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Washington State Institute for Public Policy

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Breast Cancer Programs for Native Communities in Washington's Peer States
Open Publication PDF

Rebecca Goodvin, Julia Cramer - June 2025

The 2023 Legislature directed WSIPP to study breast cancer-related programming for American Indian and Alaska Native (AIAN) women in Washington’s peer states. The legislature specified breast cancer prevention and education programs and post-diagnosis resource and support programs led by states, tribes, or collaborations between states and tribes. In addition, the legislature directed WSIPP to review evidence for identified programs.

We conducted outreach to program representatives across nine peer states. Limited access to screening and treatment, as well as mistrust and cultural barriers, may discourage AIAN women from seeking preventive care and follow-up treatment. All states and some tribes or indigenous-led organizations receive federal grants for breast cancer outreach, education, and screening for low-income, uninsured, or underinsured women. State programs vary in how grants are used to reach AIAN communities. We identified few state- or tribal-led organizations with post-diagnosis supports or resources for AIAN women. Some organizations offer treatment navigation, access to traditional native medicine, or programs to honor breast cancer survivors. The evaluation literature largely supports the effectiveness of identified prevention and post-diagnosis activities; however, there is limited population-specific research on the health outcomes of these interventions with AIAN women.

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