{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:32:48Z","timestamp":1785285168360,"version":"3.55.0"},"reference-count":60,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,4,15]],"date-time":"2020-04-15T00:00:00Z","timestamp":1586908800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Genetic Counseling"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>African Americans (AA), the second largest racial\/ethnic minority group in the United States (US), carry the largest mortality burden of cancer compared with other racial\/ethnic groups (Cancer Facts &amp; Figures for African Americans, 2019\u20132021, American Cancer Society).One solution to address this disparity is through cancer\u2010related genetic counseling and testing (CGT). Although CGT is utilized among the general population, it remains underutilized among AA populations. Community\u2010engaged and community\u2010driven health promotion programs within faith\u2010based organizations (FBOs) have been successfully implemented and delivered among AA populations (Israel et al., American Journal of Public Health, 100, 2010, 2094). FBOs are well positioned for cancer\u2010related health promotion and equipped as conduits of health education and information distribution for cancer prevention. In the present pilot study, a community\u2010based participatory approach (CBPR) was used to collect exploratory data on attitudes, perceptions, and beliefs toward CGT and uptake among an AA sample in the Midwest. Focus groups were conducted in two churches where respondents (<jats:italic>N<\/jats:italic>=34) answered a pre\u2010focus group survey prior to a discussion. Respondents were largely unaware of CGT and thought of testing as primarily for ancestral discovery and not for an inheritable disease. Themes identified through qualitative analysis included emotional experiences with cancer; perception of cancer risk; different pictures of genetic testing; other things to worry about; trust in the healthcare system\/faith in God and the healthcare system; and ideas and insights regarding promotion of CGT. These primary themes showed participants\u2019 perceptions of CGT were shaped by their experiences with cancer, faith, faith communities\/FBOs, and cost and access to CGT. Overall, participants within these organizations had positive perceptions about the church as a conduit of genetic testing information but had mixed opinions about the rationale for completing CGT. These findings have implications for genetic counselors, medical providers, and health promotion personnel as to how AA faith populations view CGT and the utility of FBOs as promoters of CGT information.<\/jats:p>","DOI":"10.1002\/jgc4.1277","type":"journal-article","created":{"date-parts":[[2020,4,15]],"date-time":"2020-04-15T07:58:37Z","timestamp":1586937517000},"page":"518-529","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["A road map for the future: An exploration of attitudes, perceptions, and beliefs among African Americans to tailor health promotion of cancer\u2010related genetic counseling and testing"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0963-0706","authenticated-orcid":false,"given":"Crystal Y.","family":"Lumpkins","sequence":"first","affiliation":[{"name":"Department of Family Medicine and Community Health University of Kansas Medical Center, School of Medicine Kansas City Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7070-8897","authenticated-orcid":false,"given":"Alisdair","family":"Philp","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Kansas Medical Center, School of Medicine Kansas City Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine L.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Kansas Medical Center, School of Medicine Kansas City Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn M.","family":"Miller","sequence":"additional","affiliation":[{"name":"Faith Works Connecting for a Healthy Community Advisory Board Kansas City Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith Allen","family":"Greiner","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Community Health University of Kansas Medical Center, School of Medicine Kansas City Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-017-0339-2"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejhg.2013.257"},{"key":"e_1_2_9_5_1","volume-title":"Handbook of African American health: Social and behavioral interventions","author":"Allicock M.","year":"2011"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0963662513492485"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2003.03.189"},{"issue":"4","key":"e_1_2_9_8_1","first-page":"212","article-title":"Minority distrust of medicine: A historical perspective","volume":"66","author":"Baker R.","year":"1999","journal-title":"Mount Sinai Journal of Medicine"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1515\/med-2018-0038"},{"key":"e_1_2_9_10_1","volume-title":"PDQ cancer genetics overview","author":"PDQ\u00ae Cancer Genetics Editorial Board","year":"2019"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X08327111"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.28.021406.144016"},{"key":"e_1_2_9_13_1","unstructured":"Cancer Facts & Figures for African Americans(2019\u20132021). 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