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Published in: Journal of Genetic Counseling 6/2011

01-12-2011 | Original Research

Attitudes and Beliefs of African-Americans Toward Genetics, Genetic Testing, and Sickle Cell Disease Education and Awareness

Authors: Katie A. Long, Stephen B. Thomas, Robin E. Grubs, Elizabeth A. Gettig, Lakshmanan Krishnamurti

Published in: Journal of Genetic Counseling | Issue 6/2011

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Abstract

Research among African-Americans indicates this population perceives sickle cell (SCD) to be a serious disease and sickle cell trait (SCT) screening an important intervention. However, studies have consistently demonstrated a lower than desired uptake of SCD education, inadequate knowledge regarding personal and family trait status, and a low perceived susceptibility of giving birth to a child with the disease. We examined general attitudes and beliefs regarding genetics and genetic testing including prenatal testing and newborn screening; we used this information as the foundation to more specifically assess attitudes and beliefs regarding SCD and perceived barriers to SCD education and awareness. Thirty-five African-American adult men and women participated in one of four focus groups. Thematic analysis identified that both prenatal testing and newborn screening are acceptable forms of genetic testing. Based largely on their personal experiences, participants possessed an understanding of the natural progression of SCD but had a limited understanding of the inheritance and probable risk of giving birth to a child with the disease. Barriers to education and greater awareness of SCD were classified as personal, familial, and societal. Community based interventions focused on sharing the stories of individuals with first-hand experiences with SCD should be considered.
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Literature
go back to reference Acharya, K., Lang, C. W., & Ross, L. F. (2009). A pilot study to explore knowledge, attitudes, and beliefs about sickle cell trait and disease. Journal of the National Medical Association, 101, 1163–1172.PubMed Acharya, K., Lang, C. W., & Ross, L. F. (2009). A pilot study to explore knowledge, attitudes, and beliefs about sickle cell trait and disease. Journal of the National Medical Association, 101, 1163–1172.PubMed
go back to reference Beeson, D. (1997). Nuance, complexity, and context: qualitative methods in genetic counseling research. Journal of Genetic Counseling, 6, 21–43.PubMedCrossRef Beeson, D. (1997). Nuance, complexity, and context: qualitative methods in genetic counseling research. Journal of Genetic Counseling, 6, 21–43.PubMedCrossRef
go back to reference BeLue, R., Taylor-Richardson, K. D., Lin, J., Rivera, A. T., & Grandison, D. (2006). African Americans and participation in clinical trials: differences in beliefs and attitudes by gender. Contemporary Clinical Trials, 27, 498–505.PubMedCrossRef BeLue, R., Taylor-Richardson, K. D., Lin, J., Rivera, A. T., & Grandison, D. (2006). African Americans and participation in clinical trials: differences in beliefs and attitudes by gender. Contemporary Clinical Trials, 27, 498–505.PubMedCrossRef
go back to reference Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101.CrossRef Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101.CrossRef
go back to reference Catz, D. S., Green, N. S., Tobin, J. N., Lloyd-Puryear, M. A., Kyler, P., Umemoto, A., et al. (2005). Attitudes about genetics in underserved, culturally diverse populations. Community Genetics, 8, 161–172.PubMedCrossRef Catz, D. S., Green, N. S., Tobin, J. N., Lloyd-Puryear, M. A., Kyler, P., Umemoto, A., et al. (2005). Attitudes about genetics in underserved, culturally diverse populations. Community Genetics, 8, 161–172.PubMedCrossRef
go back to reference Gullate, M. (2006). The influence of spirituality and religiosity on breast cancer screening delay in African American women: application of the Theory of Reasoned Action and Planned Behavior (TRA/TPB). Journal of the Association of Black Nursing Faculty in Higher Education, 17, 89–94. Gullate, M. (2006). The influence of spirituality and religiosity on breast cancer screening delay in African American women: application of the Theory of Reasoned Action and Planned Behavior (TRA/TPB). Journal of the Association of Black Nursing Faculty in Higher Education, 17, 89–94.
go back to reference Gustafson, S. L., Gettig, E. A., Watt-Morse, M., & Krishnamurti, L. (2007). Health beliefs among African American women regarding genetic testing and counseling for sickle cell disease. Genetics in Medicine, 9, 303–310.PubMedCrossRef Gustafson, S. L., Gettig, E. A., Watt-Morse, M., & Krishnamurti, L. (2007). Health beliefs among African American women regarding genetic testing and counseling for sickle cell disease. Genetics in Medicine, 9, 303–310.PubMedCrossRef
go back to reference Hamilton, L. A., Aliyu, M. H., Lyons, P. D., May, R., Swanson, C. L., Savage, R., et al. (2006). African-American community attitudes and perceptions toward schizophrenia and medical research: an exploratory study. Journal of the National Medical Association, 98, 18–27.PubMed Hamilton, L. A., Aliyu, M. H., Lyons, P. D., May, R., Swanson, C. L., Savage, R., et al. (2006). African-American community attitudes and perceptions toward schizophrenia and medical research: an exploratory study. Journal of the National Medical Association, 98, 18–27.PubMed
go back to reference Hoyo, C., Reid, M. L., Godley, P. A., Parrish, T., Smith, L., & Gammon, M. (2003). Barriers and strategies for sustained participation of African-American men in cohort studies. Ethnicity & Disease, 13, 470–476. Hoyo, C., Reid, M. L., Godley, P. A., Parrish, T., Smith, L., & Gammon, M. (2003). Barriers and strategies for sustained participation of African-American men in cohort studies. Ethnicity & Disease, 13, 470–476.
go back to reference Janz, N. K., & Becker, M. H. (1984). The health belief model: a decade later. Health Education Quarterly, 11, 1–47.PubMedCrossRef Janz, N. K., & Becker, M. H. (1984). The health belief model: a decade later. Health Education Quarterly, 11, 1–47.PubMedCrossRef
go back to reference Kass, N. E., Medley, A. M., Natowicz, M. R., Hull, S. C., Faden, R. R., Plantinga, L., et al. (2007). Access to health insurance: experiences and attitudes of those with genetic versus non-genetic medical conditions. American Journal of Medical Genetics. Part A, 143, 707–717.PubMedCrossRef Kass, N. E., Medley, A. M., Natowicz, M. R., Hull, S. C., Faden, R. R., Plantinga, L., et al. (2007). Access to health insurance: experiences and attitudes of those with genetic versus non-genetic medical conditions. American Journal of Medical Genetics. Part A, 143, 707–717.PubMedCrossRef
go back to reference Kessler, L., Collier, A., Brewster, K., Smith, C., Weathers, B., Wileyto, E. P., et al. (2005). Attitudes about genetic testing and genetic testing intentions in African American women at increased risk for hereditary breast cancer. Genetics in Medicine, 7, 230–238.PubMedCrossRef Kessler, L., Collier, A., Brewster, K., Smith, C., Weathers, B., Wileyto, E. P., et al. (2005). Attitudes about genetic testing and genetic testing intentions in African American women at increased risk for hereditary breast cancer. Genetics in Medicine, 7, 230–238.PubMedCrossRef
go back to reference King, D. F., Trouth, A. J., & Adams, A. O. (2001). Factors preventing African-Americans from seeking early intervention in the treatment of ischemic strokes. Journal of the National Medical Association, 93, 43–46.PubMed King, D. F., Trouth, A. J., & Adams, A. O. (2001). Factors preventing African-Americans from seeking early intervention in the treatment of ischemic strokes. Journal of the National Medical Association, 93, 43–46.PubMed
go back to reference Kladny, B., Gettig, E. A., & Krishnamurti, L. (2005). Systematic follow-up and case management of the abnormal newborn screen can improve acceptance of genetic counseling for sickle cell or other hemoglobinopathy trait. Genetics in Medicine, 7, 139–142.PubMedCrossRef Kladny, B., Gettig, E. A., & Krishnamurti, L. (2005). Systematic follow-up and case management of the abnormal newborn screen can improve acceptance of genetic counseling for sickle cell or other hemoglobinopathy trait. Genetics in Medicine, 7, 139–142.PubMedCrossRef
go back to reference Krueger, R. A., & Casey, M. A. (2000). Focus groups: A practical guide for applied research (3rd ed.). Thousand Oaks: Sage. Krueger, R. A., & Casey, M. A. (2000). Focus groups: A practical guide for applied research (3rd ed.). Thousand Oaks: Sage.
go back to reference Laskey, S. L., Williams, J., Pierre-Louis, J., O’Riordan, M., Matthews, A., & Robin, N. H. (2003). Attitudes of African American premedical students toward genetic testing and screening. Genetics in Medicine, 5, 49–54.PubMedCrossRef Laskey, S. L., Williams, J., Pierre-Louis, J., O’Riordan, M., Matthews, A., & Robin, N. H. (2003). Attitudes of African American premedical students toward genetic testing and screening. Genetics in Medicine, 5, 49–54.PubMedCrossRef
go back to reference Markel, H. (2006). Scientific advances and social risks: Historical perspectives of genetic screening programs for sickle cell disease, Tay-Sachs disease, neural tube. National Human Genome Research Institute. Retrieved from http://www.genome.gov/10002401. Markel, H. (2006). Scientific advances and social risks: Historical perspectives of genetic screening programs for sickle cell disease, Tay-Sachs disease, neural tube. National Human Genome Research Institute. Retrieved from http://​www.​genome.​gov/​10002401.
go back to reference Midence, K., Graham, V., Acheampong, C., & Okuyiga, E. (1994). Increasing awareness for higher quality care. Measuring knowledge of sickle cell disease in adult patients. Professional Nurse, 9, 255–258. Midence, K., Graham, V., Acheampong, C., & Okuyiga, E. (1994). Increasing awareness for higher quality care. Measuring knowledge of sickle cell disease in adult patients. Professional Nurse, 9, 255–258.
go back to reference Nicholson, W. K., Grason, H. A., & Powe, N. R. (2003). The relationship of race to women’s use of health information resources. American Journal of Obstetrics and Gynecology, 188, 580–585.PubMedCrossRef Nicholson, W. K., Grason, H. A., & Powe, N. R. (2003). The relationship of race to women’s use of health information resources. American Journal of Obstetrics and Gynecology, 188, 580–585.PubMedCrossRef
go back to reference Pass, K. A., Lane, P. A., Fernhoff, P. M., Hinton, C. F., Panny, S. R., Parks, J. S., et al. (2000). US newborn screening system guidelines II: follow-up of children, diagnosis, management, and evaluation. Statement of the Council for Regional Networks for Genetic Services (CORN). Journal of Pediatrics, 137, S1–S46.PubMedCrossRef Pass, K. A., Lane, P. A., Fernhoff, P. M., Hinton, C. F., Panny, S. R., Parks, J. S., et al. (2000). US newborn screening system guidelines II: follow-up of children, diagnosis, management, and evaluation. Statement of the Council for Regional Networks for Genetic Services (CORN). Journal of Pediatrics, 137, S1–S46.PubMedCrossRef
go back to reference Richardson, J. T., Webster, J. D., & Fields, N. J. (2004). Uncovering myths and transforming realities among low-SES African-American men: implications for reducing prostate cancer disparities. Journal of the National Medical Association, 96, 1295–1301.PubMed Richardson, J. T., Webster, J. D., & Fields, N. J. (2004). Uncovering myths and transforming realities among low-SES African-American men: implications for reducing prostate cancer disparities. Journal of the National Medical Association, 96, 1295–1301.PubMed
go back to reference Richer, J., & Chudley, A. E. (2005). The hemoglobinopathies and malaria. Clinical Genetics, 68, 332–336.PubMedCrossRef Richer, J., & Chudley, A. E. (2005). The hemoglobinopathies and malaria. Clinical Genetics, 68, 332–336.PubMedCrossRef
go back to reference Robins, A. G. (2005). Surveillance of selected chronic diseases: Benchmarks for the healthy Black Family Project. Allegheny Health Department and Center for Minority Health. Robins, A. G. (2005). Surveillance of selected chronic diseases: Benchmarks for the healthy Black Family Project. Allegheny Health Department and Center for Minority Health.
go back to reference Rucker-Whitaker, C., Flynn, K. J., Kravitz, G., Eaton, C., Calvin, J. E., & Powell, L. H. (2006). Understanding African-American participation in a behavioral intervention: results from focus groups. Contemporary Clinical Trials, 27, 274–286.PubMedCrossRef Rucker-Whitaker, C., Flynn, K. J., Kravitz, G., Eaton, C., Calvin, J. E., & Powell, L. H. (2006). Understanding African-American participation in a behavioral intervention: results from focus groups. Contemporary Clinical Trials, 27, 274–286.PubMedCrossRef
go back to reference Sandelowski, M. (2000). Focus on research methods: whatever happened to qualitative description? Research in Nursing and Health, 23, 334–340.PubMedCrossRef Sandelowski, M. (2000). Focus on research methods: whatever happened to qualitative description? Research in Nursing and Health, 23, 334–340.PubMedCrossRef
go back to reference Talosig-Garcia, M., & Davis, S. W. (2005). Information-seeking behavior of minority breast cancer patients: an exploratory study. Journal of Health Communication, 10, 53–64.PubMedCrossRef Talosig-Garcia, M., & Davis, S. W. (2005). Information-seeking behavior of minority breast cancer patients: an exploratory study. Journal of Health Communication, 10, 53–64.PubMedCrossRef
go back to reference The New York State Task Force on Life and the Law. (2000). Genetic testing and screening in the age of genomic medicine. New York: Author. The New York State Task Force on Life and the Law. (2000). Genetic testing and screening in the age of genomic medicine. New York: Author.
go back to reference Thomas, S., & Quinn, S. (2008). Poverty and the elimination of urban health disparities: challenge and opportunity. Annals of the New York Academy of Sciences, 1136, 111–125.PubMedCrossRef Thomas, S., & Quinn, S. (2008). Poverty and the elimination of urban health disparities: challenge and opportunity. Annals of the New York Academy of Sciences, 1136, 111–125.PubMedCrossRef
go back to reference Treadwell, M. J., McClough, L., & Vichinsky, E. (2006). Using qualitative and quantitative strategies to evaluate knowledge and perceptions about sickle cell disease and sickle cell trait. Journal of the National Medical Association, 98, 704–710.PubMed Treadwell, M. J., McClough, L., & Vichinsky, E. (2006). Using qualitative and quantitative strategies to evaluate knowledge and perceptions about sickle cell disease and sickle cell trait. Journal of the National Medical Association, 98, 704–710.PubMed
go back to reference Vogel, K. J., Murthy, V. S., Dudley, B., Grubs, R. E., Gettig, E., Ford, A., et al. (2007). The use of family health histories to address health disparities in an African American community. Health Promotion Practice, 8, 350–357.PubMedCrossRef Vogel, K. J., Murthy, V. S., Dudley, B., Grubs, R. E., Gettig, E., Ford, A., et al. (2007). The use of family health histories to address health disparities in an African American community. Health Promotion Practice, 8, 350–357.PubMedCrossRef
go back to reference Wethers, D. L. (2000a). Sickle cell disease in childhood: part I. Laboratory diagnosis, pathophysiology, and health maintenance. American Family Physician, 62, 1013–1020.PubMed Wethers, D. L. (2000a). Sickle cell disease in childhood: part I. Laboratory diagnosis, pathophysiology, and health maintenance. American Family Physician, 62, 1013–1020.PubMed
go back to reference Wethers, D. L. (2000b). Sickle cell disease in childhood: Part II. Diagnosis and treatment of major complications and recent advances in treatment. American Family Physician, 62, 1309–1314.PubMed Wethers, D. L. (2000b). Sickle cell disease in childhood: Part II. Diagnosis and treatment of major complications and recent advances in treatment. American Family Physician, 62, 1309–1314.PubMed
go back to reference Wilson, R. E., Krishnamurti, L., & Kamat, D. (2003). Management of sickle cell disease in primary care. Clinical Pediatrics, 42, 753–761.PubMedCrossRef Wilson, R. E., Krishnamurti, L., & Kamat, D. (2003). Management of sickle cell disease in primary care. Clinical Pediatrics, 42, 753–761.PubMedCrossRef
go back to reference Wright, S. W., Zeldin, M. H., Wrenn, K., & Miller, O. (1994). Screening for sickle-cell trait in the emergency department. Journal of General Internal Medicine, 9, 421–424.PubMedCrossRef Wright, S. W., Zeldin, M. H., Wrenn, K., & Miller, O. (1994). Screening for sickle-cell trait in the emergency department. Journal of General Internal Medicine, 9, 421–424.PubMedCrossRef
go back to reference Zimmerman, R. K., Tabbarah, M., Nowalk, M. P., Raymund, M., Jewell, I. K., Wilson, S. A., et al. (2006). Racial differences in beliefs about genetic screening among patients at inner-city neighborhood health centers. Journal of the National Medical Association, 98, 370–377.PubMed Zimmerman, R. K., Tabbarah, M., Nowalk, M. P., Raymund, M., Jewell, I. K., Wilson, S. A., et al. (2006). Racial differences in beliefs about genetic screening among patients at inner-city neighborhood health centers. Journal of the National Medical Association, 98, 370–377.PubMed
Metadata
Title
Attitudes and Beliefs of African-Americans Toward Genetics, Genetic Testing, and Sickle Cell Disease Education and Awareness
Authors
Katie A. Long
Stephen B. Thomas
Robin E. Grubs
Elizabeth A. Gettig
Lakshmanan Krishnamurti
Publication date
01-12-2011
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 6/2011
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-011-9388-3

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