Résumé :
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[BDSP. Notice produite par INIST-CNRS IqER0xp9. Diffusion soumise à autorisation]. Objectives. We investigated factors associated with primary and secondary breast and cervical cancer screening among American Indian (Al) women receiving care from the Indian Health Service (IHS) in Montana and Wyoming. Methods. Rates of primary screening (i.e., screening without evidence of a prior abnormal) and secondary screening during a three-year period (2004-2006) were determined in an age-and clinic-stratified random sample of 1,094 women at six IHS units through medical record review. Results. Three-year mammography prevalence rates among Al women aged>=45 years were 37.7% (95% confidence interval [CI] 34.1,41.3) for primary and 58.7% (95% CI 43.9,73.5) for secondary screening. Among women aged>=18 years, three-year Pap test prevalence rates were 37.8% (95% CI 34.9,40.6) for primary and 53.2% (95% CI 46.0,60.4) for secondary screening. Primary mammography screening was positively associated with number of visits and receiving care at an IHS hospital (both p
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