Risk Reduction Behaviors and Provider Communication Following Genetic Counseling and BRCA1 Mutation Testing in an African American Kindred

• DOI: 10.1007/s10897-006-9026-7
• Publication Date: 2006-07-24T21:02:41Z
• Authors: Anita Yeomans Kinney; Sara Ellis Simonsen; Bonnie Jeanne Baty; Diptasri Mandal; Susan L. Neuhausen; Kate Seggar; Richard Holubkov; Lindsey Bloor; Ken Smith
• Keywords: Human genetics

Little is known about the impact of cancer genetic counseling and testing on health behaviors in racial ethnic subgroups. This prospective observational study examined use risk reduction strategies following BRCA1 testing. Participants were female members an African American kindred who received education, (n = 40) completed a 1-year follow-up interview. Mutation carriers more likely to opt for breast (100%, 7/7) ovarian (25%; 1 4) surveillance than prophylactic surgery. Following counseling, 71% (5/7) opted reported having mammogram within year receipt their test results. Ovarian screening among mutation increased from 0% at baseline 25% (one four) year. Compared noncarriers (23%, 7/30), (70%, 7/10) discuss results with primary care providers. Surveillance was preferred surgery chemoprevention as way reduce these cancers. Our data indicate that patient-provider communication suboptimal.