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American Indians AIs in New Mexico have lower cancer screening rates compared to other populations and are more likely to be diagnosed with cancer at an advanced stage of the disease as reported by Li et al. Archives of Internal Medicine 1 β56, Arch Intern Med β, and Edwards et al. Cancer β, Numerous barriers such as cultural beliefs, fear, fatalism, mistrust, stigma, and lack of culturally appropriate interventions could contribute to low cancer screening rates as reported by Daley et al.
Prev Chronic Dis E, ; and Schumacher et al. Cancer Causes Control 19 7 β, Trained Community Health Representatives CHRs from the Zuni Pueblo and native Zuni undergraduate students led six 1-h focus group sessions using a structured focus group guide with probes.
Focus groups were conducted in both English and Shiwi Zuni languages. Sessions were audio recorded, and team members took notes. CHRs transcribed the notes and audio recordings, and created a codebook for qualitative data analysis. In the focus groups, participants provided Zuni-specific cultural context, opinion, and experience regarding 1 general knowledge about cancer, 2 cancer risk, 3 cancer risk reduction, 4 personal experiences with cancer, and 5 culturally competent delivery of cancer information and resources.