{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T19:22:56Z","timestamp":1780946576488,"version":"3.54.1"},"reference-count":51,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2023,7,15]],"date-time":"2023-07-15T00:00:00Z","timestamp":1689379200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Boston College (IGNITE grant and Schiller Institute Grant for Exploratory Collaborative Scholarship)"},{"name":"National Institutes of Health, Eunice Kennedy Shriver National Institute of Child Health and Human Development (P50 HD104224, \u201cThe Massachusetts General Hospital Harvard Center for Reproductive Medicine\u201d)"},{"name":"Josiah Macy Jr. Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Genes"],"abstract":"<jats:p>This study aimed to gain a deeper understanding of genomic healthcare utilization, patient activation, and intrafamilial risk communication among racially and ethnically diverse individuals tested for BRCA variants. We employed an explanatory, sequential, mixed-methods study guided by the Theory of Planned Behavior. Participants completed an online survey, including sociodemographic, medical history, and several validated instruments. A subset of participants participated in in-depth, semi-structured interviews. A total of 242 women were included in the quantitative analyses. The majority of survey participants identified as non-Hispanic white (NHW) (n = 197, 81.4%) while 45\/242 (18.5%) identified as black, Indigenous, and people of color (BIPOC). The NHW participants were more likely to communicate genetic test results with healthcare providers, family, and friends than BIPOC participants (p &lt; 0.05). BIPOC participants had lower satisfaction with testing decisions and significantly higher ratings of personal discrimination, fatalism, resilience, uncertainty, and lower patient activation scores (p &lt; 0.05). Participants with higher education, greater satisfaction with testing decisions, and lower resilience are more likely to communicate BRCA test results with family members through the mediating effect of patient activation. Bridging disparities to ensure that genomic healthcare benefits all people may demand theory-driven, multi-level interventions targeting the individual, interpersonal, and healthcare system levels.<\/jats:p>","DOI":"10.3390\/genes14071450","type":"journal-article","created":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T00:41:05Z","timestamp":1689554465000},"page":"1450","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Racial and Ethnic Disparities in Genomic Healthcare Utilization, Patient Activation, and Intrafamilial Communication of Risk among Females Tested for BRCA Variants: A Mixed Methods Study"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2169-1993","authenticated-orcid":false,"given":"Sharlene","family":"Hesse-Biber","sequence":"first","affiliation":[{"name":"Department of Sociology, Boston College, Chestnut Hill, MA 02467, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Memnun","family":"Seven","sequence":"additional","affiliation":[{"name":"Elaine Marieb College of Nursing, University of Massachusetts Amherst, Amherst, MA 01003, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Shea","sequence":"additional","affiliation":[{"name":"Department of Sociology, Boston College, Chestnut Hill, MA 02467, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline","family":"Heaney","sequence":"additional","affiliation":[{"name":"Department of Sociology, Boston College, Chestnut Hill, MA 02467, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7023-6794","authenticated-orcid":false,"given":"Andrew A.","family":"Dwyer","sequence":"additional","affiliation":[{"name":"William F. Connell School of Nursing, Boston College, Chestnut Hill, MA 02467, USA"},{"name":"Harvard Center for Reproductive Medicine, Massachusetts General Hospital, Boston, MA 02114, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,7,15]]},"reference":[{"key":"ref_1","unstructured":"CancerDisparitiesProgressReport.org [Internet] (2022, December 02). Philadelphia: American Association for Cancer Research; \u00a92022 [11\/10\/2022]. Available online: http:\/\/www.CancerDisparitiesProgressReport.org\/."},{"key":"ref_2","unstructured":"American Cancer Society (2023). Cancer Facts & Figures 2023, American Cancer Society. 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