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Why do women attend familial breast cancer clinics?

Brain, Katherine Emma, Gray, Jonathon, Norman, Paul, Parsons, Evelyn Patricia, Clarke, Angus John, Rogers, Cerilan, Mansel, Robert and Harper, Peter 2000. Why do women attend familial breast cancer clinics? Journal of Medical Genetics 37 (3) , pp. 197-202. 10.1136/jmg.37.3.197

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Abstract

The increasing demand for genetic assessment for familial breast cancer has necessitated the development of cancer genetics services. However, little is known about the factors motivating the client population likely to approach these services. A cross sectional questionnaire survey of 1000 women with a family history of breast cancer was conducted to identify self-reported reasons for attending a familial breast cancer clinic and possible differences in the characteristics of women who were attending for diverse reasons. Before attendance at clinic, 833 women completed a baseline questionnaire (83% response rate). Women who gave personal risk (n=188), awareness of a family history (n=120), risk to family members (n=84), reassurance (n=69), genetic testing (n=65), breast screening (n=46), or prevention (n=39) as their main reason for attending were compared on demographic and medical variables, and on psychological variables including general anxiety, cancer worry, perceived risk, and attitudes towards prophylactic surgery and genetic testing. Important differences in the psychological characteristics of these groups were found, which were unrelated to reported family history. In particular, women who primarily wanted genetic testing felt extremely vulnerable to developing breast cancer, were more likely to be considering prophylactic surgery, and perceived fewer limitations of testing. Those who primarily wanted reassurance were highly anxious about the disease. We recommend that cancer genetics services take into consideration the informational and psychological needs and concerns of their client group.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Uncontrolled Keywords: Ambulatory Care Facilities,Analysis of Variance,Attitude to Health,Breast Neoplasms/genetics*,Breast Neoplasms/psychology*,Cross-Sectional Studies,Demography,Female,Genetic Counseling,Genetic Predisposition to Disease*,Genetic Testing/psychology*,Humans,Questionnaires,Referral and Consultation,Risk Factors
Additional Information: Publication Types Research Support, Non-U.S. Gov't Full Text Sources HighWire Europe PubMed Central Ovid Technologies, Inc. ProQuest PubMed Central PubMed Central Canada Other Literature Sources COS Scholar Universe Medical Breast Cancer - MedlinePlus Health Information Genetic Testing - MedlinePlus Health Information
Publisher: BMJ Journals
ISSN: 0022-2593
Related URLs:
Last Modified: 16 Nov 2018 20:49
URI: http://orca.cf.ac.uk/id/eprint/58307

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