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纽约市东哈莱姆区拉丁裔女性对癌症风险基因检测的文化适应、熟悉程度、态度及信念

Acculturation and familiarity with, attitudes towards and beliefs about genetic testing for cancer risk within Latinas in East Harlem, New York City.

作者信息

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

机构信息

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

出版信息

J Genet Couns. 2009 Feb;18(1):60-71. doi: 10.1007/s10897-008-9182-z. Epub 2008 Aug 7.

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 (beta = 1.62, SE = 0.72, p = 0.03), more likely to cite perceived benefits (beta = 1.67, SE = 0.79, p = 0.04), and less likely to report perceived barriers related to genetic testing (beta = -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.

摘要

近期研究强调了在拉丁裔人群中增加癌症风险基因检测使用的必要性。本研究在纽约市东哈莱姆区的拉丁裔女性社区样本(N = 103)中,考察了文化适应对癌症风险基因检测的态度、认知及熟悉程度的影响。多变量线性回归模型分析了文化适应与以下方面的关系:(1)熟悉程度;(2)感知到的益处;(3)感知到的障碍;(4)对癌症风险基因检测滥用的担忧。在控制社会人口学因素后,结果显示,随着文化适应程度的提高,拉丁裔女性对基因检测更熟悉(β = 1.62,标准误 = 0.72,p = 0.03),更有可能提及感知到的益处(β = 1.67,标准误 = 0.79,p = 0.04),而报告与基因检测相关的感知障碍的可能性更小(β = -2.76,标准误 = 1.64,p = 0.10)。研究结果可能有助于为制定针对拉丁裔女性的、符合文化特点且旨在提高癌症风险基因检测意识、知识和理解的健康教育宣传材料及项目提供参考。

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