowledge and receipt we found participants speaking primarily English were no more aware of CRC screening tests than those speaking primarily a tribal language (OR = 1.16 [0.29, 4.63]). Participants who spoke only a tribal language at home (OR = 1.09 [0.30, 4.00]) and those who spoke both a tribal language and English (OR = 1.74 [0.62, 4.88]) also showed comparable odds of receipt of CRC screening. Study findings failed to support the concept that use of a tribal language is a barrier to CRC screening among American Indians.
KeywordsAmerican Indians Native Americans Culture Language Colorectal cancer Cancer Screening
This research was supported in part by Native People for Cancer Control, a Community Networks Program sponsored by the National Cancer Institute (D. Buchwald, 1U01CA114642); the Resource Centers for Minority Aging Research Native Investigator Program, sponsored by the National Institute on Aging (S. Manson, P30AG/15297); the Agency for Healthcare Research and Quality (S. Manson, P01 HS10854); and the National Center for Minority Health and Health Disparities (S. Manson, P60 MD000507). We also wish to express our appreciation to Lorencita Joshweseoma, Director, Hopi Department of Community Health Services, for her support and assistance with data collection and Dr. Sheilah Nicholas from the University of Arizona, Department of Teaching, Learning and Sociocultural Studies, for her expertise on the meaning and use of the Hopi language.
- 2.Landis SH, Murray T, Bolden S, Wingo PA. Cancer statistics, 1999. CA Cancer J Clin. 1999;49(1):8–31, 31.Google Scholar
- 4.U.S. Preventive Task Force. Screening for colorectal cancer: recommendation and rationale. Ann Intern Med. 2002;137:129–31.Google Scholar
- 8.Centers of Disease Control and Prevention. Use of colorectal cancer tests—United States, 2002, 2004, 2006. Morbidity Mortality Weekly Rep. 2008;57:253–8.Google Scholar
- 9.Indian Health Services. Trends in Indian health, 2000–2001. Washington, DC: U.S. Department of Health and Human Services; 2002.Google Scholar
- 13.American Cancer Society. Colorectal cancer facts & figures. 2005; http://www.cancer.org/downloads/STT?CAFF2005CR4PWSecured.pdf. Accessed January 19, 2010.
- 14.Agency for Healthcare Research and Quality. National Health Care Disparities Report. Rockville, MD: U.S. Department of Health and Human Services;2010.Google Scholar
- 17.U.S. Department of Health and Human Services. Healthy people 2010. 2010; http://www.health.gov/healthypeople. Accessed May 12, 2010.
- 24.Hodge FS, Fredericks L, Rodriguez B. American Indian women’s talking circle. A cervical cancer screening and prevention project. Cancer. 1996;78(7 Suppl):1592–7.Google Scholar
- 49.Arizona Department of Health Services. Primary care area and places: special statistical profiles. 2008; http://cah.arizona.edu/CAHs/documents/HopiHealthCareCenter.pdf. Accessed October 4, 2010.
- 50.Katzner K. Languages of the world. 3rd ed. New York: Routledge; 2002.Google Scholar
- 51.Kroskrity PV. Language ideologies in the expression and representation of Arizona Tewa identity. In: Kroskrity PV, editor. Regimes of language: ideologies, polities, and identities. Santa Fe: School of American Research Press; 2000.Google Scholar
- 55.Nicholas S. Language, epistemology, and cultural identity: ‘Hopiqatsit Aw Unanguakiwyunwa’ (They have their heart in the Hopi way of life’). Am Indian Cult Res J. 2010;34(2):125–44.Google Scholar
- 57.Sakiestewa Gilbert M. Education beyond the mesas: Hopi students at Sherman Institute, 1902-1929. Lincoln: University of Nebraska Press; 2010.Google Scholar
- 61.Hopi Cultural Preservation Office. Hopi language education and preservation plan. Kykotsmovi, AZ: The Hopi Tribe; 1998.Google Scholar