Moving in between mammography: screening decisions of American Indian women in Vermont

Breast cancer is a leading cause of cancer death among American Indian women, with mam-mography screening rates below the national average for this population. A grounded theory study, conducted with Vermont American Indian women, explicated factors that influence mammography decision making. The authors examined mammography decision making across the breast cancer screening continuum: women with a history of consistent annual mammograms, women who were underusers or nonusers of mammography, and women who were breast cancer survivors. The generated theory, Moving in Between Mammogra-phy, describes the decision-making process and factors that influenced women’s participa-tion in routine mammography screening. Specific influencing factors addressed includ