Abstract
In Japan, cancer education has been initiated with children as a measure against cancer. Cancer genome medicine, which is a social implementation, includes aspects of genetic medicine. For this reason, it is assumed that content related to “genetics” is also necessary in cancer education. To investigate the actual situation regarding the teaching of genetics in cancer education, we conducted a questionnaire survey of schoolteachers involved in cancer education; these schoolteachers belonged to the model school of the Cancer Education Comprehensive Support Project. Regarding genetic content, we asked questions related to two aspects: “the molecular genetic mechanisms of cancer” and “the phenomenon of sharing cancer in the family.” The results showed that about 60% of the teachers had experience teaching content related to the molecular genetic mechanisms of cancer and the phenomenon of sharing cancer in the family. While many teachers felt that teaching genetics in cancer education was necessary, they also felt that there were difficulties in doing so: 65.2% for content related to the molecular genetic mechanisms of cancer and 70.8% for that related to the phenomenon of sharing cancer in the family. It is important to properly treat cancer as a genetic disease, and it is necessary to examine government curriculum guidelines and establish a collaborative system among other subjects. In addition, the involvement of specialists in genetic medicine and psychosocial support is expected to improve teachers’ genetic literacy as well as to communicate with students with consideration for their family history.
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References
Barros A, Moreira L, Santos H, Ribeiro N, Carvalho L, Santos-Silva F (2014) “Cancer—educate to prevent”—high-school teachers, the new promoters of cancer prevention education campaigns. PLoS ONE 9(5):e99672. https://doi.org/10.1371/journal.pone.0096672
Boerwinkel DJ, Yarden A, Waarlo AJ (2017) Reaching a consensus on the definition of genetic literacy that is required from a twenty-first-century citizen. Sci Educ 26:1087–1114. https://doi.org/10.1007/s11191-017-9934-y
Chapman CR, Mehta KS, Parent B, Caplan AL (2019) Genetic discrimination: emerging ethical challenges in the context of advancing technology. J Law Biosci 7(1):1–23. https://doi.org/10.1093/jlb/lsz016
Hanyuda T (2012) Cancer Control in Japan JMA J 5(6):501–503
Hurle B, Citrin T, Jenkins JF, Kaphingst KA, Lamb N, Roseman JE et al (2013) What does it mean to be genomically literate?: National Human Genome Research Institute meeting report. Genet Med 15(8):658–663. https://doi.org/10.1038/gim.2013.14
Inoue I, Higashi T, Iwamoto M, Heiney SP, Tamaki T, Osawa K, Inoue M et al (2015) A national profile of the impact of parental cancer on their children in Japan. Cancer Epidemiol 39(6):838–841. https://doi.org/10.1016/j.canep.2015.10.005
Iredale R, Madden K (2014) Let’s talk about genes, and I don’t mean trousers: encouraging cancer genetics literacy amongst children. Ecancermedicalscience 8:408. https://doi.org/10.3332/ecancer.2014.408
Kye SY, Hwang SY, Oh KH, Jun JK (2019) Effects of a cancer prevention education program on elementary school students’ knowledge, attitude, self-efficacy, and intentions in South Korea. Epidemiol Health 41:e2019027. https://doi.org/10.4178/epih.e2019027
Lewandowska AM, Rudzki M, Rudzki S, Lewandowski T, Laskowska B (2019) Environmental risk factors for cancer-review paper. Annal Agri Environ Med 26:1–7. https://doi.org/10.26444/aaem/94299
Lu KH, Wood ME, Daniels M, Burke C, Ford J, Kauff ND et al (2014) American society of clinical oncology expert statement: collection and use of a cancer family history for oncology providers. J Clin Oncol 32(8):833–840. https://doi.org/10.1200/JCO.2013.50.9257
Miller DT, Lee K, Gordon AS, Amendola LM, Adelman K, Bale SJ et al (2021a) Recommendations for reporting of secondary findings in clinical exome and genome sequencing, 2021 update: a policy statement of the American College of Medical Genetics and Genomics (ACMG). Genet Med 23(8):1391–1398. https://doi.org/10.1038/s41436-021-01171-4
Miller DT, Lee K, Chung WK, Gordon AS, Herman GE, Klein TE et al (2021) ACMG SF v3.0 list for reporting of secondary findings in clinical exome and genome sequencing: a policy statement of the American College of Medical Genetics and Genomics (ACMG). Genet Med 23(8):1381–90. https://doi.org/10.1038/s41436-021-01172-3
Ministry of Education S Culture Science and Technology (2018a) Course of study for elementary school (notice March, 2017). Toyokan Publishing, Japan
Ministry of Education S Culture Science and Technology (2018b) Course of study for junior high school (notice March, 2017). Higasgiyama Publishing, Japan
Ministry of Education S Culture Science, and Technology (2018c) Course of study for junior high school explanation, Health and physical education (notice March, 2017). Higasgiyama Publishing, Japan
Ministry of Education S Culture Science, and Technology (2019) Course of study for high school (notice March, 2018). Higasgiyama Publishing, Japan
Ministry of Education, Culture, Sports, Science, and Technology (2018d) Results of the survey on the implementation status of cancer education in fiscal year 2017. (In Japanese) https://www.mext.go.jp/a_menu/kenko/hoken/__icsFiles/afieldfile/2019/05/29/1410244_1.pdf. Accessed 27 Jul 2021.
Ministry of Education, Culture, Sports, Science, and Technology (2019b) Culture, Sports, Science, and Technology (2019b) Course of study for high school explanation, Health and physical education (notice March. Higasgiyama Publishing, Japan
Ministry of Education, Culture, Sports, Science, and Technology (2021) Guidelines for cancer education using guest lecturers https://www.mext.go.jp/a_menu/kenko/hoken/20210312-mxt_kouhou02-1.pdf Accessed 10 Mar 2022. (In Japanese)
Ministry of Education, Culture, Sports, Science, and Technology (2015) The state of cancer education in schools (Report). (In Japanese) https://www.mext.go.jp/a_menu/kenko/hoken/__icsFiles/afieldfile/2016/04/22/1369993_1_1.pdf. Accessed 27 Jul 2021
Ministry of Health, Labor, and Welfare (2007) Basic plan for the promotion of cancer control (first). (In Japanese) https://www.mhlw.go.jp/file/06-Seisakujouhou-10900000-Kenkoukyoku/gan_keikaku03.pdf. Accessed 28 Aug 2021.
Ministry of Health, Labor, and Welfare (2012) Basic plan to promote cancer control programs (second). (In Japanese) https://www.mhlw.go.jp/bunya/kenkou/dl/gan_keikaku02.pdf. Accessed 27 Jul 2021.
Ministry of Health, Labor, and Welfare (2018) Basic plan for the promotion of cancer control (third). (In Japanese) https://www.mhlw.go.jp/file/06-Seisakujouhou-10900000-Kenkoukyoku/0000196975.pdf. Accessed 28 Aug 2021.
Nagai A, Ri I, Muto K (2019) Attitudes toward genomic tumor profiling tests in Japan: patients, family members, and the public. J Hum Genet 64(5):481–485. https://doi.org/10.1038/s10038-018-0555-3
Paasche-Orlow MK, Wolf MS (2007) The causal pathways linking health literacy to health outcomes. Am J Health Behav 31(1):S19–S26. https://doi.org/10.5555/ajhb.2007.31.supp.S19
Ri I (2019) Telling genetic risk within the family: toward the development of a cross-disease study. Sociol Health Care 30(1):65–75. https://doi.org/10.18918/jshms.30.1_65
Robson ME, Bradbury AR, Arun B, Domchek SM, Ford JM, Hampel HL et al (2015) American Society of Clinical Oncology policy statement update: genetic testing for cancer susceptibility. J Clin Oncol 33(31):3660–3667. https://doi.org/10.1200/JCO.2015.63.0996
Sun YS, Zhao Z, Yang ZN, Xu F, Lu HJ, Zhu ZY et al (2017) Risk factors and preventions of breast cancer. Int J Biol Sci 13(11):1387–1397. https://doi.org/10.7150/ijbs.21635
The Japan Society of Human Genetics Committee for the Promotion of Education, ed. Reference materials on human genetics for high school biology education (2010). (In Japanese). http://jshg.jp/wp-content/uploads/2017/08/9b16f3f944a93b0b20293ef400948f02.pdf. Accessed 28 Aug 2021.
The Japanese Society of Human Genetics Committee for the Promotion of Education・Japanese Society for Genetic Counseling Committee on Genetic Education, ed (2014) Workshop for the introduction of “Human Genetics” in secondary education implementation report. (In Japanese). https://jshg.jp/wp-content/uploads/2017/08/b4ee2768c100af9c10f5cd679c987e86.pdf. Accessed 28 Aug 2021.
Van Kirk VA, Quintana Y, Ribeiro RC (2012) Cure4Kids for kids: school-based cancer education outreach. Stud Health Technol Inform 172:111–119. https://doi.org/10.3233/978-1-61499-088-8-111
Watanabe A (2019) Shinryou・kennkyu ni direct ni tunagaru idenigaku (Direct connection to medical examination and research Medical Genetics), Yodosha, Tokyo, pp 232–236
Weiner C (2014) Anticipate and communicate: ethical management of incidental and secondary findings in the clinical, research, and direct-to-consumer contexts (December 2013 report of the Presidential Commission for the Study of Bioethical Issues). Am J Epidemiol 180(6):562–564. https://doi.org/10.1093/aje/kwu217
Yako-Suketomo H, Kawamura Y, Kubota M (2012) Cancer education in the school setting for upper grade pupils-a consideration of relevancy to school subjects and teacher attitudes toward cancer education. Jpn J Sch Health 54(3):250–259
Acknowledgements
We would like to thank all who assisted in the questionnaire survey for their support in our research.
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F. Y. K., M. S., and H. M. contributed to the study conception and design. Material preparation and data collection were performed by F. Y. K. Analysis was performed by F. Y. K., A. K., and R. K. The manuscript was written by F. Y. K. and helped revise the manuscript by M. S. and H. M. All authors read and approved the final manuscript.
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This survey was approved by the Ethics Committee of Humanities and Social Sciences at Ochanomizu University (no. 2019–99).
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Yamada-Kurebayashi, F., Sasaki, M., Kuga, A. et al. Human genetics education as part of the Japanese Cancer Education Comprehensive Support Project. J Community Genet 14, 163–174 (2023). https://doi.org/10.1007/s12687-022-00623-x
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DOI: https://doi.org/10.1007/s12687-022-00623-x