“…African American women are less likely than White women to undergo genetic counseling and testing after controlling for family history of breast cancer (Armstrong, Micco, Carney, Stopfer, & Putt, 2005; Haffty, Silber, Matloff, Chung, & Lannin, 2006; Honda, 2003). Participation in genetic testing is limited among African American women even after undergoing genetic counseling (Halbert et al, 2006; Susswein, Skrzynia, Lange et al, 2008; Thompson et al, 2002). Genetic testing may be especially important for African American women because of earlier age of diagnosis, higher rates of mortality, and worse prognosis compared to White women (American Cancer Society, 2011; Glanz, Croyle, Chollette, & Pinn, 2003; Simon et al 2006).…”