Developing a Culturally Responsive Breast Cancer Screening Promotion with Native Hawaiian Women in Churches
Open accessAbstract
This article presents findings from research to develop the promotional component of a breast cancer screening program for Native Hawaiian women associated with historically Hawaiian churches in medically underserved communities.The literature on adherence to health recommendations and health promotions marketing guided inquiry on screening influences. Focus groups and individual interviews patterned on the culturally familiar practice of talk story were conducted with 60 Hawaiian women recruited through religious and social organizations.Text data were analyzed with an incremental process involving content analysis and Airhihenbuwa's PEN-3 model. Key informants and senior colleagues reviewed preliminary findings to ensure accuracy of interpretation. Findings reflect collectivist values at the intersection of indigenous Hawaiian culture and religiosity. Inclusion of messages that encourage holistic health across the intergenerational continuum of extended family and fictive kin, reinforcement from spiritual leaders, and testimonials of cancer survivors and family members may facilitate Hawaiian women's screening intent.
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Among Native Hawaiian women, talk story, a culturally familiar style of discussion, was used to engage women in dialog on the importance of breast cancer screening.
“For example, among Native Hawaiian women, Ka’opua (2008) utilized talk story, a culturally familiar style of discussion to engage women in dialog on the importance of breast cancer screening.”
From Framing the impact of culture on health: a systematic review of the PEN-3 cultural model and its application in public health research and interventions (2014) · cites this paper as Ka’opua 2008
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Iwelunmor, J., Newsome, V., & Airhihenbuwa, C. O. (2014) · Ethnicity & Health · doi:10.1080/13557858.2013.857768 · Cited by 259 · see citing works
Rieger, K., Horton, M., Cook, L., Copenace, S., Bennett, M., Phillips-Beck, W., Buss, M., Chudyk, A., Hornan, B., Horrill, T., et al. (2025) · The International Indigenous Policy Journal · doi:10.18584/iipj.2025.16.2.18451 · Cited by 3 · see citing works
- Authors
- Ka'opua, L. S.
- Venue
- Health & Social Work
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-08-01
- Volume
- 33
- Issue
- 3
- Pages
- 169-177
- ISSN
- 0360-7283 (ISSN-L)
- 1545-6854
- PMC
- PMC2938766
- OpenAlex
- W2146746790
- Cited by
- 51
- References
- 0
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 6 · 2022: 1 · 2021: 3 · 2018: 2 · 2017: 4 · 2016: 4 · 2015: 3 · 2014: 5 · 2013: 5 · 2012: 6
- FWCI
- 2.98
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health & Social Work (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (K07CA105088, K07 CA-105088-01A1)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Keywords
- breast cancer screening, Native Hawaiian women, church, PEN-3 model, collectivism, religiosity, extended family, medically underserved populations
- MeSH terms
- Breast Neoplasms, Culture, Educational Status, Female, Hawaii, Health Promotion, Humans, Medically Underserved Area, Models, Theoretical, Religion, Social Work, Health Behavior, Spirituality, Social Marketing, Population Groups, Native Hawaiian or Pacific Islander, Native Hawaiian or Other Pacific Islander
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