Ethno‐racial differences in the frequency of cancer reported from family pedigrees in the prenatal genetic counseling setting.

This study analyzed whether differences in cancer reporting exist between different ethno‐racial groups in pedigrees from a prenatal genetic counseling setting. Data were collected from 446 charts at University of California, Irvine from January 1, 2015 to August 31, 2020. A total of 795 pedigrees m...

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Publicado en:Journal of Genetic Counseling Vol. 34; no. 3; pp. 1 - 11
Autores principales: Palacios, Alex, Flodman, Pamela, Steinhaus French, Kathryn, Smith, Moyra, Quintero‐Rivera, Fabiola
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2025
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Ethno‐racial differences in the frequency of cancer reported from family pedigrees in the prenatal genetic counseling setting.
      aug:
        au:
          Palacios, Alex
          Flodman, Pamela
          Steinhaus French, Kathryn
          Smith, Moyra
          Quintero‐Rivera, Fabiola
        affil: Cancer Risk and Prevention Department, MemorialCare Long Beach Medical Center, Todd Cancer Institute, Long Beach California,, USA
      sug:
        subj:
          Neoplasms Epidemiology
          Neoplasms Familial and Genetic
          Neoplasms Ethnology
          Prenatal Diagnosis
          Genetic Counseling
          Race Factors
          Ethnic Groups
          Pedigree
          Human
          Male
          Female
          People of Color
          White Persons
          Hispanic Americans
          Asians
          African Americans
          Black Persons
          United States
          Comparative Studies
          Descriptive Statistics
          Academic Medical Centers
          Extended Family
          Nonparametric Statistics
          Poisson Distribution
          Centers for Disease Control and Prevention (U.S.)
          Incidence
          Family History
          Genetic Screening
          Prenatal Care
          Male
          Female
      ab: This study analyzed whether differences in cancer reporting exist between different ethno‐racial groups in pedigrees from a prenatal genetic counseling setting. Data were collected from 446 charts at University of California, Irvine from January 1, 2015 to August 31, 2020. A total of 795 pedigrees meeting inclusion criteria were analyzed from four ethno‐racial groups: White, Hispanic/Latinx, Asian, and African American/Black. The total number of first‐ and second‐degree relatives affected with cancer was analyzed using contingency tables, nonparametric tests, and Poisson regression. Cancer reporting in first‐ and second‐degree relatives was highest among the White group and lower in the Latinx, Asian, and Black groups. Ethno‐racial group, presence or absence of the prospective father, and medical interpreter use were significant factors in predicting the number of relatives reported to have cancer in a Poisson regression model. Controlling for the total number of relatives in the pedigree, cancer reporting rates for the Latinx, Black, and Asian groups were 36.3%, 50.2%, and 65.5%, respectively, of that in the White pedigrees. Cancer reporting rates observed in Asian pedigrees (in comparison to White pedigrees) were similar to the rates reported by the Centers for Disease Control and Prevention, but reporting in the Latinx and Black pedigrees was less than would be expected based on population incidence. This suggests that cancer histories in some people of color (POC) may be truncated. Healthcare professionals should recognize that certain patient populations may have limited knowledge of their family cancer history, or that such information may not be disclosed due to nuances of cultural differences or possible provider bias. In order to provide appropriate risk assessment, interventions addressing structural barriers should be undertaken in prenatal clinics to reduce existing health disparities and improve health outcomes in POC, since this may be the only opportunity to obtain a comprehensive family health history.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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