{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T18:08:40Z","timestamp":1740161320708,"version":"3.37.3"},"reference-count":69,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["U54CA163071","U54CA163068","T32CA090314"],"award-info":[{"award-number":["U54CA163071","U54CA163068","T32CA090314"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Among high-risk breast cancer (BC) survivors, genetic counseling (GC) and genetic testing (GT) may inform cascade testing and risk management. Compared to non-Hispanic White BC survivors, Spanish-preferring Latina BC survivors are less likely to report discussing GC with a healthcare provider. However, few studies have examined Latinas\u2019 experiences with GC\/GT, particularly outside of the mainland USA. This study aimed to compare frequency of provider discussion of GC between Spanish-preferring Latina BC survivors living in Florida (FL) and Puerto Rico (PR). We conducted secondary data analysis of baseline assessments from a randomized pilot of an educational intervention for Spanish-preferring Latina BC survivors. Participants (N = 52) were GC\/GT-naive, but met clinical criteria for GC\/GT referral. Participants self-reported sociodemographic, clinical, and cultural variables, including previous provider discussion of GC. Descriptive statistics characterized frequency of GC discussion. Logistic regression examined the relationships between sociodemographic, clinical, and cultural characteristics and GC discussion. Only 31% of participants reported previous GC discussion. More participants from PR reported having GC discussions (43% vs. 21% in the mainland USA). In multivariable analyses, greater likelihood of GC discussion was associated with PR (vs. mainland USA) residence (odds ratio [OR] = 6.00, p = .03), older age at baseline (OR = 1.19, p = .04), and younger age at BC diagnosis (OR = 0.80, p = .03). Few high-risk Spanish-preferring Latina BC survivors in the mainland USA and PR had discussed GC with their providers. These results highlight a gap in the implementation of evidence-based genetics guidelines. Provider-directed interventions may be needed to increase uptake of GC\/GT among Latina BC survivors.<\/jats:p>","DOI":"10.1093\/tbm\/ibac031","type":"journal-article","created":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T11:47:28Z","timestamp":1665143248000},"page":"900-908","source":"Crossref","is-referenced-by-count":1,"title":["Provider discussion of genetic counseling among high-risk Spanish-preferring Latina breast cancer survivors"],"prefix":"10.1093","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7695-2428","authenticated-orcid":false,"given":"Claire C","family":"Conley","sequence":"first","affiliation":[{"name":"Georgetown Lombardi Comprehensive Cancer Center, Georgetown University , Washington, DC 20007 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica N","family":"Rivera Rivera","sequence":"additional","affiliation":[{"name":"Moffitt Cancer Center , Tampa, FL 33612 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eida M","family":"Castro-Figueroa","sequence":"additional","affiliation":[{"name":"Ponce Health Sciences University , Ponce 00716 , Puerto Rico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Moreno","sequence":"additional","affiliation":[{"name":"Moffitt Cancer Center , Tampa, FL 33612 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Dutil","sequence":"additional","affiliation":[{"name":"Ponce Health Sciences University , Ponce 00716 , Puerto Rico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer D","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Moffitt Cancer Center , Tampa, FL 33612 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charit\u00e9","family":"Ricker","sequence":"additional","affiliation":[{"name":"University of Southern California Norris Comprehensive Cancer Center , Los Angeles, CA 90033 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gwendolyn P","family":"Quinn","sequence":"additional","affiliation":[{"name":"Grossman School of Medicine, New York University , New York, NY 10016 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hatem","family":"Soliman","sequence":"additional","affiliation":[{"name":"Moffitt Cancer Center , Tampa, FL 33612 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1052-6917","authenticated-orcid":false,"given":"Susan T","family":"Vadaparampil","sequence":"additional","affiliation":[{"name":"Moffitt Cancer Center , Tampa, FL 33612 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,10,7]]},"reference":[{"year":"2021","author":"U.S. Cancer Statistics Working 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