Journal of Cancer Education

, Volume 30, Issue 1, pp 167–172 | Cite as

Knowledge About Hereditary Cancer of Women with Family Histories of Breast, Colorectal, or Both Types of Cancer

  • N. Campacci
  • J. O. de Lima
  • L. Ramadan
  • E. I. Palmero


Usually, the mass media do not address hereditary cancer and their risk factors, nor are these topics discussed at the community level. We used an informative guide on cancer and hereditary cancer, followed by a questionnaire on these topics to investigate the relevant knowledge among women at high risk for hereditary breast and/or colorectal cancer from a population-based cohort. The cohort was composed of 81 Brazilian women with positive family histories of breast and/or colorectal cancer. Strauss and Corbin’s Grounded Theory was used for qualitative analysis. The average age of the cohort was 49.9 years old. Three participants (3.9 %) were illiterate, 45 (59.2 %) had attended elementary school, 14 (18.4 %) had secondary school, and 14 (18.4 %) held higher education degrees. A total of 47 (54.3 %) volunteers were unable to fully understand the information provided in the guide because they did not know the meaning of words such as metastasis, malignant, hereditary, sporadic, or oncogenetics. Notwithstanding, the acceptance of the educational tool utilized was satisfactory, and it enhanced the volunteers’ interest in a better understanding of cancer and heredity. Thereby, we concluded that the low knowledge of this important subject and the unawareness about fundamental terms required for the comprehension of this specific type of neoplasm made us believe that the use of the informative guide can provide a great value when used previously to the genetic counseling consultations. Besides, educational tools of easy understanding should be part of everyday clinical practice, from primary to specialized patient care.


Hereditary cancer Cancer education Knowledge on hereditary cancer Genetic counseling 



This study was funded by Barretos Cancer Hospital.


  1. 1.
    Palmero EI, Kalakun L, Schuler-Faccini L, Giugliani R, Regla Vargas F, Rocha JC, Ashton-Prolla P (2007) Cancer genetic counseling in public health care hospitals: the experience of three Brazilian services. Community Genet 10(2):110–119CrossRefPubMedGoogle Scholar
  2. 2.
    Palmero EI, Caleffi M, Schuler-Faccini L, Roth FL, Kalakun L, Netto CB, Skonieski G et al (2009) Population prevalence of hereditary breast cancer phenotypes and implementation of a genetic cancer risk assessment program in southern Brazil. Genet Mol Biol 32(3):447–455CrossRefPubMedCentralPubMedGoogle Scholar
  3. 3.
    Palmero EI, Ashton-Prolla P, da Rocha JC, Vargas FR, Kalakun L, Blom MB, Azevedo SJ, Caleffi M, Giugliani R, Schuler-Faccini L (2007) Clinical characterization and risk profile of individuals seeking genetic counseling for hereditary breast cancer in Brazil. J Genet Couns 16(3):363–371CrossRefPubMedGoogle Scholar
  4. 4.
    Palmero EI (2007) Identificação e Caracterização de Pacientes em Risco para Câncer de Mama Hereditário no Sul do Brasil. Universidade Federal do Rio Grande do Sul, Rio Grande do SulGoogle Scholar
  5. 5.
    Viana DV, Goes JR, Coy CS, de Lourdes Setsuko Ayrizono M, Lima CS, Lopes-Cendes I (2008) Family history of cancer in Brazil: is it being used? Familial Cancer 7(3):229–232CrossRefPubMedGoogle Scholar
  6. 6.
    MacDonald DJ (2011) Germline mutations in cancer susceptibility genes: an overview for nurses. Semin Oncol Nurs 27(1):21–33CrossRefPubMedGoogle Scholar
  7. 7.
    Silva TB, Macdonald DJ, Ferraz VE, Nascimento LC, Santos CB, Lopes-Junior LC, Floria-Santos M (2013) Perception of cancer causes and risk, family history and preventive behaviors of users in oncogenetic counseling. Rev Esc Enferm USP 47(2):377–384CrossRefPubMedGoogle Scholar
  8. 8.
    Moreira RMM, Melo DG (2012) Percepções dos médicos a respeito do Aconselhamento Genético do Câncer: Um exemplo do câncer colorretal. Revista Ciência em ExtensãoGoogle Scholar
  9. 9.
    Bertolucci PH, Brucki SM, Campacci SR, Juliano Y (1994) The Mini-Mental State Examination in a general population: impact of educational status. Arq Neuropsiquiatr 52(1):1–7CrossRefPubMedGoogle Scholar
  10. 10.
    Strauss A, Corbin J (1994) Grounded theory methodology. Handbook of qualitative research. pp 273–285Google Scholar
  11. 11.
    Lynch HT, Snyder C, Lynch J (2012) Hereditary breast cancer: practical pursuit for clinical translation. Ann Surg Oncol 19(6):1723–1731CrossRefPubMedGoogle Scholar
  12. 12.
    Dewalt DA, Berkman ND, Sheridan S, Lohr KN, Pignone MP (2004) Literacy and health outcomes: a systematic review of the literature. J Gen Intern Med 19(12):1228–1239CrossRefPubMedCentralPubMedGoogle Scholar
  13. 13.
    Sudore RL, Yaffe K, Satterfield S, Harris TB, Mehta KM, Simonsick EM, Newman AB et al (2006) Limited literacy and mortality in the elderly: the health, aging, and body composition study. J Gen Intern Med 21(8):806–812CrossRefPubMedCentralPubMedGoogle Scholar
  14. 14.
    Parker RM, Baker DW, Williams MV, Nurss JR (1995) The test of functional health literacy in adults: a new instrument for measuring patients’ literacy skills. J Gen Intern Med 10(10):537–541CrossRefPubMedGoogle Scholar
  15. 15.
    Mancuso JM (2009) Assessment and measurement of health literacy: an integrative review of the literature. Nurs Health Sci 11(1):77–89CrossRefPubMedGoogle Scholar
  16. 16.
    Gazmararian JA, Williams MV, Peel J, Baker DW (2003) Health literacy and knowledge of chronic disease. Patient Educ Couns 51(3):267–275CrossRefPubMedGoogle Scholar
  17. 17.
    Lubitz RJ, Komaromy M, Crawford B, Beattie M, Lee R, Luce J, Ziegler J (2007) Development and pilot evaluation of novel genetic educational materials designed for an underserved patient population. Genet Test 11(3):276–290CrossRefPubMedGoogle Scholar
  18. 18.
    Kinney AY, Gammon A, Coxworth J, Simonsen SE, Arce-Laretta M (2010) Exploring attitudes, beliefs, and communication preferences of Latino community members regarding BRCA1/2 mutation testing and preventive strategies. Genet Med 12(2):105–115CrossRefPubMedCentralPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • N. Campacci
    • 1
    • 2
  • J. O. de Lima
    • 1
  • L. Ramadan
    • 1
  • E. I. Palmero
    • 1
    • 2
    • 3
  1. 1.Molecular Oncology Research CenterBarretos Cancer HospitalBarretosBrazil
  2. 2.Post Graduation Program in OncologyBarretos Cancer HospitalBarretosBrazil
  3. 3.Barretos School of Health SciencesBarretosBrazil

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