Abstract
Family cancer history (FCH) can shape prevention and early detection behaviors to decrease cancer risk. However, many individuals are unaware of increased risk for cancers based on family patterns. For some African-American communities, communication about FCH is rare and barriers have not been well studied. To optimize the use of FCH, it is crucial to understand how patients gather and share FCH with relatives and healthcare providers. We conducted four focus groups (n = 40) and seven key informant interviews (n = 9) to investigate knowledge, experiences, and barriers/promoters of FCH in the East Baltimore African-American community. Thematic analysis identified 14 distinct themes across six communication domains: participants' understanding of FCH, past FCH communication with family and providers, barriers to FCH communication, promoters of FCH communication, suggestions for future communication, and community health priorities. FCH was most often defined by narratives of family cancer experiences, and the majority of participants had shared little FCH with family members. Five psychosocial domains were commonly reported as barriers to sharing FCH: fear/denial, pride/dignity, selflessness/self-sacrifice, cancer fatalism, and ...Continue Reading
References
Aug 13, 2002·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Paula W YoonMuin J Khoury
Sep 17, 2003·Clinical Genetics·K ForrestE Matthews
Mar 31, 2007·American Journal of Public Health·Kesha Baptiste-RobertsMichael M Engelgau
Jan 15, 2010·Annual Review of Public Health·Rodolfo ValdezMuin J Khoury
Jul 14, 2010·American Journal of Preventive Medicine·Muin J KhouryRodolfo Valdez
Nov 24, 2011·Journal of Community Genetics·Jo-Anne Manswell ButtyKerry-Ann Munroe
Dec 27, 2011·Patient Education and Counseling·Kimberly A KaphingstChristina Lachance
Feb 22, 2012·Breast Cancer Research and Treatment·Graham A ColditzBernard Rosner
May 10, 2012·Journal of Community Genetics·Sato AshidaKimberly A Kaphingst
Sep 2, 2014·Journal of Health Communication·Shelly R HovickSusan K Peterson
Mar 3, 2015·Journal of Health Communication·Tess ThompsonKimberly A Kaphingst
Mar 13, 2015·Journal of Health Communication·Kimberly M KellyKyle Porter
Apr 14, 2015·JAMA : the Journal of the American Medical Association·Brandon M WelchJoshua D Schiffman
May 6, 2015·American Journal of Medical Genetics. Part a·Brandon M WelchJoshua D Schiffman
Jul 24, 2015·Journal of Immigrant and Minority Health·Luisel J Ricks-SantiWayne Frederick
Jan 7, 2016·Journal of Health Communication·Vivian M RodríguezJohn M Quillin
Jul 11, 2019·Health Equity·Jessica L Young, David J Hawthorne
Citations
Aug 18, 2020·Social Work in Health Care·David B MillerWeidi Qin
Nov 20, 2020·Preventing Chronic Disease·Melinda KrakowRobin C Vanderpool
Oct 24, 2020·Journal of the National Medical Association·Victoria GarlandMarie L Borum
Jul 7, 2021·American Journal of Preventive Medicine·Ming LiLei-Shih Chen