Evidence map›Paper›PMID 36301246›Full record

SynthesisJournal of genetic counseling2023

Latinx attitudes, barriers, and experiences with genetic counseling and testing: A systematic review.

Heather A Dron, Daiana Bucio, Jennifer L Young, Holly K Tabor, Mildred K Cho

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Journal of genetic counseling, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Psychological impacts of APOE genotype disclosure among Latinos in New York City: a randomized controlled trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Trial
  3. Trial
  4. Trial
  5. Article
  6. An integrated cardiometabolic genetic testing program in a predominantly Hispanic population within a community setting.Genetics in medicine : official journal of the American College of Medical Genetics · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Disparities in access to reproductive genetic services associated with geographic location of residence and maternal race and ethnicity.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Article
  18. Article
  19. Article
  20. Article
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

5 authors at 4 institutions in 1 country.

Heather A DronStanford Center for Biomedical Ethics (SCBE), Stanford University, Stanford, California, USA.ORCID 0000-0003-0313-113X
Daiana BucioProvidence St. Joseph Health, Burbank, California, USA.ORCID 0000-0001-7162-5436
Jennifer L YoungStanford Center for Biomedical Ethics (SCBE), Stanford University, Stanford, California, USA.ORCID 0000-0002-7558-3445
Holly K TaborStanford Center for Biomedical Ethics (SCBE), Stanford University, Stanford, California, USA.ORCID 0000-0003-1005-5008
Mildred K ChoStanford Center for Biomedical Ethics (SCBE), Stanford University, Stanford, California, USA.ORCID 0000-0003-1669-3932
Stanford University · USNorthwestern University · USProvidence Saint Joseph Medical Center · USUniversity of Michigan · US

Funding

NHGRI NIH HHS T32HG00895301
6 · The paper itself

Abstract

As genetics is increasingly used across clinical settings, there is a need to understand the impact and experiences of diverse patients. This review systematically examined research literature on Latinx experiences with genetic counseling and genetic testing (GC/GT) in the United States, synthesizing key themes and knowledge gaps pertaining to both patient experience and hypothetical scenarios. Findings were based on a systematic search, inclusion, and thematic analysis of 81 empirical peer-reviewed articles published from January 1990 to July 2019 pertaining to Latinx populations and GC/GT. Studies most commonly addressed Latinas' perspectives on GC/GT in prenatal settings or for hereditary breast and ovarian cancer (HBOC). Costs, referrals, and communication were significant barriers to accessing genetic services for many Latinx patients, particularly those with low English proficiency (LEP). Studies highlighted difficulties accessing and communicating in healthcare settings, and how medical context and prior experience with healthcare workers and institutions influenced GC/GT decision-making. Providers' implicit biases about Latinx patients negatively impacted their care and impeded communication. Despite low awareness of cancer GT, Latinx patients often reported interest in learning more about GC/GT or unmet needs for GT discussion and provider involvement. This systematic review identified areas where providers can take action to improve Latinx experiences with GC/GT. Clinicians should elicit and respond to patient preferences about shared decision-making. For patients with low numeracy or LEP, providers should consider tailored educational and communication techniques. Most studies focused on HBOC and prenatal testing, and Latinx patients are heterogeneous, leaving many research questions about Latinx experience with GT/GC in other clinical areas.

Indexed as

Breast NeoplasmsGenetic CounselingHispanic or LatinoOvarian NeoplasmsAttitude to HealthFemaleGenetic TestingHumansPatient PreferencePregnancyUnited Statesacculturationbarrierscommunicationdecision-makingdisparitiesgenetic counselinggenetic testingHispanicLatinxpatient experiencesystematic reviewunderrepresented populations

Identifiers

PMID36301246
PMCPMC10091969
OpenAlexW4307426423

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.