Annals of Behavioral Medicine

, Volume 34, Issue 3, pp 275–286

Anticipating dissemination of cancer genomics in public health: A theoretical approach to psychosocial and behavioral challenges

  • Jennifer L. Hay
  • Hendrika W. Meischke
  • Deborah J. Bowen
  • Joni Mayer
  • Jeanne Shoveller
  • Nancy Press
  • Maryam Asgari
  • Marianne Berwick
  • Wylie Burke
Article

DOI: 10.1007/BF02874552

Cite this article as:
Hay, J.L., Meischke, H.W., Bowen, D.J. et al. ann. behav. med. (2007) 34: 275. doi:10.1007/BF02874552

Abstract

Background: Given the recent sequencing of the human genome, genetic susceptibility information will probably be increasingly useful in the prevention and control of many common diseases, including cancer.Purpose: Although much is known about psychosocial factors related to the impact of cancer genetic testing among high-risk families in specialized clinic settings, much less is known about how genetic susceptibility information may contribute to the health and wellbeing of the general population.Methods: We present a theoretical synthesis drawn from the health communication and health behavior change traditions to guide research examining psychosocial and behavioral challenges central to dissemination of cancer genomics in public health.Results: These challenges include (a) anticipating individuals’ reactions to receiving genetic information that is probabilistic and derived from multiple sources; (b) modeling the influence of public communication about genetics on the population; (c) confronting the need to disseminate cancer genomic information through public health channels; and (d) maximizing opportunities to achieve cancer risk reduction across individuals, families, and local environments. Throughout the article, we use melanoma genomics as an example of the issues requiring attention.Conclusions: We hope the model helps shape the psychosocial and behavioral research agenda concerning the impact of cancer genomics outside the high-risk clinic.

Copyright information

© The Society of Behavioral Medicine 2007

Authors and Affiliations

  • Jennifer L. Hay
    • 1
  • Hendrika W. Meischke
    • 2
  • Deborah J. Bowen
    • 2
  • Joni Mayer
    • 3
  • Jeanne Shoveller
    • 4
  • Nancy Press
    • 5
  • Maryam Asgari
    • 6
  • Marianne Berwick
    • 7
  • Wylie Burke
    • 8
  1. 1.Department of Psychiatry & Behavioral SciencesMemorial Sloan-Kettering Cancer CenterNew York
  2. 2.Fred Hutchinson Cancer Research CenterSeattle
  3. 3.San Diego State UniversityUSA
  4. 4.University of British ColumbiaUSA
  5. 5.University of OregonUSA
  6. 6.Kaiser PermanenteOakland
  7. 7.University of New MexicoUSA
  8. 8.University of WashingtonUSA