Racial/Ethnic Disparities in BRCA Counseling and Testing: a Narrative Review

Racial/Ethnic Disparities in BRCA Counseling and Testing a Narrative Review

Background/objective Despite increases in BRCA mutation testing, racial/ethnic disparities in counseling and testing have persisted for decades. The purpose of the review was to summarize recent literature as it relates to detecting, understanding, and reducing disparities in BRCA counseling and tes...

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Bibliographic Details
Published in:Journal of racial and ethnic health disparities Vol. 6; no. 3; pp. 570 - 583
Main Authors: Williams, Christina D., Bullard, Alyssa Jasmine, O’Leary, Meghan, Thomas, Reana, Redding, Thomas S., Goldstein, Karen
Format: Journal Article
Language:English
Published: Cham Springer Science + Business Media 01-06-2019
Springer International Publishing
Springer Nature B.V
Subjects:
Breast cancer
Epidemiology
Ethnic differences
Ethnic groups
Genetic counseling
Genetic screening
Genetic testing
Health disparities
High risk
Intervention
Medical referrals
Medicine
Medicine & Public Health
Minority & ethnic groups
Minority groups
Mutation
Narratives
Ovarian cancer
Patient communication
Populations
Quality of Life Research
Racial inequality
Relatives
Risk perception
Social Inequality
Social Structure
Breast cancer
Health care disparities
Genetic counseling
Genetic testing
Hereditary cancer syndrome
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Summary:Background/objective Despite increases in BRCA mutation testing, racial/ethnic disparities in counseling and testing have persisted for decades. The purpose of the review was to summarize recent literature as it relates to detecting, understanding, and reducing disparities in BRCA counseling and testing. Design This is a narrative review of articles published January 2012 to July 2017 relevant to genetic testing and counseling, breast and ovarian cancer, and minority health and heath disparities. Twenty-three articles were included in this review. Results Studies report lower counseling and/or testing rates for eligible racial/ethnic minorities among family members of high-risk individuals as well as among breast cancer survivors. Key barriers and facilitators of disparate BRCA counseling/testing that emerged in this review included awareness, cost-related factors, stress and distrust, family concerns and communication, and provider communication and referral. To address differential access to and use of BRCA testing services and expand testing in minority populations, it is necessary for interventions to focus on improving awareness, risk-perception, and family and patient-provider communication. Conclusion Multi-level and targeted interventions are needed to reduce persistent racial/ethnic disparities and improve assessment, provider recommendations, counseling and testing among minority populations.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:2197-3792
2196-8837
DOI:10.1007/s40615-018-00556-7