Views of Icelandic women towards genetic counseling - and testing of BRCA2 mutations

Introduction The aim of this study was to explore the attitudes of Icelandic women towards existing genetic information, genetic counseling and genetic testing for BRCA mutations which dramatically increase risk for aggressive cancers. Materials and methods Women attending the cancer prevention clin...

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Veröffentlicht in:Laeknabladid 2018-06, Vol.104 (6), p.289
Hauptverfasser: Jonsdottir, Thordis, Valdimarsdottir, Heiddis, Tryggvadottir, Laufey, Lund, Sigrun Helga, Thordardottir, Marianna, Magnusson, Magnus Karl, Valdimarsdottir, Unnur
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container_start_page 289
container_title Laeknabladid
container_volume 104
creator Jonsdottir, Thordis
Valdimarsdottir, Heiddis
Tryggvadottir, Laufey
Lund, Sigrun Helga
Thordardottir, Marianna
Magnusson, Magnus Karl
Valdimarsdottir, Unnur
description Introduction The aim of this study was to explore the attitudes of Icelandic women towards existing genetic information, genetic counseling and genetic testing for BRCA mutations which dramatically increase risk for aggressive cancers. Materials and methods Women attending the cancer prevention clinic in Reykjavik, capital of Iceland, from October 12th until November 20th 2015 received an invitation to participate. Participation involved answering a short online questionnaire about background, family history of cancer as well as attitudes towards genetic counseling, BRCA testing and preventive use of such information. Descriptive statistics and chi-square tests were used to describe differences in attitudes towards those questions between subgroups of women. Results 1129 women (69% response rate) answered the questionnaire. Mean age was 47 years (span 21-76 years). Around half (47%) had heard fairly much about the mutations. Independent of family history of cancer, the majority of women were positive towards receiving genetic counseling (79%) and to undergo genetic testing (83%) for BRCA mutation with younger women being more interested than older women. On the other hand, only 4% of the women had already received genetic counseling and 7% undergone genetic testing. Women with family history of cancer were more knowledgeable about BRCA mutations (p
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Materials and methods Women attending the cancer prevention clinic in Reykjavik, capital of Iceland, from October 12th until November 20th 2015 received an invitation to participate. Participation involved answering a short online questionnaire about background, family history of cancer as well as attitudes towards genetic counseling, BRCA testing and preventive use of such information. Descriptive statistics and chi-square tests were used to describe differences in attitudes towards those questions between subgroups of women. Results 1129 women (69% response rate) answered the questionnaire. Mean age was 47 years (span 21-76 years). Around half (47%) had heard fairly much about the mutations. Independent of family history of cancer, the majority of women were positive towards receiving genetic counseling (79%) and to undergo genetic testing (83%) for BRCA mutation with younger women being more interested than older women. On the other hand, only 4% of the women had already received genetic counseling and 7% undergone genetic testing. Women with family history of cancer were more knowledgeable about BRCA mutations (p&lt;0.0001) and were less afraid of the consequence of being a mutation carrier (p&lt;0.0001) compared to those with little or no family history. Regardless of family history, half (49%) worried that results from genetic testing could influence their health insurance. Almost all, or 97% of the women, were positive or very positive toward using existing genetic information obtained through scientific work, to inform affected indi-viduals of their mutation status. Conclusion Icelandic women are positive towards genetic counseling and testing for BRCA mutations although half of them worry that a positive result might affect their health insurance. Nevertheless, almost all women believe that existing genetic information should be used to inform carriers for preventive purposes.</description><identifier>ISSN: 0023-7213</identifier><identifier>DOI: 10.17992/lbl.2018.06.189</identifier><identifier>PMID: 29863481</identifier><language>ice</language><publisher>Iceland</publisher><subject>Adult ; Aged ; Biomarkers, Tumor - genetics ; BRCA2 Protein - genetics ; DNA Mutational Analysis ; Early Detection of Cancer - methods ; Female ; Genetic Counseling ; Genetic Predisposition to Disease ; Genetic Privacy ; Health Knowledge, Attitudes, Practice ; Heredity ; Humans ; Iceland ; Middle Aged ; Mutation ; Neoplasms - diagnosis ; Neoplasms - genetics ; Patient Acceptance of Health Care ; Pedigree ; Phenotype ; Predictive Value of Tests ; Prognosis ; Risk Assessment ; Risk Factors ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Laeknabladid, 2018-06, Vol.104 (6), p.289</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,865,27928,27929</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29863481$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jonsdottir, Thordis</creatorcontrib><creatorcontrib>Valdimarsdottir, Heiddis</creatorcontrib><creatorcontrib>Tryggvadottir, Laufey</creatorcontrib><creatorcontrib>Lund, Sigrun Helga</creatorcontrib><creatorcontrib>Thordardottir, Marianna</creatorcontrib><creatorcontrib>Magnusson, Magnus Karl</creatorcontrib><creatorcontrib>Valdimarsdottir, Unnur</creatorcontrib><title>Views of Icelandic women towards genetic counseling - and testing of BRCA2 mutations</title><title>Laeknabladid</title><addtitle>Laeknabladid</addtitle><description>Introduction The aim of this study was to explore the attitudes of Icelandic women towards existing genetic information, genetic counseling and genetic testing for BRCA mutations which dramatically increase risk for aggressive cancers. Materials and methods Women attending the cancer prevention clinic in Reykjavik, capital of Iceland, from October 12th until November 20th 2015 received an invitation to participate. Participation involved answering a short online questionnaire about background, family history of cancer as well as attitudes towards genetic counseling, BRCA testing and preventive use of such information. Descriptive statistics and chi-square tests were used to describe differences in attitudes towards those questions between subgroups of women. Results 1129 women (69% response rate) answered the questionnaire. Mean age was 47 years (span 21-76 years). Around half (47%) had heard fairly much about the mutations. Independent of family history of cancer, the majority of women were positive towards receiving genetic counseling (79%) and to undergo genetic testing (83%) for BRCA mutation with younger women being more interested than older women. On the other hand, only 4% of the women had already received genetic counseling and 7% undergone genetic testing. Women with family history of cancer were more knowledgeable about BRCA mutations (p&lt;0.0001) and were less afraid of the consequence of being a mutation carrier (p&lt;0.0001) compared to those with little or no family history. Regardless of family history, half (49%) worried that results from genetic testing could influence their health insurance. Almost all, or 97% of the women, were positive or very positive toward using existing genetic information obtained through scientific work, to inform affected indi-viduals of their mutation status. Conclusion Icelandic women are positive towards genetic counseling and testing for BRCA mutations although half of them worry that a positive result might affect their health insurance. Nevertheless, almost all women believe that existing genetic information should be used to inform carriers for preventive purposes.</description><subject>Adult</subject><subject>Aged</subject><subject>Biomarkers, Tumor - genetics</subject><subject>BRCA2 Protein - genetics</subject><subject>DNA Mutational Analysis</subject><subject>Early Detection of Cancer - methods</subject><subject>Female</subject><subject>Genetic Counseling</subject><subject>Genetic Predisposition to Disease</subject><subject>Genetic Privacy</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Heredity</subject><subject>Humans</subject><subject>Iceland</subject><subject>Middle Aged</subject><subject>Mutation</subject><subject>Neoplasms - diagnosis</subject><subject>Neoplasms - genetics</subject><subject>Patient Acceptance of Health Care</subject><subject>Pedigree</subject><subject>Phenotype</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>0023-7213</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1T01LxDAUzEFxl3XvniR_oDVfbZLjWtRdWBBk9bqkyctSadPSpBT_vRV1LsPMvDcwCN1RklOpNXto6zZnhKqclDlV-gqtCWE8k4zyFdrG-EkWlIRqLW_QimlVcqHoGp0-Gpgj7j0-WGhNcI3Fc99BwKmfzegivkCAtLi2n0KEtgkXnOHlECeI6Uctv49v1Y7hbkomNX2It-jamzbC9o836P356VTts-Pry6HaHbOBEpUyr6zWANJKoq0oLHOWc6o9K0zNqLMOhAGvCruETtRGGQbSC2ZBCEI05xt0_9s7THUH7jyMTWfGr_P_PP4NTdlRyA</recordid><startdate>201806</startdate><enddate>201806</enddate><creator>Jonsdottir, Thordis</creator><creator>Valdimarsdottir, Heiddis</creator><creator>Tryggvadottir, Laufey</creator><creator>Lund, Sigrun Helga</creator><creator>Thordardottir, Marianna</creator><creator>Magnusson, Magnus Karl</creator><creator>Valdimarsdottir, Unnur</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>201806</creationdate><title>Views of Icelandic women towards genetic counseling - and testing of BRCA2 mutations</title><author>Jonsdottir, Thordis ; Valdimarsdottir, Heiddis ; Tryggvadottir, Laufey ; Lund, Sigrun Helga ; Thordardottir, Marianna ; Magnusson, Magnus Karl ; Valdimarsdottir, Unnur</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p108t-f8c99ee7c709c45c2dc3319f25ab21dcde4aef85cc45d4ba8a2e7f42ce4400933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>ice</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biomarkers, Tumor - genetics</topic><topic>BRCA2 Protein - genetics</topic><topic>DNA Mutational Analysis</topic><topic>Early Detection of Cancer - methods</topic><topic>Female</topic><topic>Genetic Counseling</topic><topic>Genetic Predisposition to Disease</topic><topic>Genetic Privacy</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Heredity</topic><topic>Humans</topic><topic>Iceland</topic><topic>Middle Aged</topic><topic>Mutation</topic><topic>Neoplasms - diagnosis</topic><topic>Neoplasms - genetics</topic><topic>Patient Acceptance of Health Care</topic><topic>Pedigree</topic><topic>Phenotype</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jonsdottir, Thordis</creatorcontrib><creatorcontrib>Valdimarsdottir, Heiddis</creatorcontrib><creatorcontrib>Tryggvadottir, Laufey</creatorcontrib><creatorcontrib>Lund, Sigrun Helga</creatorcontrib><creatorcontrib>Thordardottir, Marianna</creatorcontrib><creatorcontrib>Magnusson, Magnus Karl</creatorcontrib><creatorcontrib>Valdimarsdottir, Unnur</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Laeknabladid</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jonsdottir, Thordis</au><au>Valdimarsdottir, Heiddis</au><au>Tryggvadottir, Laufey</au><au>Lund, Sigrun Helga</au><au>Thordardottir, Marianna</au><au>Magnusson, Magnus Karl</au><au>Valdimarsdottir, Unnur</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Views of Icelandic women towards genetic counseling - and testing of BRCA2 mutations</atitle><jtitle>Laeknabladid</jtitle><addtitle>Laeknabladid</addtitle><date>2018-06</date><risdate>2018</risdate><volume>104</volume><issue>6</issue><spage>289</spage><pages>289-</pages><issn>0023-7213</issn><abstract>Introduction The aim of this study was to explore the attitudes of Icelandic women towards existing genetic information, genetic counseling and genetic testing for BRCA mutations which dramatically increase risk for aggressive cancers. Materials and methods Women attending the cancer prevention clinic in Reykjavik, capital of Iceland, from October 12th until November 20th 2015 received an invitation to participate. Participation involved answering a short online questionnaire about background, family history of cancer as well as attitudes towards genetic counseling, BRCA testing and preventive use of such information. Descriptive statistics and chi-square tests were used to describe differences in attitudes towards those questions between subgroups of women. Results 1129 women (69% response rate) answered the questionnaire. Mean age was 47 years (span 21-76 years). Around half (47%) had heard fairly much about the mutations. Independent of family history of cancer, the majority of women were positive towards receiving genetic counseling (79%) and to undergo genetic testing (83%) for BRCA mutation with younger women being more interested than older women. On the other hand, only 4% of the women had already received genetic counseling and 7% undergone genetic testing. Women with family history of cancer were more knowledgeable about BRCA mutations (p&lt;0.0001) and were less afraid of the consequence of being a mutation carrier (p&lt;0.0001) compared to those with little or no family history. Regardless of family history, half (49%) worried that results from genetic testing could influence their health insurance. Almost all, or 97% of the women, were positive or very positive toward using existing genetic information obtained through scientific work, to inform affected indi-viduals of their mutation status. Conclusion Icelandic women are positive towards genetic counseling and testing for BRCA mutations although half of them worry that a positive result might affect their health insurance. Nevertheless, almost all women believe that existing genetic information should be used to inform carriers for preventive purposes.</abstract><cop>Iceland</cop><pmid>29863481</pmid><doi>10.17992/lbl.2018.06.189</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Biomarkers, Tumor - genetics
BRCA2 Protein - genetics
DNA Mutational Analysis
Early Detection of Cancer - methods
Female
Genetic Counseling
Genetic Predisposition to Disease
Genetic Privacy
Health Knowledge, Attitudes, Practice
Heredity
Humans
Iceland
Middle Aged
Mutation
Neoplasms - diagnosis
Neoplasms - genetics
Patient Acceptance of Health Care
Pedigree
Phenotype
Predictive Value of Tests
Prognosis
Risk Assessment
Risk Factors
Surveys and Questionnaires
Young Adult
title Views of Icelandic women towards genetic counseling - and testing of BRCA2 mutations
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