Table 1 Themes identified as the main barriers and facilitators for the engagement with colorectal cancer prevention
Themes | Categories |
|---|---|
Barriers: | |
Colorectal cancer screening barriers | -Living in a rural area  -Lack of local healthcare capacity  -Transportation barriers |
-The screening procedures are not fun | |
-Unique barriers for American Indian men | |
Focused on other health problems | -N/A |
Lack of colorectal cancer tailored health promotion | -Access to healthy foods and activities is limited |
-Not enough awareness and education | |
Socio-cultural factors | -Avoiding healthcare until symptoms worsen  -Fear of cancer being found |
-Colorectal cancer not talked about  -Embarrassment due to private nature of body part | |
-Mistrust of Western healthcare systems | |
Facilitators: | |
Reasons for getting colorectal cancer screening | -Having a role model or community spokesperson |
-Importance of family or health provider pressure | |
-Worsening of symptoms | |
Role of culture | -Use of storytelling |
-Use of traditional knowledge, ceremony, and prayer | |
Getting out into the community | -Community programming and events |
-Importance of visual education materials | |