Advertisement

Journal of Community Genetics

, Volume 11, Issue 1, pp 119–123 | Cite as

Improving access to cancer genetic services: perspectives of high-risk clients in a community-based setting

  • Ilana Miller
  • Samantha Greenberg
  • Beverly M. Yashar
  • Monica L. MarvinEmail author
Short Communication

Abstract

Cancer genetic services are underutilized by high-risk clients in community-based health settings. To understand this disparity, 108 Planned Parenthood high-risk clients completed a utilization-focused survey. Clients expressed interest (78.8%) and intention (75.0%) in seeking genetic services. Personal/familial implications for cancer risk were the strongest motivators for seeking services (63.0–79.6%). Finances (39.6%) and worry (37.0%) were the biggest barriers. To reduce disparities in access to cancer genetics services, clinicians must understand clients’ concerns and tailor their recommendations.

Keywords

Cancer genetic services Underserved population Screening tool 

Notes

Acknowledgments

The authors on this paper would like to thank the Planned Parenthood Federation of America staff and Mary Kint Petit at Planned Parenthood of Michigan for their support of this research. Many thanks to Mark Pearlman, Debra Duquette, and Kara Milliron for their assistance in survey development.

Funding information

Partial funding for this project was provided by the National Society of Genetic Counselors Education Special Interest Group and the University of Michigan Genetic Counseling Research Grant.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Studies with human subjects

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study. The study was approved for exemption through University of Michigan IRB HUM00103068.

References

  1. Anderson B, McLosky J, Wasilevich E, Lyon-Callo S, Duquette D, Copeland G (2012) Barriers and facilitators for utilization of genetic counseling and risk assessment services in young female breast cancer survivors. J Cancer Epidemiol 2012Google Scholar
  2. Armstrong K, Micco E, Carney A, Stopfer J (2014) Racial differences in the use of BRCA1/2 testing among women with a family history of breast and ovarian cancer. J Am Med Assoc 293(14):1729–1736CrossRefGoogle Scholar
  3. Bellcross C (2017) Identification and genetic counseling referral of women at risk for hereditary breast and ovarian cancer [webinar recording]. Retrieved from http://breeze.mdch.train.org/p1xh57abhms/?launcher=false&fcsContent=true&pbMode=normal
  4. BRCA1 and BRCA2: Cancer Risk and Genetic Testing Fact Sheet - National Cancer Institute (n.d.) Retrieved May 22, 2017, from https://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet
  5. Greenberg S, Yashar B, Pearlman M, Duquette D, Milliron K, Marvin M (2018) Evaluating and improving the implementation of a community-based hereditary cancer screening program. J Community GenetGoogle Scholar
  6. Levy DE, Byfield SD, Comstock CB, Garber JE, Syngal S, Crown WH, Shields AE (2011) Underutilization of BRCA1/2 testing to guide breast cancer treatment: black and Hispanic women particularly at risk. Genet Med 13(4):349–355.  https://doi.org/10.1097/GIM.0b013e3182091ba4 CrossRefPubMedPubMedCentralGoogle Scholar
  7. NCCN Clinical practice guidelines in oncology. (2016). Retrieved from https://www.nccn.org/professionals/physician_gls/f_guidelines.asp Google Scholar
  8. Planned Parenthood Federation of America (2016) The urgent need for planned parenthood health centers. Retrieved March 12, 2017, from https://www.plannedparenthood.org/files/4014/6773/0282/20160620_Defunding_fs_d1_4.pdf
  9. Planned Parenthood Federation of America Inc. (2016) Planned parenthood by the number. Retrieved March 12, 2017, from https://www.plannedparenthood.org/files/7214/6833/9709/20160711_FS_PPNumbers_d1.pdf
  10. Randall T, Armstrong K (2016) Health care disparities in hereditary ovarian cancer: are we reaching the underserved population? Curr Treat Options in Oncol 17(39)Google Scholar
  11. Sheppard VB, Graves KD, Christopher J, Hurtado-de-Mendoza A, Talley C, Williams KP (2014) African American women’s limited knowledge and experiences with genetic counseling for hereditary breast cancer. J Genet Couns 23(3):311–322.  https://doi.org/10.1007/s10897-013-9663-6 CrossRefPubMedGoogle Scholar
  12. US Census Bureau, D. I. D (2010) Small area income and poverty estimates for 2010. Retrieved from https://www.census.gov/did/www/saipe/data/statecounty/data/2010.html
  13. Ward E, Jemal A, Cokkinides V, Singh GK, Cardinez C, Ghafoor A, Thun M (2004) Cancer disparities by race/ethnicity and socioeconomic status. CA Cancer J Clin 54(2):78–93.  https://doi.org/10.3322/canjclin.54.2.78 CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Ilana Miller
    • 1
  • Samantha Greenberg
    • 1
    • 2
  • Beverly M. Yashar
    • 1
  • Monica L. Marvin
    • 1
    Email author
  1. 1.Department of Human GeneticsUniversity of MichiganAnn ArborUSA
  2. 2.Huntsman Cancer InstituteSalt Lake CityUSA

Personalised recommendations