Evidence map›Paper›PMID 19090507›Full record

ArticlePsycho-oncology2009

The influence of acculturation and breast cancer-specific distress on perceived barriers to genetic testing for breast cancer among women of African descent.

Katarina M Sussner, Hayley S Thompson, Lina Jandorf, Tiffany A Edwards, Andrea Forman, Karen Brown, Nidhi Kapil-Pair, Dana H Bovbjerg, Marc D Schwartz, Heiddis B Valdimarsdottir

Open access · greenAbstract read
In one paragraph

Article in Psycho-oncology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Katarina M SussnerDepartment of Oncological Sciences, Mount Sinai School of Medicine, New York, NY 10029, USA. katarina.sussner@mssm.edu
Hayley S Thompson
Lina Jandorf
Tiffany A Edwards
Andrea Forman
Karen Brown
Nidhi Kapil-Pair
Dana H Bovbjerg
Marc D Schwartz
Heiddis B Valdimarsdottir
Icahn School of Medicine at Mount Sinai · USGeorgetown University Medical Center · USMemorial Sloan Kettering Cancer Center · USUPMC Hillman Cancer Center · US

Funding

CANCER PREVENTION &CONTROL--MULTIDISCIPLINARY TRAININGR25CA081137 · NCI · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI MONTGOMERY, GUY H · 1999 to 2014
$6.7M
NCI NIH HHS R25 CA081137NCI NIH HHS R25 CA81137
6 · The paper itself

Abstract

objectiveRising health disparities are increasingly evident in relation to use of genetic services (including genetic counseling and testing) for breast cancer risk, with women of African descent less likely to use genetic services compared with Whites. Meanwhile, little is known regarding potential within-group acculturation and psychological differences underlying perceived barriers to genetic testing among women of African descent.

methodsHypothesized contributions of acculturation factors and breast cancer-specific distress to perceived barriers to genetic testing were examined with a statistical analysis of baseline data from 146 women of African descent (56% US born and 44% foreign born) meeting genetic breast cancer risk criteria and participating in a larger longitudinal study that included the opportunity for free genetic counseling and testing. Perceived barriers assessed included: (1) anticipation of negative emotional reactions, (2) stigma, (3) confidentiality concerns, (4) family-related worry, and (5) family-related guilt associated with genetic testing.

resultsIn multivariate analyses, being foreign born was a significant predictor of anticipated negative emotional reactions about genetic testing (beta=0.26; SE=0.11; p=0.01). Breast cancer-specific distress scores (avoidance symptoms) were positively related to anticipated negative emotional reactions (beta=0.02; SE=0.005; p=<0.0001), confidentiality concerns (beta=0.02; SE=0.01; p=0.02), and family-related guilt (beta=0.02; SE=0.01; p=0.0009) associated with genetic testing.

conclusionsResults suggest an influence of acculturation and breast cancer-specific distress on perceived barriers to genetic testing among women of African descent. The potential utility of culturally tailored genetic counseling services taking into account such influences and addressing emotional and psychological concerns of women considering genetic testing for breast cancer should be investigated.

Indexed as

AcculturationCultureHealthcare DisparitiesHealth Services AccessibilitySick RoleAdaptation, PsychologicalAdultApoptosis Regulatory ProteinsBlack or African AmericanBRCA1 ProteinBRCA2 ProteinBreast NeoplasmsEmigrants and ImmigrantsEmotionsFemaleGenetic CounselingApoptosis Regulatory ProteinsBLID protein, humanBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, human

Identifiers

PMID19090507
PMCPMC2735601
OpenAlexW2052828318

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.