Prevalence and Correlates of Family Cancer History Knowledge and Communication Among US Adults

Krakow, Melinda; Rising, Camella J.; Trivedi, Neha; Yoon, Dahye C; Vanderpool, Robin C.

doi:10.5888/pcd17.200257

Cited by 17 publications

(16 citation statements)

References 25 publications

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“…Specifically, 76.9% of the Chinese American participants had never discussed about their FH of CRC with their PCPs. Compared with a recent study that found that 61% of the general population in the United States had discussed FH of cancer with health care providers (Krakow et al, 2020), it appeared that Chinese Americans were less likely to communicate FH of cancer with PCPs.…”

Section: Discussioncontrasting

confidence: 73%

Chinese Americans’ Family History of Colorectal Cancer Communication With Primary Care Physicians

Yeh

Kwok

et al. 2021

Health Educ Behav

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Background Colorectal cancer (CRC) is the third most common cancer for Chinese Americans. Family history (FH) plays an important role in clinical practice for CRC prevention. Nevertheless, Chinese Americans’ FH of CRC communication with primary care physicians (PCPs) are still unknown. Aims This study examined Chinese Americans’ behavior and the underlying psychological factors for FH of CRC communication with PCPs. Method A total number of 742 Chinese Americans completed a survey developed based on the health belief model, the theory of planned behavior, and the social cognitive theory. Data were analyzed using structural equation modeling. Results Majority of the Chinese American participants (75.3%) had never discussed FH of CRC with their PCPs. Lack of inquiries from the PCPs was the main barrier. Structural equation modeling results suggested a good model fit between our theoretical model and the survey data (comparative fit index [CFI] = .946, root mean square error of approximation [RMSEA] = .070, and standardized root mean square residual [SRMR] = .020). Participants’ FH of CRC communication with PCPs was positively associated with their intention (β = .30, p < .001), which was positively correlated to attitudes (β = .29, p < .001) and self-efficacy in discussing FH of CRC with PCPs (β = .57, p < .001). Their attitudes were positively associated with perceived susceptibility to CRC (β = .08, p < .05) and the perceived benefits of communicating FH of CRC (β = .52, p < .001). Conclusions Given that most Chinese Americans in this study did not communicate their FH of CRC with their PCPs, it is important to promote such behavior among Chinese Americans. Our structural equation modeling findings can guide future interventions and education for this underserved racial/ethnic minority group.

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Section: Discussioncontrasting

confidence: 73%

Chinese Americans’ Family History of Colorectal Cancer Communication With Primary Care Physicians

Yeh

Kwok

et al. 2021

Health Educ Behav

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“…Malignancy development is associated with non-modifiable risk factors such as family history and gender, and modifiable risk factors such as smoking, alcohol, physical inactivity, and obesity. Knowing a person's family history can help determine the risk of hereditary diseases, such as cancer, where 5% to 10% of cases are inherited (18,26). In our study, all malignant and premalignant lesions were solid organ related and were present in female patients.…”

Section: Discussionmentioning

confidence: 65%

“…Likewise, having a family history of malignancy has been established as a risk factor for many types of malignancies (17). Knowledge about family history regarding malignancies helps risk assessment of an individual since 5-10% of cases are inherited (18). The American Cancer Society recommends identifying people with a family history and motivating them to engage in genetic counselling alongside earlier and/ or more intensive cancer screening (19).…”

Section: Introductionmentioning

confidence: 99%

The relationship between malignancy and Behçet's disease features

Doğan

Armağan

Gök

et al. 2022

Journal of Health Sciences and Medicine

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Introduction: Behçet's disease (BD) is an autoimmune, multisystemic vasculitis characterized by chronic inflammation. Autoimmune responses in BD could drive chronic inflammation which is a risk for malignant transformation. Some genetic, environmental, clinical features and immunosuppressive treatments in BD may increase the risk of malignancy. Common genetic factors and similar environmental factors play a role in the pathogenesis of some autoimmune diseases and malignancies. We hypothesized that the frequency of comorbidity and clinical features of BD may differ in BD patients with a family history of malignancy. So, we aimed to compare the demographic and clinical characteristics features of the BD patients with and without a family history of malignancy. Material and Method:The BD patients who admitted the rheumatology outpatient clinic consecutively were included in the study. The demographic and clinical characteristics, comorbidities including malignancy in BD patients and malignancies in their family were questioned. The acute phase reactant elevation of at least two follow-ups was accepted as chronic inflammation.Results: A total of 98 patients (57% male) were included. Mean age was 43.5±12.3 years. The frequency of comorbidity was 60% and malignant/premalignant lesions were seen in 5% of the patients. All lesions were solid organ related and all of them were in women. History of BD and malignancy in patients' families was found 28% and 38%, respectively. The patients with and without malignancy in their family were compared. Female gender and the frequency of erythema nodosum were higher in the patients with malignancy in their family. The other demographic and clinical characteristics, chronic persistent inflammation and medical treatments were statistically. not different Conclusion: Frequency of malignancy in BD patients' family was evaluated and to the best of our knowledge, there was no literature data on this subject interestingly. The family history of malignancy in BD patients could be associated with clinical characteristics. Further prospective studies were needed to show the clinical effect of malignancy history in families.

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“…However, a more recent study suggested that only about one-third (31.1%) of the general population in the US tends to have a thorough knowledge of their family history information. 29 …”

Section: Hereditary Colorectal Cancermentioning

confidence: 99%

Genetic Evaluation for Hereditary Cancer Syndromes Among African Americans: A Critical Review

et al. 2022

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While hereditary cancer syndromes have been described and studied for centuries, the completion of the human genome project fueled accelerated progress in precision medicine due to the introduction of genetic testing in the 1990s, creating avenues for tailored treatments and medical management options. However, genetic testing has not benefited everyone equitably, with nearly all of the published work based on individuals of non-Hispanic White/European ancestry. There remains a gap in knowledge regarding the prevalence, penetrance, and manifestations of common hereditary cancer syndromes in the African-American population due to significant disparities in access and uptake of genetic testing. This review summarizes the available literature on genetic testing for breast, colon, and prostate cancers in the African-American population and explores the disparities in access to genetic testing between non-Hispanic White and African-American patients. This article also addresses the barriers to genetic testing and discrepancies in the uptake of recommendations for hereditary cancer syndromes in the African-American population when compared with non-Hispanic Whites. The review offers practice implications for many healthcare providers and demonstrates gaps in the existing knowledge to be addressed in future studies to help eliminate the persisting health disparities faced by the African-American population.

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Prevalence and Correlates of Family Cancer History Knowledge and Communication Among US Adults

Cited by 17 publications

References 25 publications

Chinese Americans’ Family History of Colorectal Cancer Communication With Primary Care Physicians

Chinese Americans’ Family History of Colorectal Cancer Communication With Primary Care Physicians

The relationship between malignancy and Behçet's disease features

Genetic Evaluation for Hereditary Cancer Syndromes Among African Americans: A Critical Review

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