Providers' perceptions and practices regarding BRCA1/2 genetic counseling and testing in African American women.
Providers' perceptions and practices regarding BRCA1/2 genetic counseling and testing in African American women.
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DOI：
10.1007/s10897-011-9396-3
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发表时间：
2011-12
影响因子：
1.9
通讯作者：
Sheppard, Vanessa B.
中科院分区：
文献类型：
--
作者：
Graves, Kristi D.;Christopher, Juleen;Harrison, Toni Michelle;Peshkin, Beth N.;Isaacs, Claudine;Sheppard, Vanessa B.
关键词：
我们调查了医疗保健提供者对携带BRCA1/2突变的中等至高风险的非裔美国妇女（AAW）的遗传咨询和检测的看法。我们对遗传咨询师（n=5）、内科肿瘤学家（n=8）、妇产科医生（n=2）和外科医生（n=5）进行了20次深度访谈。访谈由两名编码员使用内容分析方法进行录音、转录和独立编码。七个主题与提供者对AAW使用BRCA1/2遗传服务的看法有关：获取因素、文化信仰和偏好、检测的效果、患者进行遗传咨询和检测的动机、患者与提供者的沟通、转诊的原因和患者拒绝的原因。提供者确定了AAW使用遗传服务的个人和系统层面的障碍，包括转诊给遗传专家后缺乏随访，以及为保险不足和未保险的高风险妇女获得财务保险的挑战。结果对医生和患者关于高危AAW的适当转诊和接受遗传服务的教育具有启示意义。
We examined healthcare providers’ perceptions of genetic counseling and testing in African American women (AAW) at moderate to high-risk of carrying a BRCA1/2 mutation. We conducted 20 in-depth interviews with genetic counselors (n=5), medical oncologists (n=8), obstetrician/gynecologists (n=2) and surgeons (n=5). Interviews were audiotaped, transcribed and independently coded by two coders using a content analysis approach. Seven themes emerged relevant to providers’ perceptions of AAW’s use of BRCA1/2 genetic services: access factors, cultural beliefs and preferences, effects of testing, patient motivators for genetic counseling and testing, patient-provider communication, reasons for provider referral, and reasons for patient refusal. Providers identified individual- and system-level barriers to AAW’s use of genetic services, including lack of follow-up after referrals to genetic specialists and challenges to obtaining financial coverage for under- and uninsured high-risk women. Results have implications for physician and patient education regarding appropriate referrals to and uptake of genetic services in at-risk AAW.
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影响因子：
8.8
作者：
Hall, MA;McEwen, JE;Thomson, EJ
通讯作者：
Thomson, EJ
影响因子：
3.5
作者：
Hughes, C;GomezCaminero, A;Lerman, C
通讯作者：
Lerman, C
影响因子：
3.8
作者：
Barnoy, Sivia;Levy, Ofra;Bar-Tal, Yoram
通讯作者：
Bar-Tal, Yoram
影响因子：
3.5
作者：
Edwards, Tiffany A.;Thompson, Hayley S.;Valdimarsdottir, Heiddis B.
通讯作者：
Valdimarsdottir, Heiddis B.
影响因子：
6.2
作者：
Ell, Kathleen;Vourlekis, Betsy;Palinkas, Lawrence A.
通讯作者：
Palinkas, Lawrence A.