Genetic testing and risk interpretation: How do women understand lifetime risk results?

Genetic screening for BRCA1 and BRCA2 gives women the opportunity for early detection, surveillance, and intervention. One key feature of genetic testing and counseling is the provision of personal lifetime risk. However, little attention has been paid to how women interpret lifetime risk informatio...

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Main Authors: Yaniv Hanoch, Talya Miron-Shatz, Mary Himmelstein
Format: Article
Language:English
Published: Cambridge University Press 2010-04-01
Series:Judgment and Decision Making
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S1930297500000978/type/journal_article
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author Yaniv Hanoch
Talya Miron-Shatz
Mary Himmelstein
author_facet Yaniv Hanoch
Talya Miron-Shatz
Mary Himmelstein
author_sort Yaniv Hanoch
collection DOAJ
description Genetic screening for BRCA1 and BRCA2 gives women the opportunity for early detection, surveillance, and intervention. One key feature of genetic testing and counseling is the provision of personal lifetime risk. However, little attention has been paid to how women interpret lifetime risk information, despite the fact that they base screening, treatment and family planning decisions on such information. To study this vital issue, we set out to test the ability of women to choose the most appropriate interpretation of National Cancer Institute’s (NCI) message about lifetime risk of developing cancer for a woman with altered BRCA1 and BRCA2 genes. Participants included 277 women who had not undergone genetic testing or had cancer and 207 women who had undergone genetic testing or had cancer. Over 50% of the women who had not undergone genetic testing or had cancer and 40% of those who had undergone genetic testing or had cancer misunderstood NCI’s information. Furthermore, in line with a growing body of research, we found that high numeracy level (objective or subjective) is positively associated with a woman’s ability to correctly interpret NCI’s message.
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spelling doaj.art-2d968ca5ee6e4ae1b5f30544187f23152023-09-03T09:46:15ZengCambridge University PressJudgment and Decision Making1930-29752010-04-01511612310.1017/S1930297500000978Genetic testing and risk interpretation: How do women understand lifetime risk results?Yaniv Hanoch0Talya Miron-Shatz1Mary Himmelstein2University of PlymouthPrinceton University and Ono Academic College, IsraelPrinceton UniversityGenetic screening for BRCA1 and BRCA2 gives women the opportunity for early detection, surveillance, and intervention. One key feature of genetic testing and counseling is the provision of personal lifetime risk. However, little attention has been paid to how women interpret lifetime risk information, despite the fact that they base screening, treatment and family planning decisions on such information. To study this vital issue, we set out to test the ability of women to choose the most appropriate interpretation of National Cancer Institute’s (NCI) message about lifetime risk of developing cancer for a woman with altered BRCA1 and BRCA2 genes. Participants included 277 women who had not undergone genetic testing or had cancer and 207 women who had undergone genetic testing or had cancer. Over 50% of the women who had not undergone genetic testing or had cancer and 40% of those who had undergone genetic testing or had cancer misunderstood NCI’s information. Furthermore, in line with a growing body of research, we found that high numeracy level (objective or subjective) is positively associated with a woman’s ability to correctly interpret NCI’s message.https://www.cambridge.org/core/product/identifier/S1930297500000978/type/journal_articleGenetic counselinglifetime risknumeracyrisk perception
spellingShingle Yaniv Hanoch
Talya Miron-Shatz
Mary Himmelstein
Genetic testing and risk interpretation: How do women understand lifetime risk results?
Judgment and Decision Making
Genetic counseling
lifetime risk
numeracy
risk perception
title Genetic testing and risk interpretation: How do women understand lifetime risk results?
title_full Genetic testing and risk interpretation: How do women understand lifetime risk results?
title_fullStr Genetic testing and risk interpretation: How do women understand lifetime risk results?
title_full_unstemmed Genetic testing and risk interpretation: How do women understand lifetime risk results?
title_short Genetic testing and risk interpretation: How do women understand lifetime risk results?
title_sort genetic testing and risk interpretation how do women understand lifetime risk results
topic Genetic counseling
lifetime risk
numeracy
risk perception
url https://www.cambridge.org/core/product/identifier/S1930297500000978/type/journal_article
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AT talyamironshatz genetictestingandriskinterpretationhowdowomenunderstandlifetimeriskresults
AT maryhimmelstein genetictestingandriskinterpretationhowdowomenunderstandlifetimeriskresults