Latina immigrants' breast and colon cancer causal attributions: genetics is key.

IF 1.5 Q4 GENETICS & HEREDITY Journal of Community Genetics Pub Date : 2024-02-01 Epub Date: 2023-11-30 DOI:10.1007/s12687-023-00681-9
Katie Fiallos, Jill Owczarzak, Joann Bodurtha, Sonia Margarit, Lori H Erby
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Abstract

Latinos in the US suffer health disparities including stage of disease at time of breast or colon cancer diagnosis. Understanding Latinas' causal attributions of breast and colon cancer may provide insight into some of the individual level determinants of cancer disparities in this population. Cultural consensus analysis (CCA) is one way to study causal beliefs. The objective of this study was to describe Latina immigrants' causal attributions of breast and colon cancer. We conducted Spanish-language interviews with 22 Latina immigrants using a qualitative exploratory design comprised of freelisting, ranking, and open-ended questions. Participants freelisted causes and risk factors for breast and colon cancer then ranked risk factors according to their perceived role in the development of each cancer. CCA was conducted on rank orders to identify whether a cultural consensus model was present. Participants answered semi-structured, open-ended questions regarding the risk factors and rankings. Interviews were transcribed and subjected to thematic analysis. CCA showed no consensus around rank of causes for either cancer, and residual agreement analysis suggested the presence of two subcultural groups. "Genetics" and "hereditary factors" ranked first and second on average across participants for both cancers. Based on interview data, participants were less aware of colon cancer than breast cancer. Participants' endorsement of heredity as a cause of breast and colon cancer was similar to beliefs reported in studies of primarily non-Latina populations.

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拉丁裔移民乳腺癌和结肠癌的因果归因:遗传学是关键。
美国的拉丁美洲人在健康方面存在差异,包括乳腺癌或结肠癌诊断时的疾病阶段。了解拉丁美洲人对乳腺癌和结肠癌的因果归因可能有助于深入了解该人群中癌症差异的一些个体水平决定因素。文化共识分析(CCA)是研究因果信念的一种方法。本研究的目的是描述拉丁裔移民对乳腺癌和结肠癌的因果归因。我们使用由自由列表、排名和开放式问题组成的定性探索性设计对22名拉丁裔移民进行了西班牙语访谈。参与者自由列出乳腺癌和结肠癌的原因和风险因素,然后根据他们在每种癌症发展中的作用对风险因素进行排名。CCA按等级顺序进行,以确定是否存在文化共识模型。参与者回答了有关风险因素和排名的半结构化开放式问题。采访记录下来并进行专题分析。CCA对这两种癌症的病因排序没有一致意见,剩余一致性分析表明存在两个亚文化群体。“基因”和“遗传因素”在两种癌症的参与者中平均排名第一和第二。根据访谈数据,参与者对结肠癌的了解程度低于乳腺癌。参与者认同遗传是乳腺癌和结肠癌的原因,这与在主要是非拉丁裔人群的研究中报告的观点相似。
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来源期刊
Journal of Community Genetics
Journal of Community Genetics GENETICS & HEREDITY-
CiteScore
3.30
自引率
5.30%
发文量
54
期刊介绍: The Journal of Community Genetics is an international forum for research in the ever-expanding field of community genetics, the art and science of applying medical genetics to human communities for the benefit of their individuals. Community genetics comprises all activities which identify persons at increased genetic risk and has an interest in assessing this risk, in order to enable those at risk to make informed decisions. Community genetics services thus encompass such activities as genetic screening, registration of genetic conditions in the population, routine preconceptional and prenatal genetic consultations, public education on genetic issues, and public debate on related ethical issues. The Journal of Community Genetics has a multidisciplinary scope. It covers medical genetics, epidemiology, genetics in primary care, public health aspects of genetics, and ethical, legal, social and economic issues. Its intention is to serve as a forum for community genetics worldwide, with a focus on low- and middle-income countries. The journal features original research papers, reviews, short communications, program reports, news, and correspondence. Program reports describe illustrative projects in the field of community genetics, e.g., design and progress of an educational program or the protocol and achievement of a gene bank. Case reports describing individual patients are not accepted.
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