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Acculturation and Familiarity With, Attitudes Towards and Beliefs about Genetic Testing for Cancer Risk Within Latinas in East Harlem, New York City

  • Original Research
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Journal of Genetic Counseling

Abstract

Recent research underscores the need for increasing use of genetic testing for cancer risk in Latinos. This study examined the influence of acculturation on attitudes, beliefs about and familiarity with genetic testing for cancer risk in a community-based sample of Latinas in East Harlem, New York City (N = 103). Multivariate linear regression models analyzed the relationship of acculturation to: (1) familiarity (2) perceived benefits (3) perceived barriers and (4) concerns about abuses of genetic testing for cancer risk. Controlling for sociodemographic factors, results revealed that with increasing acculturation Latinas were more familiar with genetic testing (β = 1.62, SE = 0.72, p = 0.03), more likely to cite perceived benefits (β = 1.67, SE = 0.79, p = 0.04), and less likely to report perceived barriers related to genetic testing (β = −2.76, SE = 1.64, p = 0.10). Study results may help inform the development of culturally-appropriate health education outreach materials and programs targeted to increase awareness, knowledge and understanding about genetic testing for cancer risk within Latinas.

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Notes

  1. A copy of the one-paragraph description may be obtained by contacting study authors.

References

  • Abraido-Lanza, A. F., Armbrister, A. N., Florez, K. R., & Aguirre, A. N. (2006). Toward a theory-driven model of acculturation in public health research. American Journal of Public Health, 96, 1342–1346.

    Article  PubMed  Google Scholar 

  • Abraido-Lanza, A. F., Chao, M. T., & Gates, C. Y. (2005). Acculturation and cancer screening among Latinas: results from the National Health Interview Survey. Annals of Behavioral Medicine, 29(1), 22–28.

    Article  PubMed  Google Scholar 

  • American Cancer Society. (2006). Cancer Facts and Figures for Hispanics/Latinos 2006–2008. Atlanta, Georgia.

  • American Public Health Association. (2002). Spanish-English language barrier dissuades Hispanics from pursuing medical care. The Nation’s Health Web Exclusive. Accessed March 2008. Available from http://www.apha.org American Cancer Society. (1994). Cancer Facts and Figures for Hispanics/Latinos 2006–2008.

  • Andrykowski, M., Munn, R., & Studts, J. (1996). Interest in learning of personal genetic risk for cancer: a general population survey. Preventive Medicine, 25, 527–536.

    Article  PubMed  CAS  Google Scholar 

  • Arcia, E., Skinner, M., Bailey, D., & Correa, V. (2001). Models of acculturation and health behaviors among Latino immigrants to the US. Social Science & Medicine, 53, 41–53.

    Article  CAS  Google Scholar 

  • Becker, M. H. (1974). The Health Belief Model and personal health behavior. Health Education Monographs, 2(4), 324–473.

    Google Scholar 

  • Bosompra, K., Flynn, B. S., Ashikaga, T., Rairikar, C. J., Worden, J. K., & Solomon, L. J. (2000). Likelihood of undergoing genetic testing for cancer risk: a population-based study. Preventive Medicine, 30, 155–166.

    Article  PubMed  CAS  Google Scholar 

  • Brown, W. M., Consedine, N. S., & Magai, C. (2006). Time spent in the United States and breast cancer screening behaviors among ethnically diverse immigrant women: evidence for acculturation. Journal of Immigrant Health, 8, 347–358.

    Article  Google Scholar 

  • Bunn, J. Y., Bosompra, K., Ashikaga, T., Flynn, B. S., & Worden, J. K. (2002). Factors influencing intention to obtain a genetic test for colon cancer risk: a population-based study. Preventive Medicine, 34, 567–577.

    Article  PubMed  Google Scholar 

  • Caetano, R. (1987). Alcohol use and depression among U.S. Hispanics. British Journal of Addiction, 82, 1245–1251.

    Article  PubMed  CAS  Google Scholar 

  • Carrasquillo, O., & Pati, S. (2004). The role of health insurance on Pap smear and mammography utilization by immigrants living in the United States. Preventive Medicine, 39, 943–950.

    Article  PubMed  Google Scholar 

  • Echeverria, S. E., & Carrasquillo, O. (2006). The roles of citizenship status, acculturation, and health insurance in breast and cervical cancer screening among immigrant women. Medical Care, 44, 788–792.

    Article  PubMed  Google Scholar 

  • Eschbach, K., Mahnken, J. D., & Goodwin, J. S. (2005). Neighborhood composition and incidence of cancer among Hispanics in the United States. Cancer, 103, 1036–1044.

    Article  PubMed  Google Scholar 

  • Frank, T. S., Deffenbaugh, A. M., Reid, J. E., Hulick, M., Ward, B. E., Lingenfelter, B., et al. (2002). Clinical characteristics of individuals with germline mutations in BRCA1 and BRCA2: analysis of 10,000 individuals. Journal of Clinical Oncology, 20(6), 1480–1490.

    Article  PubMed  CAS  Google Scholar 

  • Glanz, K., Lewis, F. M., & Rimer, B. K. (1997). Linking theory, research and practice. In K. Glanz, F. M. Lewis, & B. K. Rimer (Eds.), Health behavior and education: theory, research and practice (pp. 19–35). San Francisco: Jossey-Bass.

    Google Scholar 

  • Hall, M. J., & Olopade, O. I. (2005). Confronting genetic testing disparities: knowledge is power. Journal of the American Medical Association, 293(14), 1783–1785.

    Article  PubMed  CAS  Google Scholar 

  • Hall, M. J., & Olopade, O. I. (2006). Disparities in genetic testing: thinking outside the BRCA box. Journal of Clinical Oncology, 24(14), 2197–2203.

    Article  PubMed  Google Scholar 

  • Heck, J. E., Franco, R., Jurkowski, J. M., & Gorin Sheinfeld, S. (2008). Awareness of genetic testing for cancer among United States Hispanics: the role of acculturation. Community Genetics, 11(1), 36–42.

    Article  PubMed  Google Scholar 

  • Honda, K. (2003). Who gets the information about genetic testing for cancer risk? The role of race/ethnicity, immigration status, and primary care clinicians. Clinical Genetics, 64, 131–136.

    Article  PubMed  CAS  Google Scholar 

  • Jandorf, L., Fatone, A., Borker, P. V., Levin, M., Esmond, W. A., Brenner, B., et al. (2005). Creating alliances to improve cancer prevention and detection among urban medically underserved minority groups: The East Harlem Partnership for Cancer Awareness. Cancer, 107(8Suppl), 2043–2051.

    Google Scholar 

  • Janz, N. K., & Becker, M. H. (1984). The health belief model: a decade later. Health Education Quarterly, 11(1), 1–47.

    PubMed  CAS  Google Scholar 

  • John, E. M., Phipps, A. I., Davis, A., & Koo, J. (2005). Migration history, acculturation, and breast cancer risk in Hispanic women. Cancer Epidemiology Biomarkers and Prevention, 14, 2905–2913.

    Article  Google Scholar 

  • Lantz, P. M., Mujahid, M., Schwartz, K., Janz, N. K., Fagerlin, A., Salem, B., et al. (2006). The influence of race, ethnicity, and individual socioeconomic factors on breast cancer stage at diagnosis. American Journal of Public Health, 96(12), 2173–2178.

    Article  PubMed  Google Scholar 

  • Lara, M., Gamboa, C., Kahramanian, M. I., Morales, L. S., & Hayes Bautista, D. E. (2005). Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annual Review Public Health, 26, 367–397.

    Article  Google Scholar 

  • Marin, G., & Gamba, R. (1996). A new measurement of acculturation for Hispanics: the bidimensional acculturation scale for Hispanics (BAS). Hispanic Journal of Behavioral Sciences, 18(3), 297–316.

    Article  Google Scholar 

  • Marin, G., Sabogal, F., Marin, B. V., Otero-Sabogal, R., & Perez-Stable, E. J. (1987). Development of a short acculturation scale for Hispanics. Hispanic Journal of Behavioral Sciences, 9, 183–205.

    Article  Google Scholar 

  • New York City Department of Health and Mental Hygiene. (2006). Community Health Profile, 2006. Accessed March 2008. Available from http://www.nyc.gov/html/doh/html/data/data.shtml.

  • Noll, W. W., Reid, J. E., Burbridge, L. A., Hall, M. J., Frye, C. A., Deffenbaugh, A. M., et al. (2007). Prevalence of BRCA1 and BRCA2 mutations is similar in non-Ashkenazi women of different ethnic backgrounds undergoing genetic testing. Poster presented at the 2007 Breast Cancer Symposium at the Annual Meeting of the American Society of Clinical Oncology.

  • Olopade, O. I. (2004). Genetics in clinical cancer care: a promise unfulfilled among minority populations. Cancer Epidemiology Biomarkers and Prevention, 13(11), 1683–1686.

    Google Scholar 

  • O’Malley, A. S., Kerner, J., Johnson, A. E., & Mandelblatt, J. (1999). Acculturation and breast cancer screening among Hispanic women in New York City. American Journal of Public Health, 89(2), 219–227.

    Article  PubMed  CAS  Google Scholar 

  • Passel, J. S. (2005). Estimates of the size and characteristics of the undocumented population. Pew Hispanic Center Report, March 2005.

  • Ramirez, A. G., Talavera, G. A., Marti, J., Penedo, F. J., & Medrano, M. (2006). Redes En Acción. Increasing Hispanic participation in cancer research, training, and awareness. Cancer, 107(8Suppl), 2023–2033.

    Article  PubMed  Google Scholar 

  • Redding, C. A., Rossi, J. S., Rossi, S. R., Prochaska, J. O., & Velicer, W. F. (2000). Health Behavior Models. In G. C. Hyner, K. W. Peterson, J. W. Travis, J. E. Dewey, J.J. Foerster & E. M. Framer (Eds.), SPM Handbook of Health Assessment Tools. Pittsburg, PA: The Society of Prospective Medicine & The Institute for Health and Productivity Management reprinted in The International Electronic Journal of Health Education, 3 (Special Issue), 180–193.

  • Ricker, C. N., Hiyama, S., Fuentes, S., Feldman, N., Kumar, V., Uman, G. C., et al. (2007). Beliefs and interest in cancer risk in an underserved Latino cohort. Preventive Medicine, 44, 241–245.

    Article  PubMed  Google Scholar 

  • Rodriguez, M. A., Ward, L. M., & Perez-Stable, E. J. (2005). Breast and cervical cancer screening: impact of health insurance status, ethnicity and nativity of Latinas. Annals of Family Medicine, 3, 235–241.

    Article  PubMed  Google Scholar 

  • Rosenstock, I. M. (1974). Historical origins of the health belief model. Health Education Monogram, 2, 328–335.

    Google Scholar 

  • Shah, N. S., & Carrasquillo, O. (2006). Twelve-year trends in health insurance coverage among Latinos, by subgroup and immigration status. Health Affairs, 25(6), 1612–1619.

    Article  PubMed  Google Scholar 

  • Singer, E., Antonucci, T., & Van Hoewyk, J. (2004). Racial and ethnic variations in knowledge and attitudes about genetic testing. Genetic Testing, 8(1), 31–43.

    Article  PubMed  Google Scholar 

  • Snowden, L. R., & Hines, A. M. (1999). A scale to assess African American acculturation. Journal of Black Psychology, 25, 36–47.

    Article  Google Scholar 

  • Strecher, V. J., & Rosenstock, I. M. (1997). The health belief model: explaining health behavior through expectancies. In K. Glanz, F. M. Lewis, & B. K. Rimer (Eds.), Health behavior and health education: theory, research, and practice. San Francisco: Jossey-Bass.

    Google Scholar 

  • Suarez, L. (1994). Pap smear and mammogram screening in Mexican-American women: the effects of acculturation. American Journal of Public Health, 84(5), 742–746.

    Article  PubMed  CAS  Google Scholar 

  • Tambor, E. S., Rimer, B. K., & Strigo, T. S. (1997). Genetic testing for breast cancer susceptibility: awareness and interest among women in the general population. American Journal Medical Genetics, 68, 43–49.

    Article  CAS  Google Scholar 

  • Thompson, H. S., Valdimarsdottir, H. B., Jandorf, L., & Redd, W. (2003). Perceived barriers and concerns about abuses of genetic testing for cancer risk: differences across African American, Latina and Caucasian women. Patient Education & Counseling, 51, 217–227.

    Article  Google Scholar 

  • Thompson, H. S., Valdimarsdottir, H. B., Winkel, G., Jandorf, L., & Redd, W. (2004). The Group-Based Medical Mistrust Scale: psychometric properties and association with breast cancer screening. Preventive Medicine, 38, 209–218.

    Article  PubMed  Google Scholar 

  • U.S. Census Bureau. (2004). Census Bureau projects tripling of Hispanic and Asian populations in 50 years: non-Hispanic whites may drop to half of total population. U.S. Department of Commerce. March 18, 2004. Washington, D.C.

  • Vadaparampil, S. T., Wideroff, L., Breen, N., & Trapido, E. (2006). The impact of acculturation on awareness of genetic testing for increased cancer risk among Hispanics in the year 2000 National Health Interview Survey. Cancer Epidemiology Biomarkers & Prevention, 15(4), 618–623.

    Article  Google Scholar 

  • Vega, W. A., & Amaro, H. (1994). Latino outlook: good health, uncertain prognosis. Annual Review of Public Health, 15, 36–67.

    Article  Google Scholar 

  • Weitzel, J. N., Lagos, V., Blazer, K. R., Nelson, R., Ricker, C., Herzog, J., et al. (2005). Prevalence of BRCA mutation and founder effect in high-risk Hispanic families. Cancer Epidemiology Biomarkers & Prevention, 14(7), 1666–1671.

    Article  CAS  Google Scholar 

  • Wideroff, L., Vadaparampil, S. T., Breen, N., Croyle, R. T., & Freedman, A. N. (2003). Awareness of genetic testing for increased cancer risk in the year 2000 National Health Interview Survey. Community Genetics, 6(3), 147–156.

    Article  PubMed  Google Scholar 

  • Zsembik, B. A., & Fennell, D. (2005). Ethnic variation in health and the determinants of health among Latinos. Social Science & Medicine, 61, 53–63.

    Article  Google Scholar 

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Acknowledgements

EHPCA grant support was provided via Grant U01-CA86107-05 from the National Cancer Institute. Dr. Sussner’s Postdoctoral Fellowship was sponsored by Grant R25-CA81137 from the National Cancer Institute.

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Authors and Affiliations

  1. Department of Oncological Sciences, Mount Sinai School of Medicine, 1425 Madison Ave., Box 1130, New York, NY, 10029, USA

    Katarina M. Sussner, Hayley S. Thompson, Heiddis B. Valdimarsdottir, William H. Redd & Lina Jandorf

  2. Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA

    Hayley S. Thompson

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  1. Katarina M. Sussner
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  2. Hayley S. Thompson
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Correspondence to Katarina M. Sussner.

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Sussner, K.M., Thompson, H.S., Valdimarsdottir, H.B. et al. Acculturation and Familiarity With, Attitudes Towards and Beliefs about Genetic Testing for Cancer Risk Within Latinas in East Harlem, New York City. J Genet Counsel 18, 60–71 (2009). https://doi.org/10.1007/s10897-008-9182-z

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