{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T12:46:19Z","timestamp":1792673179122,"version":"4.5.0"},"reference-count":27,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100001006","name":"Breast Cancer Research Foundation","doi-asserted-by":"publisher","award":["24-210"],"award-info":[{"award-number":["24-210"]}],"id":[{"id":"10.13039\/100001006","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Patient Education and Counseling"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.pec.2026.109536","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T17:18:06Z","timestamp":1770657486000},"page":"109536","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Genetic cancer risk knowledge among Mexican pathogenic variant carriers"],"prefix":"10.1016","volume":"147","author":[{"given":"Alejandro","family":"Aranda-Gutierrez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Villarreal-Garza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dione","family":"Aguilar-y-Mendez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvador","family":"Gonzalez-Santiesteban","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Luis","family":"Rodr\u00edguez-Olivares","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4723-1837","authenticated-orcid":false,"given":"Fernanda","family":"Mesa-Chavez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4606-5646","authenticated-orcid":false,"given":"Andrea","family":"Becerril-Gaitan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3970-3259","authenticated-orcid":false,"given":"Bryan F.","family":"Vaca-Cartagena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8963-5727","authenticated-orcid":false,"given":"Alex","family":"Lagunas-Medina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura Kay","family":"Lagarde-Santill\u00e1n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9s","family":"Rodr\u00edguez-Faure","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Obregon-Leal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Araceli","family":"Carrillo-Bedoya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregorio","family":"Quintero-Beul\u00f3","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8183-8857","authenticated-orcid":false,"given":"Maria Fernanda","family":"Ochoa-Chavez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melina","family":"Miaja","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6714-092X","authenticated-orcid":false,"given":"Jeffrey N.","family":"Weitzel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanin","family":"Chavarri-Guerra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.pec.2026.109536_bib1","doi-asserted-by":"crossref","DOI":"10.1186\/s12885-019-5756-4","article-title":"Analysis of hereditary cancer syndromes by using a panel of genes: Novel and multiple pathogenic mutations","volume":"19","author":"Tsaousis","year":"2019","journal-title":"BMC Cancer"},{"key":"10.1016\/j.pec.2026.109536_bib2","article-title":"Hereditary Cancer Syndromes and Risk Assessment","volume":"134","year":"2019","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.pec.2026.109536_bib3","doi-asserted-by":"crossref","DOI":"10.1023\/B:JOGC.0000018821.48330.77","article-title":"Genetic cancer risk assessment and counseling: Recommendations of the national society of genetic counselors","volume":"13","author":"Trepanier","year":"2004","journal-title":"J Genet Couns"},{"key":"10.1016\/j.pec.2026.109536_bib4","doi-asserted-by":"crossref","DOI":"10.1093\/jnci\/djad203","article-title":"Cascade testing for hereditary cancer: comprehensive multigene panels identify unexpected actionable findings in relatives","volume":"116","author":"Heald","year":"2024","journal-title":"J Natl Cancer Inst"},{"key":"10.1016\/j.pec.2026.109536_bib5","doi-asserted-by":"crossref","DOI":"10.1016\/j.pec.2019.04.014","article-title":"Development and testing of the KnowGene scale to assess general cancer genetic knowledge related to multigene panel testing","volume":"102","author":"Underhill-Blazey","year":"2019","journal-title":"Patient Educ Couns"},{"key":"10.1016\/j.pec.2026.109536_bib6","doi-asserted-by":"crossref","DOI":"10.1097\/GIM.0b013e31821882b7","article-title":"Personalized cancer genetics training for personalized medicine: Improving community-based healthcare through a genetically literate workforce","volume":"13","author":"Blazer","year":"2011","journal-title":"Genet Med"},{"key":"10.1016\/j.pec.2026.109536_bib7","article-title":"A Prospective Questionnaire-Based Study Evaluating Genetic Literacy and Impact of Brief Educational Intervention Among Breast Cancer Patients in a Low- to Middle-Income Country","author":"Mishra","year":"2024","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.pec.2026.109536_bib8","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1016\/S1470-2045(25)00039-7","article-title":"National cancer control plans in Latin America and the Caribbean: challenges and future directions","volume":"26","author":"Vilarreal-Garza","year":"2025","journal-title":"Lancet Oncol"},{"key":"10.1016\/j.pec.2026.109536_bib9","unstructured":"IARC, Mexico Source: Globocan 2022, International Agency for Research on Cancer WHO 929 (2022)."},{"key":"10.1016\/j.pec.2026.109536_bib10","doi-asserted-by":"crossref","DOI":"10.1200\/GO.20.00587","article-title":"Development and Pilot Implementation of the Genomic Risk Assessment for Cancer Implementation and Sustainment (GRACIAS) Intervention in Mexico","author":"Blazer","year":"2021","journal-title":"JCO Glob Oncol"},{"key":"10.1016\/j.pec.2026.109536_bib11","article-title":"Genetic cancer risk assessment for breast cancer in Latin America","volume":"69","author":"Chavarri-Guerra","year":"2017","journal-title":"Rev De Invest Clin"},{"key":"10.1016\/j.pec.2026.109536_bib12","doi-asserted-by":"crossref","DOI":"10.1097\/01.GIM.0000151154.27612.49","article-title":"Outcomes from intensive training in genetic cancer risk counseling for clinicians","volume":"7","author":"Blazer","year":"2005","journal-title":"Genet Med"},{"key":"10.1016\/j.pec.2026.109536_bib13","article-title":"Genetic\/familial high-risk assessment: Breast, ovarian, and pancreatic, version 2.2021, JNCCN","volume":"19","author":"Daly","year":"2021","journal-title":"J Natl Compr Cancer Netw"},{"key":"10.1016\/j.pec.2026.109536_bib14","doi-asserted-by":"crossref","DOI":"10.1007\/s10549-024-07377-9","article-title":"Information needs persist after genetic counseling and testing for BRCA1\/2 and Lynch Syndrome","volume":"208","author":"Peipins","year":"2024","journal-title":"Breast Cancer Res Treat"},{"key":"10.1016\/j.pec.2026.109536_bib15","doi-asserted-by":"crossref","DOI":"10.1016\/j.pec.2019.05.007","article-title":"Accuracy in risk understanding among BRCA1\/2-mutation carriers","volume":"102","author":"Speiser","year":"2019","journal-title":"Patient Educ Couns"},{"key":"10.1016\/j.pec.2026.109536_bib16","unstructured":"OECD, Mexico: Overview of the education system (EAG 2023), (2024). \u3008https:\/\/gpseducation.oecd.org\/CountryProfile?primaryCountry=MEX&treshold=10&topic=EO\u3009."},{"key":"10.1016\/j.pec.2026.109536_bib17","doi-asserted-by":"crossref","DOI":"10.1016\/j.pec.2020.06.007","article-title":"Health literacy in rural and urban populations: A systematic review","volume":"103","author":"Aljassim","year":"2020","journal-title":"Patient Educ Couns"},{"key":"10.1016\/j.pec.2026.109536_bib18","doi-asserted-by":"crossref","DOI":"10.1016\/j.pec.2020.07.019","article-title":"Effects of health literacy skills, educational attainment, and level of melanoma risk on responses to personalized genomic testing","volume":"104","author":"Kaphingst","year":"2021","journal-title":"Patient Educ Couns"},{"key":"10.1016\/j.pec.2026.109536_bib19","doi-asserted-by":"crossref","DOI":"10.1007\/s12687-018-0363-7","article-title":"New literacy challenge for the twenty-first century: genetic knowledge is poor even among well educated","volume":"10","author":"Chapman","year":"2019","journal-title":"J Community Genet"},{"key":"10.1016\/j.pec.2026.109536_bib20","doi-asserted-by":"crossref","DOI":"10.1001\/archfami.9.1.57","article-title":"D. Post, The effects of patient communication skills training on compliance","volume":"9","author":"Cegala","year":"2000","journal-title":"Arch Fam Med"},{"key":"10.1016\/j.pec.2026.109536_bib21","doi-asserted-by":"crossref","DOI":"10.1001\/archinte.163.1.83","article-title":"Closing the loop: Physician communication with diabetic patients who have low health literacy","volume":"163","author":"Schillinger","year":"2003","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.pec.2026.109536_bib22","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejmg.2018.12.004","article-title":"Effective communication in the era of precision medicine: A pilot intervention with low health literacy patients to improve genetic counseling communication","volume":"62","author":"Joseph","year":"2019","journal-title":"Eur J Med Genet"},{"key":"10.1016\/j.pec.2026.109536_bib23","doi-asserted-by":"crossref","DOI":"10.1056\/NEJMoa2105215","article-title":"Adjuvant Olaparib for Patients with BRCA1 - or BRCA2 -Mutated Breast Cancer","volume":"384","author":"Tutt","year":"2021","journal-title":"N Engl J Med"},{"key":"10.1016\/j.pec.2026.109536_bib24","doi-asserted-by":"crossref","DOI":"10.1200\/GO.23.00417","article-title":"Uptake of Risk-Reducing Measures, Cascade Testing, and Related Challenges Among Carriers of Breast Cancer\u2013Associated Germline Pathogenic Variants in Mexico","author":"Mesa-Chavez","year":"2024","journal-title":"JCO Glob Oncol"},{"key":"10.1016\/j.pec.2026.109536_bib25","doi-asserted-by":"crossref","DOI":"10.1089\/gtmb.2008.0067","article-title":"Uptake, time course, and predictors of risk-reducing surgeries in BRCA carriers","volume":"13","author":"Beattie","year":"2009","journal-title":"Genet Test Mol Biomark"},{"key":"10.1016\/j.pec.2026.109536_bib26","doi-asserted-by":"crossref","DOI":"10.1097\/GRF.0000000000000895","article-title":"Uptake of Cascade Genetic Testing for Hereditary Breast and Ovarian Cancer: A Systematic Review and Meta-Analysis","volume":"67","author":"Ahsan","year":"2024","journal-title":"Clin Obstet Gynecol"},{"key":"10.1016\/j.pec.2026.109536_bib27","doi-asserted-by":"crossref","DOI":"10.1200\/JCO.22.00303","article-title":"Cascade Testing for Hereditary Cancer Syndromes: Should We Move Toward Direct Relative Contact? A Systematic Review and Meta-Analysis","volume":"40","author":"Frey","year":"2022","journal-title":"J Clin Oncol"}],"container-title":["Patient Education and Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0738399126000698?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0738399126000698?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T18:23:46Z","timestamp":1777573426000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0738399126000698"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":27,"alternative-id":["S0738399126000698"],"URL":"https:\/\/doi.org\/10.1016\/j.pec.2026.109536","relation":{},"ISSN":["0738-3991"],"issn-type":[{"value":"0738-3991","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Genetic cancer risk knowledge among Mexican pathogenic variant carriers","name":"articletitle","label":"Article Title"},{"value":"Patient Education and Counseling","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pec.2026.109536","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"109536"}}