Cancer Health Equity Institute, Morehouse School of Medicine, Atlanta, GA, USA.
Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA, USA.
J Genet Couns. 2020 Aug;29(4):494-504. doi: 10.1002/jgc4.1228. Epub 2020 Feb 27.
The objective of this study is to assess predictors of genetic beliefs toward cancer risk perceptions among adults, aged 18 years and over, in the United States (US). Data were obtained from the National Cancer Institute's (NCI) Health Information National Trends Survey 2014 (HINTS) 4 Cycle 4. Bivariate and multivariable logistic regression analyses were conducted to assess factors associated with an individual's beliefs about genetic and cancer risk perceptions. The results showed that African Americans, Non-White Hispanics, Non-Hispanic Asians, individuals with a high school education or less, and annual household incomes less than $20,000 and do not believe that health behaviors play some role in determining whether a person will develop cancer was significantly less likely to report that genetics plays at least some role in whether a person will develop cancer. Findings of this study provide an opportunity for genetic counselors to address beliefs about genetics and cancer risk perceptions among minority populations and promote health equity.
本研究旨在评估美国 18 岁及以上成年人对癌症风险认知的遗传信念的预测因素。数据来自美国国家癌症研究所(NCI)的健康信息全国趋势调查 2014 年(HINTS)第 4 周期 4。进行了双变量和多变量逻辑回归分析,以评估与个体对遗传和癌症风险认知的信念相关的因素。结果表明,非裔美国人、非白西班牙裔、非西班牙裔亚洲人、高中及以下学历、家庭年收入低于 20000 美元、不认为健康行为在决定一个人是否会患癌症方面起一定作用的人,报告遗传在决定一个人是否会患癌症方面至少起一定作用的可能性显著降低。这项研究的结果为遗传咨询师提供了一个机会,可以解决少数族裔群体对遗传和癌症风险认知的信念问题,并促进健康公平。