Barriers and Facilitators for Utilization of Genetic Counseling and Risk Assessment Services in Young Female Breast Cancer Survivors英文文献资料.docVIP

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Barriers and Facilitators for Utilization of Genetic Counseling and Risk Assessment Services in Young Female Breast Cancer Survivors英文文献资料.doc

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Barriers and Facilitators for Utilization of Genetic Counseling and Risk Assessment Services in Young Female Breast Cancer Survivors英文文献资料

HindawiPublishingCorporation JournalofCancerEpidemiology Volume2012,ArticleID298745,11pages doi:10.1155/2012/298745 ResearchArticle BarriersandFacilitatorsforUtilizationofGenetic CounselingandRiskAssessmentServicesinYoungFemale BreastCancerSurvivors BethAnderson,JenniferMcLosky,ElizabethWasilevich,SarahLyon-Callo, DebraDuquette,andGlennCopeland MichiganDepartmentofCommunityHealth,201Townsend,P.O.Box30195,Lansing,MI48909,USA CorrespondenceshouldbeaddressedtoBethAnderson,andersonb@ Received16March2012;Revised5June2012;Accepted10June2012 AcademicEditor:AngelaBryan Copyright?2012BethAndersonetal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense, whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited. Introduction.Womendiagnosedwithbreastcanceratayoungagearemorelikelytocarryacancerpredisposinggeneticmutation. PerthecurrentNCCNrecommendations,womendiagnosedunderage50shouldbereferredtocancergeneticcounselingfor furtherriskevaluation.Thisstudyseekstoassesspatient-reportedbarriersandfacilitatorstoreceivinggeneticcounselingand riskassessmentamongacommunity-basedpopulationofyoungbreastcancersurvivors(YBCS).Methods.ThroughtheMichigan CancerSurveillanceProgram,astate-basedcancerregistry,488womendiagnosedwithbreastcancerbeforeage50in2006-2007 wereidenti?ed.Theyreceivedamailsurveyregardingfamilyhistoryandfacilitatorsandbarrierstoreceivinggeneticcounseling and risk assessment. Results. Responses were received from 289 women (59.2%). One hundred twenty-two (42.2%) reported havingreceivedcancergeneticcounseling.Themostfrequentreasonidenti?edforreceivingserviceswastobene?ttheirfamily’s future.Thetopreasonsfornotattendingwere“noonerecommendedit”and“medicalinsurancecoverageissues.”Discussion .This studyisthe?rstpublishedreportusingastatecancerregistrytodeterminefacilitatorsandbarrierstoreceivinggeneticcounseling andriskassessmentamongYBCS.These?ndingsdemonstratetheneedforadditionalawarenessandeducationabou