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“It’s all very well reading the letters in the genome, but it’s a long way to being able to write”: Men’s interpretations of undergoing genetic profiling to determine future risk of prostate cancer

Bancroft, Elizabeth K., Castro, Elena, Ardern-Jones, Audrey, Moynihan, Clare, Page, Elizabeth, Taylor, Natalie, Eeles, Rosalind A., Rowley, Emma, Cox, Karen (2014) “It’s all very well reading the letters in the genome, but it’s a long way to being able to write”: Men’s interpretations of undergoing genetic profiling to determine future risk of prostate cancer. Familial Cancer, 13 (4). pp. 625-635. ISSN 1389-9600. (doi:10.1007/s10689-014-9734-3) (Access to this publication is currently restricted. You may be able to access a copy if URLs are provided) (KAR id:83180)

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Abstract

A family history of prostate cancer (PC) is one of the main risk factors for the disease. A number of common single nucleotide polymorphisms (SNPs) that confer small but cumulatively substantial risks of PC have been identified, opening the possibility for the use of SNPs in PC risk stratification for targeted screening and prevention in the future. The objective of this study was to explore the psychosocial impact of receiving information about genetic risk of PC. The participants were men who had a family history of PC and were enrolled in a screening study providing research genetic profiling alongside screening for PC. A combination of questionnaires and in-depth interviews were used. Questionnaires were completed by men at two time points: both before and after joining the study and going through the genetic profiling process. The interviews were completed after all study process were complete and were analysed using a framework analysis. In total 95 men completed both questionnaires and 26 men were interviewed. A number of issues facing men at risk of PC were identified. The results fell into two main categories: personal relevance and societal relevance. The strength of men’s innate beliefs about their risk, shaped by genetic and environmental assumptions, outweigh the information provided by genetic testing. Men felt genetic profile results would have future use for accessing prostate screening, being aware of symptoms and in communicating with others. The findings reinforce the importance of providing contextual information alongside genetic profiling test results, and emphasises the importance of the counselling process in providing genetic risk information. This research raises some key issues to facilitate clinical practice and future research related to the use of genetic profiling to determine risk of PC and other diseases.

Item Type: Article
DOI/Identification number: 10.1007/s10689-014-9734-3
Uncontrolled keywords: Prostate cancer risk, Genetic profiling, SNP testing, High risk
Subjects: R Medicine
Divisions: Central Services > Office of the Vice-Chancellor
Depositing User: Karen Cox
Date Deposited: 29 Sep 2020 09:32 UTC
Last Modified: 29 Sep 2020 09:34 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/83180 (The current URI for this page, for reference purposes)
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