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Predictors of BRCA1/2 genetic testing among Black women with breast cancer: a population-based study
Title
Predictors of BRCA1/2 genetic testing among Black women with breast cancer: a population-based study.
Creator
Tarsha Jones, Anne Marie McCarthy, Younji Kim, Katrina Armstrong
Abstract/Description
Evidence shows that Black women diagnosed with breast cancer are substantially less likely to undergo BRCA testing and other multipanel genetic testing compared to White women, despite having a higher incidence of early-age onset breast cancer and triple-negative breast cancer (TNBC). Our study identifies predictors of BRCA testing among Black women treated for breast cancer and examines differences between BRCA testers and nontesters. We conducted an analysis of 945 Black women ages 18–64...
Show moreEvidence shows that Black women diagnosed with breast cancer are substantially less likely to undergo BRCA testing and other multipanel genetic testing compared to White women, despite having a higher incidence of early-age onset breast cancer and triple-negative breast cancer (TNBC). Our study identifies predictors of BRCA testing among Black women treated for breast cancer and examines differences between BRCA testers and nontesters. We conducted an analysis of 945 Black women ages 18–64 diagnosed with localized or regional-stage invasive breast cancer in Pennsylvania and Florida between 2007 and 2009. Logistic regression was used to identify predictors of BRCA 1/2 testing. Few (27%) (n = 252) of the participants reported having BRCA testing. In the multivariate analysis, we found that perceived benefits of BRCA testing (predisposing factor) ([OR], 1.16; 95% CI: 1.11–1.21; P < 0.001), income (enabling factor) ([OR], 2.10; 95% CI: 1.16–3.80; p = 0.014), and BRCA mutation risk category (need factor) ([OR], 3.78; 95% CI: 2.31–6.19; P < 0.001) predicted BRCA testing. These results suggest that interventions to reduce disparities in BRCA testing should focus on identifying patients with high risk of mutation, increasing patient understanding of the benefits of BRCA testing, and removing financial and other administrative barriers to genetic testing.
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Date Issued
2017
PURL
http://purl.flvc.org/fau/fd/FAUIR000509
Format
Document (PDF)
Breast Cancer Screening: Improving African American Women Access to Mammography Screening
Title
Breast Cancer Screening: Improving African American Women Access to Mammography Screening.
Creator
Reason, Fernanda, Jones, Tarsha, Wisdom-Chambers, Karen, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Breast cancer (BrCa) is the most common cancer diagnosed in American women and the second leading cause of cancer-related death, making it a top public health priority. According to Yedjou et al. (2019), BrCa incidence is quite close between Black women (125.1/100,000) and White women (127.7/per 100,000) in the US, but Black women are 42% more likely to die from this disease, indicating a critical need to increase early detection among this population. The FAU-Northwest Community Health...
Show moreBreast cancer (BrCa) is the most common cancer diagnosed in American women and the second leading cause of cancer-related death, making it a top public health priority. According to Yedjou et al. (2019), BrCa incidence is quite close between Black women (125.1/100,000) and White women (127.7/per 100,000) in the US, but Black women are 42% more likely to die from this disease, indicating a critical need to increase early detection among this population. The FAU-Northwest Community Health Center Alliance's Community Health Center (CHC) is a Federally Qualified Health Center (FQHC) Look A Like that provides care to thousands of community members with financial disadvantages as well as other barriers, which limits access to care. This DNP project examined barriers to mammography completion among Black/AA women who received care at the CHC through a medical record review and survey. The medical record of Black women between ages 40-74 who were eligible to receive a mammogram revealed that only (57%) completed a mammogram within the past 4 years and even fewer completed a mammogram within the past 2 years (35%). After surveying a sample of these women (n=25), we found higher self-reported rates of mammography screening (80%) within the past 4 years and (68%) within the past 2 years. Participants reported perceived barriers and perceived benefits of mammography screening. Findings of this QI project showed multilevel influential factors work in combination to impact mammography compliance. For example, combined sociodemographic factors (age, education, family medical history, language, and insurance status) had significant impact on mammography completion (p=0.035). Additionally, an open-ended survey item, revealed these barriers: no insurance, age criteria for mammogram not met, Covid-19, lack of financial stability, fear of pain and exposure to mammography, and no current pain. Recommendations include strategies for improving Black/AA women access to mammography screening.
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Date Issued
2021
PURL
http://purl.flvc.org/fau/fd/faudnp000027
Format
Document (PDF)