{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T17:45:52Z","timestamp":1770745552877,"version":"3.49.0"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T00:00:00Z","timestamp":1626998400000},"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":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Openness about identity as lesbian, gay, bisexual, transgender, queer, and other sexual orientations and gender identities (LGBTQ+) may cause strain on relationships between family members, which could lead to limited knowledge of cancer family history and reduced communication with family members. As a result, members of the LGBTQ+ community may have more difficulty accessing genetic counseling services for inherited cancer risk. We applied a mixed\u2010methods approach to explore potential barriers to knowledge of cancer family history and family communication among participants of the Cancer Health Assessments Reaching Many (CHARM) study who self\u2010identified as LGBTQ+. We assessed perceptions of family functioning and communication of genetic test results to family members using survey tools and supplemented these data with 20 in\u2010depth interviews to further assess participant perspectives and experiences. LGBTQ+ participants were more likely to report unhealthy family functioning on the survey tool, and some interviewees endorsed that openness about their LGBTQ+ identity led to strained family relationships and reduced communication about their family history of cancer. Overall, this study identified barriers that may be faced by members of the LGBTQ+ community which could limit their ability to access genetic counseling services for inherited cancer risk.<\/jats:p>","DOI":"10.1002\/jgc4.1476","type":"journal-article","created":{"date-parts":[[2021,7,24]],"date-time":"2021-07-24T02:09:05Z","timestamp":1627092545000},"page":"230-241","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Barriers to family history knowledge and family communication among LGBTQ+ individuals in the context of hereditary cancer risk assessment"],"prefix":"10.1002","volume":"31","author":[{"given":"Bradley A.","family":"Rolf","sequence":"first","affiliation":[{"name":"Department of Medicine Division of Medical Genetics University of Washington Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L.","family":"Schneider","sequence":"additional","affiliation":[{"name":"Center for Health Research Kaiser Permanente Northwest Portland OR USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura M.","family":"Amendola","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Medical Genetics University of Washington Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James V.","family":"Davis","sequence":"additional","affiliation":[{"name":"Center for Health Research Kaiser Permanente Northwest Portland OR USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen F.","family":"Mittendorf","sequence":"additional","affiliation":[{"name":"Department of Translational and Applied Genomics Center for Health Research Kaiser Permanente Northwest Portland OR USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark A.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Center for Health Research Kaiser Permanente Northwest Portland OR USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gail P.","family":"Jarvik","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Medical Genetics University of Washington Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin S.","family":"Wilfond","sequence":"additional","affiliation":[{"name":"Treuman Katz Center for Pediatric Bioethics Seattle Children\u2019s Hospital and Research Institute Seattle WA USA"},{"name":"Department of Pediatrics University of Washington School of Medicine Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrina A. B.","family":"Goddard","sequence":"additional","affiliation":[{"name":"Department of Translational and Applied Genomics Center for Health Research Kaiser Permanente Northwest Portland OR USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Ezzell Hunter","sequence":"additional","affiliation":[{"name":"Department of Translational and Applied Genomics Center for Health Research Kaiser Permanente Northwest Portland OR USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2003.03.189"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41436\u2010018\u20100020\u2010x"},{"key":"e_1_2_9_4_1","volume-title":"Analyzing qualitative data: Systematic approaches","author":"Bernard H. R.","year":"2010"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2017.11.002"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12113"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2012.300796"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964\u2010012\u20109798\u2010z"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.12.1479"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1196"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781452230153"},{"key":"e_1_2_9_12_1","volume-title":"Designing and conducting mixed methods research","author":"Creswell J. W.","year":"2017"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10689\u2010016\u20109889\u20101"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2016.0018"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732318788377"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.1184"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/gim.2017.52"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893\u20103200.22.3.329"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcpo.2015.08.005"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1300\/j463v03n01_08"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12670"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13187\u2010018\u20101438\u20101"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2016.69.6120"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2016.07.005"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41436\u2010020\u20100763\u2010z"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10689\u2010004\u20107991\u20102"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.2307\/3088957"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2015.0124"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.2140"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.gim.0000144014.91237.a1"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.7326\/m13\u20102747"},{"key":"e_1_2_9_34_1","volume-title":"Familial breast cancer: Classification and care of people at risk of familial breast cancer and management of breast cancer and related risks in people with a family history of breast cancer","author":"National Collaborating Centre for Cancer","year":"2013"},{"key":"e_1_2_9_35_1","unstructured":"National LGBT Health Education Center. (2016).Collecting sexual orientation and gender identity data in electronic health records. Retrieved fromhttps:\/\/www.lgbtqiahealtheducation.org\/wp\u2010content\/uploads\/Collecting\u2010Sexual\u2010Orientation\u2010and\u2010Gender\u2010Identity\u2010Data\u2010in\u2010EHRs\u20102016.pdf"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964\u2010010\u20109533\u20106"},{"key":"e_1_2_9_37_1","volume-title":"Risk assessment, genetic counseling, and genetic testing for BRCA\u2010related cancer: Systematic review to update the U.S. preventive services task force recommendation","author":"Nelson H. D.","year":"2013"},{"key":"e_1_2_9_38_1","volume-title":"PDQ cancer information summaries","author":"P. D. Q. Cancer Genetics Editorial Board","year":"2002"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-2081(00)80008-X"},{"key":"e_1_2_9_40_1","unstructured":"QSR International Pty Ltd. (2018).NVivo qualitative data analysis software (Version Version 12)."},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.1630"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2018.0217"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508\u2010020\u201001810\u2010y"}],"container-title":["Journal of Genetic Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgc4.1476","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jgc4.1476","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgc4.1476","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T08:53:19Z","timestamp":1693212799000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jgc4.1476"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,23]]},"references-count":42,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["10.1002\/jgc4.1476"],"URL":"https:\/\/doi.org\/10.1002\/jgc4.1476","archive":["Portico"],"relation":{},"ISSN":["1059-7700","1573-3599"],"issn-type":[{"value":"1059-7700","type":"print"},{"value":"1573-3599","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,23]]},"assertion":[{"value":"2021-01-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}