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Medline ® Abstract for Reference 17

of 'Genetic counseling: Family history interpretation and risk assessment'

17
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Factors affecting frequency of communication about family health history with family members and doctors in a medically underserved population.
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Kaphingst KA, Goodman M, Pandya C, Garg P, Stafford J, Lachance C
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Patient Educ Couns. 2012;88(2):291. Epub 2011 Dec 23.
 
OBJECTIVE: Family history contributes to risk for many common chronic diseases. Little research has investigated patient factors affecting communication of this information.
METHODS: 1061 adult community health center patients were surveyed. We examined factors related to frequency of discussions about family health history (FHH) with family members and doctors.
RESULTS: Patients who talked frequently with family members about FHH were more likely to report a family history of cancer (p =.012) and heart disease (p<.001), seek health information frequently in newspapers (p<.001) and in general (p<.001), and be female (p<.001). Patients who talked frequently with doctors about FHH were more likely to report a family history of heart disease (p = .011), meet physical activity recommendations (p = .022), seek health information frequently in newspapers (p<.001) and in general (p<.001), be female (p<.001), and not have experienced racial discrimination in healthcare (p<.001).
CONCLUSION: Patients with a family history of some diseases, those not meeting physical activity recommendations, and those who do not frequently seek health information may not have ongoing FHH discussions.
PRACTICE IMPLICATIONS: Interventions are needed to encourage providers to update patients' family histories systematically and assist patients in initiating FHH conversations in order to use this information for disease prevention and control.
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Division of Public Health Sciences, Washington University School of Medicine, St Louis, MO 63110, USA. kaphingstk@wudosis.wustl.edu
PMID