Journal
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
Volume 16, Issue 23, Pages -Publisher
MDPI
DOI: 10.3390/ijerph16234793
Keywords
hereditary breast and ovarian cancer; Latinos; disparities; intervention
Funding
- National Cancer Institute [R03CA191543]
- Georgetown-Howard Universities Center for Clinical and Translational Science (GHUCCTS) by Federal Funds
- National Center for Advancing Translational Sciences (NCATS)
- National Institutes of Health (NIH), through the Clinical and Translational Science Awards Program (CTSA) [KL2TR001432]
- Ministry of Science, Innovation, and Universities in Spain (FEDER, MICINN) [PGC2018-093821-B-I00]
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Latina women at risk of hereditary breast and ovarian cancer (HBOC) have lower awareness, knowledge, and use of genetic counseling and testing services (GCT) than non-Latina Whites. Few interventions have been developed to reduce these disparities among at-risk Latinas. This pilot study assessed the impact of a culturally targeted narrative video developed by our team. The study included 40 Latina immigrants living in the United States who were at risk of HBOC, including affected and unaffected women. We assessed pre-post differences in psychosocial outcomes. Participants were 47.35 years old on average (SD = 9.48). Most (70%) were unaffected with cancer, had an annual income of $40,000 or less (65%), an education of High School or less (62.5%), and were uninsured (77.5%). The video significantly enhanced knowledge (p < 0.001), positive attitudes (p < 0.05), anticipatory positive emotions (p < 0.05), and intentions to participate in counseling (p < 0.001). Importantly, the video also significantly reduced negative attitudes (p < 0.05), and attitudinal ambivalence (p < 0.001). The culturally targeted video shows preliminary evidence in improving psychosocial outcomes related to GCT uptake in Latinas at risk for HBOC. This intervention is a promising easily-disseminable strategy to address disparities in GCT utilization.
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