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Reducing Disparities in Receipt of Genetic Counseling for Underserved Women at Risk of Hereditary Breast and Ovarian Cancer

Journal of women's health (Larchmont, N.Y. 2002), 2020-08, Vol.29 (8), p.1131-1135 [Peer Reviewed Journal]

Copyright 2020, Mary Ann Liebert, Inc., publishers 2020 Mary Ann Liebert, Inc., publishers ;ISSN: 1540-9996 ;EISSN: 1931-843X ;DOI: 10.1089/jwh.2019.7984 ;PMID: 31794334

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Title:
Reducing Disparities in Receipt of Genetic Counseling for Underserved Women at Risk of Hereditary Breast and Ovarian Cancer
Author: Sutton, Arnethea L ; Hurtado-de-Mendoza, Alejandra ; Quillin, John ; Rubinsak, Lisa ; Temkin, Sarah M ; Gal, Tamas ; Sheppard, Vanessa B
Subjects: African Continental Ancestry Group - genetics ; African Continental Ancestry Group - psychology ; African Continental Ancestry Group - statistics & numerical data ; Attitude to Health - ethnology ; Breast Neoplasms - ethnology ; Breast Neoplasms - genetics ; Breast Neoplasms - psychology ; Child ; European Continental Ancestry Group - genetics ; European Continental Ancestry Group - psychology ; European Continental Ancestry Group - statistics & numerical data ; Female ; Genes, BRCA1 ; Genes, BRCA2 ; Genetic Counseling - psychology ; Genetic Counseling - statistics & numerical data ; Genetic Testing - statistics & numerical data ; Health Services Accessibility ; Healthcare Disparities - statistics & numerical data ; Humans ; Male ; Original ; Ovarian Neoplasms - ethnology ; Ovarian Neoplasms - genetics ; Ovarian Neoplasms - psychology ; Retrospective Studies ; Risk Factors ; Socioeconomic Factors ; Virginia
Is Part Of: Journal of women's health (Larchmont, N.Y. 2002), 2020-08, Vol.29 (8), p.1131-1135
Description: Genetic counseling (GC) provides critical risk prediction information to women at-risk of carrying a genetic alternation; yet racial/ethnic and socioeconomic disparities persist with regard to GC uptake. This study examined patterns of GC uptake after a referral in a racially diverse population. In an urban academic medical center, medical records were reviewed between January 2016 and December 2017 for women who were referred to a genetic counselor for hereditary breast and ovarian cancer. Study outcomes were making an appointment (yes/no) and keeping an appointment. We assessed sociodemographic factors and clinical factors. Associations between factors and the outcomes were analyzed using chi square, and logistic regression was used for multivariable analysis. A total of 510 women were referred to GC and most made appointments. More than half were white (55.3%) and employed (53.1%). No significant associations were observed between sociodemographic factors and making an appointment. A total of 425 women made an appointment and 268 kept their appointment. Insurance status ( = 0.003), marital status ( = 0.000), and work status ( = 0.039) were associated with receiving GC. In the logistic model, being married (odds ratio [OR] 2.119 [95% confidence interval, CI 1.341-3.347] = 0.001) and having insurance (OR 2.203 [95% CI 1.208-4.016] = 0.021) increased the likelihood of receiving counseling. Racial disparities in GC uptake were not observed in this sample. Unmarried women may need additional support to obtain GC. Financial assistance or other options need to be discussed during navigation as a way to lessen the disparity between women with insurance and those without.
Publisher: United States: Mary Ann Liebert, Inc., publishers
Language: English
Identifier: ISSN: 1540-9996
EISSN: 1931-843X
DOI: 10.1089/jwh.2019.7984
PMID: 31794334
Source: MEDLINE
Alma/SFX Local Collection

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Reducing Disparities in Receipt of Genetic Counseling for Underserved Women at Risk of Hereditary Breast and Ovarian Cancer

Copyright 2020, Mary Ann Liebert, Inc., publishers 2020 Mary Ann Liebert, Inc., publishers ;ISSN: 1540-9996 ;EISSN: 1931-843X ;DOI: 10.1089/jwh.2019.7984 ;PMID: 31794334

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