scholarly journals Attitudes toward Genetic Testing for Hypertension among African American Women and Girls

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Jacquelyn Y. Taylor ◽  
Bronwen Peternell ◽  
Jennifer A. Smith

Introduction. Although African American (AA) women have the highest prevalence of hypertension and many genetic studies have been conducted to examine this disparity, no published studies have investigated their attitudes toward genetic testing for hypertension. The purpose of the present study was to use the health belief model as a guide to examine attitudes toward perceived barriers and benefits of genetic testing held by AA multigenerational triads and to determine whether they differed by generation, age, education, or income level.Methods. A descriptive correlational research design were used with 183 African American women and girls from Detroit. Correlations between triad membership, age, income, and education level were examined for association with attitudes toward genetic testing.Results. Increasing age and education were associated with significant differences in attitudes regarding benefits (F[2,160]=5.19,P=0.007,d=0.06) and awareness (F[2,160]=6.49,P=0.002,d=0.08). No statistically significant differences existed on the three subscales when compared by income levels or triad membership.Conclusions. This highlights the need for increased outreach to younger generations regarding benefits of genetic services. Further research is necessary to determine whether rural and male populations have similar beliefs.

2020 ◽  
Vol 51 (6) ◽  
pp. 524-544
Author(s):  
Sabrina T. Cherry ◽  
Kathleen deMarrais ◽  
Cheryl Keita

Although new HIV infections in African American women have decreased, this population still constitutes the over half of all new HIV infections in women. Risk-reduction interventions and advancements in antiretroviral therapies have helped HIV-positive persons live longer. However, there are lags in care linkages and retention. Medication adherence is an important aspect of enhancing quality of and prolonging lives of persons living with HIV/AIDS. While studies have explored barriers and facilitators to medication adherence, gaps in the literature related to adherence for high-risk populations remain. By using narrative inquiry and the Health Belief Model, this exploratory study sought to gain insight on facilitators of and barriers to medication adherence among African American women who have been HIV positive for 10 or more years. The women discussed personal experiences and cues to action that help them remain adherent. Additional studies testing interventions designed specifically for long-term survivors may be advantageous within public health.


2004 ◽  
Vol 21 (4) ◽  
pp. 59-79 ◽  
Author(s):  
Susan Thomas Vadaparampil ◽  
Victoria L. Champion ◽  
Theodore K. Miller ◽  
Usha Menon ◽  
Celette Sugg Skinner

Author(s):  
Safa Elkefi ◽  
Avishek Choudhury ◽  
Olga Strachna ◽  
Onur Asan

PURPOSE Early detection of cancer risk is essential as it is associated with a higher chance of survival, more successful treatment, and improved quality of life. Genetic testing helps at-risk patients estimate the likelihood of developing cancer in a lifetime. This study aims to indentify the factors (perceived susceptibility, severity, benefits, and self-efficacy) that impact one's decision to take the genetic test. METHODS We examined the impacts of different factors of the health belief model on the engagement of patients in genetic testing using data from the National Cancer Institute's 2020 cross-sectional nationally representative data published in 2021. Complete surveys were answered by 3,865 participants (weighted population size = 253,815,197). All estimates were weighted to be nationally representative of the US population using the jackknife weighting method for parameter estimation. We used multivariable logistic regression to test our hypotheses for patients who have taken the genetic test for cancer risk detection. We adjusted the multivariate model for age, education, income, race, sex, cancer history, familial cancer history, and education. RESULTS We tested five hypotheses using the health belief model. Respondents who had genetic testing were more likely to rely on their health care providers and genetic counselors to make their decisions. Respondents who had genetic tests also reported less reliability on other sources than doctors: for the internet and social media (odds ratio = 0.33; P < .001) and for journals and magazines (odds ratio = 0.48; P = .007). CONCLUSION The findings show that patients generally rely on suggestions from their health care providers and counselors in genetic testing decisions. These findings also indicate that health care providers play a critical role in helping patients decide whether to use genetic testing to detect cancer risk in the early stages.


2005 ◽  
Vol 12 (4_suppl) ◽  
pp. 34-41 ◽  
Author(s):  
Mary A. Garza ◽  
Jingyu Luan ◽  
Marcela Blinka ◽  
Reverend Iris Farabee-Lewis ◽  
Charlotte E. Neuhaus ◽  
...  

In Maryland, outreach initiatives have been unsuccessful in engaging low-income African American women in mammography screening. This study aimed to identify factors influencing screening rates for low-income African American women. Based on the Health Belief Model, a modified time series design was used to implement a culturally targeted intervention to promote a no-cost mammography-screening program. Data were collected from women 40 years of age and older on their history of mammography use and their knowledge and beliefs about breast cancer. A 50% screening rate was achieved among 119 eligible participants. Significant predictors of screening behaviors were perceived barriers, lack of insurance, and limited knowledge. This culturally targeted intervention resulted in an unprecedented screening rate among low-income African American women in Baltimore, Maryland.


2008 ◽  
Vol 12 (3) ◽  
pp. 401-407 ◽  
Author(s):  
Tuya Pal ◽  
Susan Vadaparampil ◽  
Judy Betts ◽  
Cheryl Miree ◽  
Song Li ◽  
...  

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