José A Pagán1, Dejun Su, Lifeng Li, Katrina Armstrong, David A Asch. 1. Department of Health Management and Policy, School of Public Health, University of North Texas Health Science Center, Fort Worth, Texas 76107, USA. jpagan@hsc.unt.edu
Abstract
BACKGROUND: Racial and ethnic disparities in awareness of genetic testing for cancer risk are substantial. PURPOSE: This study assesses the relative importance of contributing factors to gaps in awareness of genetic testing for cancer risk across racial and ethnic groups. METHODS: Data from the 2005 National Health Interview Survey (N=25,364) were analyzed in 2009 to evaluate the contribution of demographic factors, SES, health status, nativity/length of residency in the U.S., personal/family history of cancer, and perceived cancer risk to racial and ethnic disparities in genetic testing awareness for cancer risk. The contribution of each factor was assessed using the Fairlie decomposition technique. RESULTS: About 48% of non-Hispanic whites reported that they had heard about genetic testing, followed by 31% of blacks, 28% of Asians, and 19% of Hispanics. Education and nativity/length of residency in the U.S. explained 26% and 30% of the gap between whites and Hispanics, respectively. Education accounted for 22% of the white-black gap, with residential region explaining another 11%. Nativity/length of residency in the U.S. explained 51% of the white-Asian gap. CONCLUSIONS: The relative importance of factors contributing to racial and ethnic disparities in genetic testing awareness is specific to the particular groups under comparison. Diverse, culturally competent approaches are needed to improve awareness for different racial and ethnic groups.
BACKGROUND: Racial and ethnic disparities in awareness of genetic testing for cancer risk are substantial. PURPOSE: This study assesses the relative importance of contributing factors to gaps in awareness of genetic testing for cancer risk across racial and ethnic groups. METHODS: Data from the 2005 National Health Interview Survey (N=25,364) were analyzed in 2009 to evaluate the contribution of demographic factors, SES, health status, nativity/length of residency in the U.S., personal/family history of cancer, and perceived cancer risk to racial and ethnic disparities in genetic testing awareness for cancer risk. The contribution of each factor was assessed using the Fairlie decomposition technique. RESULTS: About 48% of non-Hispanic whites reported that they had heard about genetic testing, followed by 31% of blacks, 28% of Asians, and 19% of Hispanics. Education and nativity/length of residency in the U.S. explained 26% and 30% of the gap between whites and Hispanics, respectively. Education accounted for 22% of the white-black gap, with residential region explaining another 11%. Nativity/length of residency in the U.S. explained 51% of the white-Asian gap. CONCLUSIONS: The relative importance of factors contributing to racial and ethnic disparities in genetic testing awareness is specific to the particular groups under comparison. Diverse, culturally competent approaches are needed to improve awareness for different racial and ethnic groups.
Authors: Deborah Cragun; Anne Weidner; Courtney Lewis; Devon Bonner; Jongphil Kim; Susan T Vadaparampil; Tuya Pal Journal: Cancer Date: 2017-02-09 Impact factor: 6.860
Authors: Vivian M Rodríguez; Erika Robers; Kate Zielaskowski; C Javier González; Keith Hunley; Kimberly A Kaphingst; Dolores D Guest; Andrew Sussman; Kirsten A Meyer White; Matthew R Schwartz; Jennie Greb; Yvonne Talamantes; Jessica Bigney; Marianne Berwick; Jennifer L Hay Journal: J Community Genet Date: 2016-12-06
Authors: Alejandra Hurtado-de-Mendoza; Kristi D Graves; Sara Gómez-Trillos; Minna Song; Lyndsay Anderson; Claudia Campos; Pilar Carrera; Nancy Ostrove; Beth N Peshkin; Marc D Schwartz; Nan Ficca; Ana-Paula Cupertino; Nathaly Gonzalez; Andrea Otero; Elmer Huerta; Vanessa B Sheppard Journal: J Community Genet Date: 2019-05-18
Authors: Kimberly A Kaphingst; Jewel D Stafford; Lucy D'Agostino McGowan; Joann Seo; Christina R Lachance; Melody S Goodman Journal: Health Psychol Date: 2015-02 Impact factor: 4.267
Authors: Tuya Pal; Devon Bonner; Deborah Cragun; Alvaro N A Monteiro; Catherine Phelan; Lily Servais; Jongphil Kim; Steven A Narod; Mohammad R Akbari; Susan T Vadaparampil Journal: Cancer Date: 2015-08-19 Impact factor: 6.860