Use of Cancer Genetics Services in African-American Young Breast Cancer Survivors

摘要: Introduction African-American women have higher rates of early-onset breast cancer compared with their Caucasian counterparts; yet, when diagnosed at a young age, they underuse genetic counseling and testing to manage risk developing future cancers. Methods Self-reported baseline data were collected between September 2012 January 2013 analyzed in 2014 from subpopulation 340 survivors (YBCSs) enrolled an RCT. YBCSs invasive or ductal carcinoma situ ages 20 45 years randomly selected statewide registry. Logistic regression examined predictors using genetics services. Results Overall, 28% the sample reported having 21% testing, which significantly lower ( p ≤0.005) white/other participating parent study. In multivariate analysis, income was positively associated (B=0.254, ≤0.01) (B=0.297, ≤0.01), whereas education levels (B=−0.328, ≤0.05) lack access healthcare services owing cost (B=−1.10, ≤0.03) negatively counseling. Lower care because high out-of-pocket costs commonly barriers. Conclusions Despite national recommendations for evaluation among cancer, few undergoing testing. Most that provider did not recommend these Interventions addressing patient, provider, structural system barriers this population are needed.