Racial and Ethnic Disparities in Awareness of Genetic Testing for Cancer Risk
Background Racial and ethnic disparities in awareness of genetic testing for cancer risk are substantial. Purpose This study assesses the relative importance of contributing factors to gaps in awareness of genetic testing for cancer risk across racial and ethnic groups. Methods Data from the 2005 Na...
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| Veröffentlicht in: | American journal of preventive medicine 2009-12, Vol.37 (6), p.524-530 |
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| creator | Pagán, José A., PhD Su, Dejun, PhD Li, Lifeng, MPH Armstrong, Katrina, MD, MSCE Asch, David A., MD, MBA |
| description | Background Racial and ethnic disparities in awareness of genetic testing for cancer risk are substantial. Purpose This study assesses the relative importance of contributing factors to gaps in awareness of genetic testing for cancer risk across racial and ethnic groups. Methods Data from the 2005 National Health Interview Survey (N=25,364) were analyzed in 2009 to evaluate the contribution of demographic factors, SES, health status, nativity/length of residency in the U.S., personal/family history of cancer, and perceived cancer risk to racial and ethnic disparities in genetic testing awareness for cancer risk. The contribution of each factor was assessed using the Fairlie decomposition technique. Results About 48% of non-Hispanic whites reported that they had heard about genetic testing, followed by 31% of blacks, 28% of Asians, and 19% of Hispanics. Education and nativity/length of residency in the U.S. explained 26% and 30% of the gap between whites and Hispanics, respectively. Education accounted for 22% of the white–black gap, with residential region explaining another 11%. Nativity/length of residency in the U.S. explained 51% of the white–Asian gap. Conclusions The relative importance of factors contributing to racial and ethnic disparities in genetic testing awareness is specific to the particular groups under comparison. Diverse, culturally competent approaches are needed to improve awareness for different racial and ethnic groups. |
| doi_str_mv | 10.1016/j.amepre.2009.07.021 |
| format | Article |
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Purpose This study assesses the relative importance of contributing factors to gaps in awareness of genetic testing for cancer risk across racial and ethnic groups. Methods Data from the 2005 National Health Interview Survey (N=25,364) were analyzed in 2009 to evaluate the contribution of demographic factors, SES, health status, nativity/length of residency in the U.S., personal/family history of cancer, and perceived cancer risk to racial and ethnic disparities in genetic testing awareness for cancer risk. The contribution of each factor was assessed using the Fairlie decomposition technique. Results About 48% of non-Hispanic whites reported that they had heard about genetic testing, followed by 31% of blacks, 28% of Asians, and 19% of Hispanics. Education and nativity/length of residency in the U.S. explained 26% and 30% of the gap between whites and Hispanics, respectively. Education accounted for 22% of the white–black gap, with residential region explaining another 11%. Nativity/length of residency in the U.S. explained 51% of the white–Asian gap. Conclusions The relative importance of factors contributing to racial and ethnic disparities in genetic testing awareness is specific to the particular groups under comparison. Diverse, culturally competent approaches are needed to improve awareness for different racial and ethnic groups.</description><identifier>ISSN: 0749-3797</identifier><identifier>EISSN: 1873-2607</identifier><identifier>DOI: 10.1016/j.amepre.2009.07.021</identifier><identifier>PMID: 19944919</identifier><identifier>CODEN: AJPMEA</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Awareness ; Cancer ; Continental Population Groups ; Ethnic differences ; Ethnic Groups ; Female ; Genetic Predisposition to Disease ; Genetic screening ; Genetic Testing ; Hispanic people ; Humans ; Internal Medicine ; Interviews as Topic ; Male ; Middle Aged ; Neoplasms - ethnology ; Neoplasms - etiology ; Neoplasms - genetics ; Racial differences ; Risk Assessment ; United States ; Young Adult</subject><ispartof>American journal of preventive medicine, 2009-12, Vol.37 (6), p.524-530</ispartof><rights>American Journal of Preventive Medicine</rights><rights>2009 American Journal of Preventive Medicine</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c513t-44bb32dbc298a5c2d767e1b62fb06fad5aff0a433981ac457470363dab1646ce3</citedby><cites>FETCH-LOGICAL-c513t-44bb32dbc298a5c2d767e1b62fb06fad5aff0a433981ac457470363dab1646ce3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0749379709006059$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,30977,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19944919$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pagán, José A., PhD</creatorcontrib><creatorcontrib>Su, Dejun, PhD</creatorcontrib><creatorcontrib>Li, Lifeng, MPH</creatorcontrib><creatorcontrib>Armstrong, Katrina, MD, MSCE</creatorcontrib><creatorcontrib>Asch, David A., MD, MBA</creatorcontrib><title>Racial and Ethnic Disparities in Awareness of Genetic Testing for Cancer Risk</title><title>American journal of preventive medicine</title><addtitle>Am J Prev Med</addtitle><description>Background Racial and ethnic disparities in awareness of genetic testing for cancer risk are substantial. Purpose This study assesses the relative importance of contributing factors to gaps in awareness of genetic testing for cancer risk across racial and ethnic groups. Methods Data from the 2005 National Health Interview Survey (N=25,364) were analyzed in 2009 to evaluate the contribution of demographic factors, SES, health status, nativity/length of residency in the U.S., personal/family history of cancer, and perceived cancer risk to racial and ethnic disparities in genetic testing awareness for cancer risk. The contribution of each factor was assessed using the Fairlie decomposition technique. Results About 48% of non-Hispanic whites reported that they had heard about genetic testing, followed by 31% of blacks, 28% of Asians, and 19% of Hispanics. Education and nativity/length of residency in the U.S. explained 26% and 30% of the gap between whites and Hispanics, respectively. Education accounted for 22% of the white–black gap, with residential region explaining another 11%. Nativity/length of residency in the U.S. explained 51% of the white–Asian gap. Conclusions The relative importance of factors contributing to racial and ethnic disparities in genetic testing awareness is specific to the particular groups under comparison. Diverse, culturally competent approaches are needed to improve awareness for different racial and ethnic groups.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Awareness</subject><subject>Cancer</subject><subject>Continental Population Groups</subject><subject>Ethnic differences</subject><subject>Ethnic Groups</subject><subject>Female</subject><subject>Genetic Predisposition to Disease</subject><subject>Genetic screening</subject><subject>Genetic Testing</subject><subject>Hispanic people</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasms - ethnology</subject><subject>Neoplasms - etiology</subject><subject>Neoplasms - genetics</subject><subject>Racial differences</subject><subject>Risk Assessment</subject><subject>United States</subject><subject>Young Adult</subject><issn>0749-3797</issn><issn>1873-2607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkcFO3DAQhq2qqGyhb4CQT-WUMI4de32phBZKK4GQgJ6tiTOhXrLJ1s4W8fb1aleqxKE9eQ7f_GN9P2MnAkoBQp8vS1zROlJZAdgSTAmVeMdmYm5kUWkw79kMjLKFNNYcso8pLQHAzIX9wA6FtUpZYWfs9h59wJ7j0PKr6ecQPL8MaY0xTIESDwO_eMFIA6XEx45f52nKzCOlKQxPvBsjX-DgKfL7kJ6P2UGHfaJP-_eI_fh69bj4VtzcXX9fXNwUvhZyKpRqGlm1ja_sHGtftUYbEo2uugZ0h22NXQeopLRzgV7VRhmQWrbYCK20J3nEzna56zj-2uS_uFVInvoeBxo3yRmpRG21lZn8_E-yzqiujc6g2oE-jilF6tw6hhXGVyfAbYW7pdsJd1vhDozLwvPa6T5_06yo_bu0N5yBLzuAso_fgaJLPlA21oZIfnLtGP534W2A70PuCftneqW0HDdxyK6dcKly4B62pW87BwugobbyD9z0p2w</recordid><startdate>20091201</startdate><enddate>20091201</enddate><creator>Pagán, José A., PhD</creator><creator>Su, Dejun, PhD</creator><creator>Li, Lifeng, MPH</creator><creator>Armstrong, Katrina, MD, MSCE</creator><creator>Asch, David A., MD, MBA</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20091201</creationdate><title>Racial and Ethnic Disparities in Awareness of Genetic Testing for Cancer Risk</title><author>Pagán, José A., PhD ; Su, Dejun, PhD ; Li, Lifeng, MPH ; Armstrong, Katrina, MD, MSCE ; Asch, David A., MD, MBA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c513t-44bb32dbc298a5c2d767e1b62fb06fad5aff0a433981ac457470363dab1646ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Awareness</topic><topic>Cancer</topic><topic>Continental Population Groups</topic><topic>Ethnic differences</topic><topic>Ethnic Groups</topic><topic>Female</topic><topic>Genetic Predisposition to Disease</topic><topic>Genetic screening</topic><topic>Genetic Testing</topic><topic>Hispanic people</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplasms - ethnology</topic><topic>Neoplasms - etiology</topic><topic>Neoplasms - genetics</topic><topic>Racial differences</topic><topic>Risk Assessment</topic><topic>United States</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pagán, José A., PhD</creatorcontrib><creatorcontrib>Su, Dejun, PhD</creatorcontrib><creatorcontrib>Li, Lifeng, MPH</creatorcontrib><creatorcontrib>Armstrong, Katrina, MD, MSCE</creatorcontrib><creatorcontrib>Asch, David A., MD, MBA</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of preventive medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pagán, José A., PhD</au><au>Su, Dejun, PhD</au><au>Li, Lifeng, MPH</au><au>Armstrong, Katrina, MD, MSCE</au><au>Asch, David A., MD, MBA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racial and Ethnic Disparities in Awareness of Genetic Testing for Cancer Risk</atitle><jtitle>American journal of preventive medicine</jtitle><addtitle>Am J Prev Med</addtitle><date>2009-12-01</date><risdate>2009</risdate><volume>37</volume><issue>6</issue><spage>524</spage><epage>530</epage><pages>524-530</pages><issn>0749-3797</issn><eissn>1873-2607</eissn><coden>AJPMEA</coden><abstract>Background Racial and ethnic disparities in awareness of genetic testing for cancer risk are substantial. Purpose This study assesses the relative importance of contributing factors to gaps in awareness of genetic testing for cancer risk across racial and ethnic groups. Methods Data from the 2005 National Health Interview Survey (N=25,364) were analyzed in 2009 to evaluate the contribution of demographic factors, SES, health status, nativity/length of residency in the U.S., personal/family history of cancer, and perceived cancer risk to racial and ethnic disparities in genetic testing awareness for cancer risk. The contribution of each factor was assessed using the Fairlie decomposition technique. Results About 48% of non-Hispanic whites reported that they had heard about genetic testing, followed by 31% of blacks, 28% of Asians, and 19% of Hispanics. Education and nativity/length of residency in the U.S. explained 26% and 30% of the gap between whites and Hispanics, respectively. Education accounted for 22% of the white–black gap, with residential region explaining another 11%. Nativity/length of residency in the U.S. explained 51% of the white–Asian gap. Conclusions The relative importance of factors contributing to racial and ethnic disparities in genetic testing awareness is specific to the particular groups under comparison. Diverse, culturally competent approaches are needed to improve awareness for different racial and ethnic groups.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>19944919</pmid><doi>10.1016/j.amepre.2009.07.021</doi><tpages>7</tpages></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Awareness Cancer Continental Population Groups Ethnic differences Ethnic Groups Female Genetic Predisposition to Disease Genetic screening Genetic Testing Hispanic people Humans Internal Medicine Interviews as Topic Male Middle Aged Neoplasms - ethnology Neoplasms - etiology Neoplasms - genetics Racial differences Risk Assessment United States Young Adult |
| title | Racial and Ethnic Disparities in Awareness of Genetic Testing for Cancer Risk |
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