Assessment of a rural Native American's knowledge and thoughts on cancer risk and screening recommendations

B40 a)
 A random household survey was conducted in a rural Native American reservation community to assess adult community members’ knowledge of cancer education resources, cancer risk factors and preventative behaviors, and recommended cancer screening practices. This information would be used to design a local cancer education program.
 b)
 A culturally relevant survey based on the National Cancer Institute’s Health Information National Trends Survey (HINTS) was developed by a team of local lay and professional health care providers and a university partner. Community members were trained to administer the survey to a maximum of one female and one male adult residing in randomly assigned households. All data was analyzed and interpreted collaboratively by a local native health educator and the university partner.
 c)
 The survey was completed by 137 females and 88 males. These 225 adults represent approximately 40% of the population > 18 years of age.
 Respondents reported that they rarely received any information about cancer risk factors, screening recommendations and preventative behaviors but when they did the information most often came from lay health care providers and family members. Respondents consistently identified family history and environmental factors as important cancer risk factors. More than 40% of the younger respondents (