Genetic Counseling for Hereditary Breast and Ovarian Cancer Among Puerto Rican Women Living in the United States

Scherr, Courtney L.; Vasquez, Elsa; Quinn, Gwendolyn P.; Vadaparampil, Susan T.

doi:10.2174/1574887110666150127110314

Cited by 13 publications

(15 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarly, few reviews included "use of theory" as a coding category. Finally, only 1 of the 24 reviews focused exclusively on an ethnic minority population [35], and several others noted the lack of diversity in published studies included in their reviews and the need for more research with ethnic minority groups [36][37][38]. Table 2 provides additional information about the methods and use of theory in the included reviews.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Eight papers reviewed information about baseline knowledge, attitudes, and perceptions that individuals have about CGT [35,36,[39][40][41][42][43][44]. The reviews suggest that, to date, studies of CGT knowledge and attitudes have primarily focused on two groupsthe public and health care providers.…”

Section: Baseline Knowledge and Attitudes About Genetic Testingmentioning

confidence: 99%

“…Eight reviews included studies on decision-making about CGT and uptake [35,36,38,39,41,43,45,46]. Despite generally positive attitudes and high interest in genetic testing and counseling, the reviews reported relatively low uptake among a variety of populations and across various types of genetic testing [36,41].…”

Section: Decision-making and Uptake Of Cgtmentioning

confidence: 99%

“…Despite generally positive attitudes and high interest in genetic testing and counseling, the reviews reported relatively low uptake among a variety of populations and across various types of genetic testing [36,41]. For example, among first-degree relatives of Lynch syndrome probands [45] and Puerto Rican women [35], only around half of eligible people completed genetic testing. Additionally, the extant empirical work was mostly conducted in highly specialized settings (e.g., urban cancer centers), and uptake is expected to be significantly lower in community settings [45].…”

Section: Decision-making and Uptake Of Cgtmentioning

confidence: 99%

See 3 more Smart Citations

Communication of cancer-related genetic and genomic information: A landscape analysis of reviews

Peterson

Chou

Gaysynsky

et al. 2018

Translational Behavioral Medicine

View full text Add to dashboard Cite

Cancer-related genetic and genomic testing (CGT) is changing cancer care by personalizing care options, leading to an era of precision medicine. Advances in and increased use of CGT add complexity to clinical communication. This landscape analysis assessed published reviews of communication issues related to CGT and discusses implications for practice and behavioral research. A comprehensive electronic literature search was conducted of peer-reviewed literature reviews on studies related to CGT communication published between January 2010 and January 2017, resulting in a final sample of 24 reviews. Reviews were categorized, with overlaps, into four domains across the genetic testing communication continuum. Reviews on CGT-related knowledge, attitudes, and perceptions (n = 8) found that despite substantial public interest, their knowledge and awareness remains low. Providers also reported insufficient knowledge and overall caution, particularly regarding direct-to-consumer (DTC) genetic testing. Reviews of decision-making about CGT and test uptake (n = 8) identified individual, interpersonal, and systems-level barriers to uptake. Reviews of patient-provider CGT communication (n = 8) revealed limited communication and little empirical research on outcomes of communication or efforts at improving clinical and family communication. There were mixed findings in reviews (n = 15) on the psychological and behavioral impact of CGT, and DTC testing particularly had little effect on behaviors. Taken together, there is very little extant research in CGT in minority and underserved communities. In order for scientific advances in CGT to translate into equitable, patient-centered care, behavioral research, including health literacy and communication, plays critical roles.

show abstract

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Baseline Knowledge and Attitudes About Genetic Testingmentioning

confidence: 99%

Section: Decision-making and Uptake Of Cgtmentioning

confidence: 99%

Section: Decision-making and Uptake Of Cgtmentioning

confidence: 99%

See 2 more Smart Citations

Communication of cancer-related genetic and genomic information: A landscape analysis of reviews

Peterson

Chou

Gaysynsky

et al. 2018

Translational Behavioral Medicine

View full text Add to dashboard Cite

show abstract

“…A recent study examining the preferences for health education information concerning HBOC among at-risk Latina women found that preferences varied by subethnicity, specifically Mexican, Puerto Rican and Cuban (Quinn et al 2011). To date, only one study has evaluated barriers and facilitators to the use of BRCA genetic counseling exclusively among Latinas at-risk for HBOC of Puerto Rican descent (Scherr et al 2014). It will be useful to translate these research efforts to discover the unique factors that may impact use of genetic services among a broader group of Latinas based on country of origin.…”

Section: Research Recommendationsmentioning

confidence: 99%

Insights into BRCA1/2 Genetic Counseling from Ethnically Diverse Latina Breast Cancer Survivors

Rajpal

Muñoz

Peshkin

et al. 2017

Journal of Genetic Counseling

View full text Add to dashboard Cite

Despite the disproportionate underuse of genetic counseling and testing for BRCA1/2 (BRCA)-associated hereditary breast and ovarian cancer (HBOC) risk among Latinas, little is known about the associated barriers and facilitators. We conducted in-depth qualitative interviews with 20 at-risk Latina women from diverse backgrounds. Eligible women were diagnosed with breast cancer <50 years, with or without a family history of breast and/or ovarian cancer (>1 first-degree relative diagnosed <50 years). All interviews were conducted in Spanish, audio recorded, transcribed, and translated into English. Two bilingual coders used thematic analyses to identify 7 main themes. Results revealed very low levels of awareness and knowledge about HBOC and BRCA genetic counseling. Interestingly, for most Latinas, competing life demands and cultural concerns (fatalismo and destino) did not strongly influence personal beliefs about genetic counseling. In addition, older women were equally as interested in education, cancer prevention, and BRCA genetic counseling as younger women. These findings suggest that Latinas, regardless of age, increasingly acknowledge and prioritize their own health. Women reported their main motivator to undergo counseling was concern about family members' cancer risks. Main barriers included financial and insurance concerns, and lack of awareness about genetic services. Investigating the beliefs and attitudes of diverse populations of Latinas at risk for HBOC reveals logistical barriers to BRCA genetic counseling uptake within this under-represented community. Efforts are needed to provide at-risk Latina breast cancer survivors' knowledge of and access to genetic counseling and testing based on risk status and Latinas' increasing responsiveness and uptake of these services.

show abstract

Behavioral beliefs about genetic counseling among high‐risk Latina breast cancer survivors in Florida and Puerto Rico

et al. 2022

View full text Add to dashboard Cite

Compared with non‐Hispanic White women, Latina women are less likely to receive genetic counseling (GC) and testing (GT) following BC diagnosis. This study used secondary data analysis to explore beliefs about GC among Latina BC survivors in and outside the US mainland. GC/GT‐naïve, high‐risk, Spanish‐preferring Latina BC survivors (n = 52) in FL and PR completed the Behavioral Beliefs about GC scale. Participants reported high positive beliefs about GC (M = 4.19, SD = 0.92); the majority agreed that GC was beneficial to understand cancer risk (90%) and promote discussion (87%) in their family. Participants reported low‐to‐moderate scores for barriers (Ms = 1.53–3.40; SDs = 0.59–0.90). The most frequently endorsed barriers were desire for additional GC information (M = 3.44; SD = 0.90), and GC logistic concerns (M = 2.71; SD = 0.80). No statistically significant differences for barriers and benefits scales were identified by place of residence (all ps ≥ 0.12). These findings highlight the importance of delivering culturally sensitive GC information to high‐risk Latina BC survivors.

show abstract

Genetic Counseling for Hereditary Breast and Ovarian Cancer Among Puerto Rican Women Living in the United States

Abstract: Background-Little is known about barriers to Hereditary Breast and Ovarian Cancer (HBOC) genetic counseling among Puerto Rican women.

Cited by 13 publications

References 37 publications

Communication of cancer-related genetic and genomic information: A landscape analysis of reviews

Communication of cancer-related genetic and genomic information: A landscape analysis of reviews

Insights into BRCA1/2 Genetic Counseling from Ethnically Diverse Latina Breast Cancer Survivors

Behavioral beliefs about genetic counseling among high‐risk Latina breast cancer survivors in Florida and Puerto Rico

Contact Info

Product

Resources

About