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Cancer Genetics Service Interest in Women with a Limited Family History of Breast Cancer
Authors:Tamara J Somers  Julie C Michael  William M P Klein  Andrew Baum
Institution:(1) Department of Psychiatry and Behavioral Science, Duke University Medical Center, Durham, NC, USA;(2) Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA;(3) University of Pittsburgh Cancer Institute, Pittsburgh, PA, USA;(4) Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA, USA;(5) Pain Prevention and Treatment Research Program, Duke University, 2200 W. Main Street, Ste. 340, Durham, NC 27705, USA
Abstract:Women with a limited family history of breast cancer may be interested in cancer genetics information although their objective risk of breast cancer may not indicate routine referral to cancer genetics services. This study examined factors related to interest and use of cancer genetics services in a community sample of women with a limited family history of breast cancer (N = 187) who had no previous contact with cancer genetics services. Participants provided demographic information and ratings of perceived risk, cancer distress, attitudes, and intentions to initiate cancer genetics services. Participants were given information about a cancer genetics clinic that served women having concerns about their breast cancer risk. Women were contacted within 6 weeks and 8 months following their study appointment. Six weeks following their study appointment, 25% of women had initiated cancer genetics services. Eight months following their study appointment, 18% of women reported having completed a cancer genetics service appointment. Baseline intentions independently predicted both initiation at 6 weeks and appointment at 8 months. Cancer distress was positively associated with cancer genetics service initiation and appointment. Results suggest that some women with a limited family history of breast cancer are interested in seeking out cancer genetics information. Women with a limited family history of breast cancer may benefit from the availability of cancer genetics information provided through primary healthcare settings.
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