ASPO Abstracts

Focus Groups with Northern Arizona Navajo Adults: Knowledge, Attitudes and Practices (KAP) related to Helicobactor pylori and stomach cancer

Authors: Chief, C., Sanderson, P.R., Willeto, A.A.A., Yazzie, A., Harris, R., Monroy, F., & Oren, E.

Category: Cancer Health Disparities
Conference Year: 2020

Abstract Body:
Purpose: To determine Navajo adults’ level of knowledge and their attitudes and practices regarding Helicobactor pylori (H. pylori ) and stomach cancer, a population with elevated rates of stomach cancer. Methods: Focus groups (n=3) were conducted in three Navajo communities (within reservation boundaries) using culturally appropriate strategies. Data were analyzed thematically using a multi-investigator approach mindful of Indigenous research methods. Results: A total of 31 Navajo adults participated in one of the focus groups. Participants had limited knowledge about H. pylori and stomach cancer. There was a voiced need for healthcare providers to demonstrate confidence to Navajo community members about diagnostic and treatment services in a timely fashion. Participants also identified examples of socioeconomic inequalities, environmental injustices, and concerning health care practices they associated with H. pylori infection and stomach cancer. Conclusions: There is a need for community-driven and culturally relevant H. pylori trainings for community members and healthcare providers, particularly in light of recent findings of increased prevalence of infection in this vulnerable population.

Keywords: Native Americans, American Indians, Helicobactor pylori, stomach cancer, focus groups