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We aimed to review the literature to better understand barriers to accessing <jats:styled-content style=\"fixed-case\">GC<\/jats:styled-content> and how they may be overcome. We conducted a systematic literature search for articles examining factors influencing cancer <jats:styled-content style=\"fixed-case\">GC<\/jats:styled-content> uptake as well as motivators and barriers to <jats:styled-content style=\"fixed-case\">GC<\/jats:styled-content> attendance. Factors were categorised as sociodemographic, psychosocial or clinical. The literature search identified 1413 citations, 35 of which met the inclusion criteria. <jats:styled-content style=\"fixed-case\">GC<\/jats:styled-content> uptake ranged from 19% to 88%. With the exceptions of education level, socioeconomic status, cancer\u2010specific distress, personal cancer diagnosis and actual and perceived risk of cancer, support was lacking for most sociodemographic, clinical and psychosocial factors as predictors of <jats:styled-content style=\"fixed-case\">GC<\/jats:styled-content> uptake. Cost and logistical barriers, emotional concerns, family concerns and low perceived personal relevance were reported as important considerations for those declining <jats:styled-content style=\"fixed-case\">GC<\/jats:styled-content>. We conclude that there is poor understanding of <jats:styled-content style=\"fixed-case\">GC<\/jats:styled-content> and a lack of decision support among those referred to <jats:styled-content style=\"fixed-case\">GC<\/jats:styled-content>. Research into ways of providing education and support to referred individuals will be important as the scope and availability of GC and genetic testing broaden.<\/jats:p>","DOI":"10.1111\/cge.12868","type":"journal-article","created":{"date-parts":[[2016,9,19]],"date-time":"2016-09-19T13:03:14Z","timestamp":1474290194000},"page":"121-133","source":"Crossref","is-referenced-by-count":58,"title":["Sociodemographic, psychosocial and clinical factors associated with uptake of genetic counselling for hereditary cancer: a systematic review"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1529-3833","authenticated-orcid":false,"given":"A.M.","family":"Willis","sequence":"first","affiliation":[{"name":"Psychosocial Research Group, Prince of Wales Clinical School, Faculty of Medicine University of New South Wales  Sydney 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