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Perceived familiarity with and importance of family health history among a medically underserved population.
MedLine Citation:
PMID:  22569765     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Inadequate knowledge of family health history (FHH) continues to be a major obstacle limiting its usefulness in public health and clinical practice; strategies to facilitate FHH dissemination are needed. Data (N = 1,334) were obtained through waiting-room surveys completed by a diverse sample of patients attending three community health centers. Perceptions about the importance of genetic information (β = 0.13, p < 0.001; β = 0.11, p < 0.001) and higher genetic self-efficacy (β = 0.14, p < 0.001; β = 0.23, p < 0.001) were significantly associated with higher levels of perceived familiarity with and importance of FHH, respectively. Furthermore, beliefs about genetic causation of illnesses (β = 0.12, p < 0.001) and a wider reach of health communication within one's family (β = 0.15, p < 0.001) were associated with higher levels of perceived familiarity with one's FHH. Participants in the oldest group (>50 years) reported higher familiarity than those in the youngest (18-25 years). Those with higher familiarity were significantly less likely to answer "don't know" when reporting diabetes and heart disease diagnoses among immediate (OR = 0.35 and OR = 0.29, respectively) and extended (OR = 0.50 and OR = 0.46, respectively) family members. Having a wider health communication reach within a family may be beneficial in increasing familiarity with FHH; however, the reported levels of communication reach were limited among most participants. Women, older-generation family members, and those who believe in the importance of genetics in health or feel confident about using genetic information may be particularly important as targets of public health interventions to facilitate FHH dissemination within families.
Authors:
Sato Ashida; Melody S Goodman; Jewel Stafford; Christina Lachance; Kimberly A Kaphingst
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Publication Detail:
Type:  Journal Article     Date:  2012-05-09
Journal Detail:
Title:  Journal of community genetics     Volume:  3     ISSN:  1868-6001     ISO Abbreviation:  J Community Genet     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-11     Completed Date:  2012-10-12     Revised Date:  2013-04-01    
Medline Journal Info:
Nlm Unique ID:  101551501     Medline TA:  J Community Genet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  285-95     Citation Subset:  -    
Affiliation:
Social and Behavioral Sciences, University of Memphis School of Public Health, 201 Robison Hall, Memphis, TN, 38152, USA, sashida@memphis.edu.
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