Your browser doesn't support javascript.
loading
Cardiology clinic patient attitudes toward and potential personal utility of genetic testing: Findings from a unique multiracial clinical sample.
Erickson, Claire M; Clark, Lindsay R; Umucu, Emre; Vo, Nhi H; Volgman, Annabelle Santos; Chin, Nathaniel A; Ketchum, Fred B; Jones, Carolyn H; Gleason, Carey E; Aggarwal, Neelum T.
Afiliação
  • Erickson CM; Neuroscience & Public Policy Program, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA.
  • Clark LR; Alzheimer's Disease Research Center, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
  • Umucu E; Alzheimer's Disease Research Center, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
  • Vo NH; Geriatric Research Education and Clinical Center, William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin, USA.
  • Volgman AS; Department of Counseling, Educational Psychology and Special Education, Michigan State University College of Education, East Lansing, Michigan, USA.
  • Chin NA; Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
  • Ketchum FB; Division of Cardiology, Department of Medicine, Rush University Medical Center, Chicago, Illinois, USA.
  • Jones CH; Alzheimer's Disease Research Center, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
  • Gleason CE; Department of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
  • Aggarwal NT; Department of Pediatrics, Rush University Medical Center, Chicago, Illinois, USA.
J Genet Couns ; 31(4): 989-997, 2022 08.
Article em En | MEDLINE | ID: mdl-35460578
As more is understood about the hereditary nature of disease risk, the utility of genetic testing within cardiovascular medicine is increasingly being explored. Although testing may afford more personalized risk stratification, there is a paucity of information regarding patient knowledge, attitudes, and beliefs toward genetic testing among cardiology patients. Participants (n = 530) recruited primarily from a cardiology clinic filled out a 41-item written questionnaire assessing knowledge, beliefs, and attitudes toward genetic testing, motivators and detractors for considering genetic testing, and perceived likelihood for behavior change after hypothetical genetic testing risk stratification. Path analysis was used to test the hypothetical models predicting the likelihood of getting a genetic test and making behavior changes following genetic testing. The patient population was late-middle-aged (59.0 ± 14.5 years), majority women (61.5%), and about half reported having a bachelor's degree. 58.1% of participants self-identified as White, 25.7% as African American or Black, 6.8% as Spanish, Latino, or Hispanic, 3.0% as Asian or Pacific Islander, and 0.5% as Native American. Gender (being a woman) and more years of education were related to greater knowledge about genetic testing. Racial identity and years of education were related to beliefs about genetic testing. Beliefs, but not knowledge, were related to more positive attitudes and a higher likelihood of pursuing genetic testing. Positive attitudes were related to greater perceived personal control (PPC). Furthermore, attitudes and PPC were related to higher likelihood of lifestyle change after genetic testing. These results highlight the need to integrate the experiences of racialized communities into education/counseling efforts. Most educational counseling efforts lack a nuanced discussion of social determinants of health or beliefs. In addition to factual information, educational counseling must also address people's beliefs, concerns, and the intersecting experiences and identities, which shape patients' relationships with the evolving landscape of healthcare and personalized medicine.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cardiologia / Atitude Tipo de estudo: Diagnostic_studies / Prognostic_studies / Qualitative_research Limite: Female / Humans / Middle aged Idioma: En Revista: J Genet Couns Assunto da revista: GENETICA MEDICA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cardiologia / Atitude Tipo de estudo: Diagnostic_studies / Prognostic_studies / Qualitative_research Limite: Female / Humans / Middle aged Idioma: En Revista: J Genet Couns Assunto da revista: GENETICA MEDICA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos