Native American Women's Willingness to Screen for Both Cervical and Colorectal Cancer at Home.

[INTRODUCTION] Fewer than 50% of Native American (NA) women screen for both cervical and colorectal (CRC) cancer. We aim to explore the perspectives of NAs around cervical and colorectal cancer home-based self-screening options.

[METHODS] The NA community provided review and approval for this cross-sectional survey on cancers in general, and specifically on cervical and colorectal cancer screening. We invited screen-eligible Native American women, aged 45-65 years, who attended the Lakota Nation Invitational tournament in December 2023, to complete the survey.

[RESULTS] One hundred women, with a mean age of 54.1 (SD 6.3), completed the survey. Respondents reported visiting their doctor once a year, rarely (10%), with 66% experiencing a poor experience accessing healthcare-only 16% self-reported screening for both cervical and colorectal cancers within the last 5 years. If the participant could screen for both cervical and CRC cancer at home, 83.0% said they would be willing to do both, compared to 9% who would do neither at home. The doctor's recommendation for how to screen for cervical and CRC cancer was the most important factor in screening decision-making. The other two very important reasons were how easy or convenient the screening is, how comfortable I am with the screening process/what happens to me during the test.

[CONCLUSIONS] With the recommendation of their doctors, and convenience and comfort being important, Native American women are enthusiastic to participate in home-based cervical and colorectal cancer screening. While the home-based CRC screening has been available for many years, with minimal effect on screening uptake, the advent of self-sampling for primary HPV testing for cervical cancer appears to create interest for both tests at home. These options may increase both cancer screening rates and access to care in this underserved population.