Interest in genetic testing and risk-reducing behavioral changes: results from a community health assessment in New York City

Abstract Risk-based genetic tests are often used to determine cancer risk, when to initiate screening, and frequency of screening, but rely on interest in genetic testing. We examined overall interest in genetic testing for cancer risk assessment and willingness to change behavior, and whether these are affected by demographic or socioeconomic factors. We conducted a community needs health survey in 2019 among primary care and cancer patients, family members and community members in New York City. We used univariable analysis and relative risk regression to examine interest in genetic cancer risk testing and willingness to modify lifestyle behaviors in response to an informative genetic test. Of the 1225 participants, 74.0% (n = 906) expressed interest in having a genetic test to assess cancer risk. Interest in genetic testing was high across all demographic and socioeconomic groups; reported interest in genetic testing by group ranged from 65.0 (participants aged 65 years and older) to 83.6% (participants below federal poverty level). Among the 906 participants that reported interest in genetic testing, 79.6% were willing to change eating habits, 66.5% to change exercise habits, and 49.5% to lose weight in response to an informative genetic test result. Our study reveals that interest in genetic testing for cancer risk is high among patients and community members and is high across demographic and socioeconomic groups, as is the reported willingness to change behavior. Based on these results, we recommend that population-based genetic testing may result in greater reduction cancer risk, particularly among minoritized groups..

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Journal of community genetics - 13(2022), 6 vom: 13. Okt., Seite 605-617

Sprache:

Englisch

Beteiligte Personen:

Lima, Sarah M. [VerfasserIn]
Nazareth, Meaghan [VerfasserIn]
Schmitt, Karen M. [VerfasserIn]
Reyes, Andria [VerfasserIn]
Fleck, Elaine [VerfasserIn]
Schwartz, Gary K. [VerfasserIn]
Terry, Mary Beth [VerfasserIn]
Hillyer, Grace C. [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Cancer risk
Community health
Genetic testing
Lifestyle

Anmerkungen:

© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s12687-022-00610-2

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2132818010