Abstract A33: Culturally relevant cancer risk counseling for underserved Latinas

Background: Latinas are as likely as the majority to have high cancer risk associated with genetic predisposition to breast cancer and ovarian cancer. Disproportionately underserved, Latinas have a compelling need for access to genetic cancer risk assessment (GCRA) and cancer screening and prevention measures. Objectives: The primary purpose of this project was to evaluate the effects of a culturally relevant GCRA intervention for Latinas. Methods: Four focus groups were conducted consisting of Latinas that have undergone GCRA. Participants completed a demographic questionnaire that included items assessing perceived cancer risk and satisfaction with GCRA. The focus groups entailed a facilitated discussion of the key study variables and other culturally relevant issues that may impact the GCRA intervention. Descriptive statistics and thematic analysis were used. Results: Perceived sense of lack of information and uncertainty about what to expect appeared to play a key role in distress. Most women initially had negative expectations (expecting the worse or bad outcome), but ultimately felt hopeful that they could learn more about the GCRA process and what it meant for them. Information was cited as the primary contributor to positive psychosocial outcomes specifically increased locus of control and self-efficacy. The major cultural themes identified were destiny, religious and spiritual coping, how cultural attitudes and belief influence lack of information, community awareness, and public health issues. Conclusions: Findings indicate that the pre-GCRA window may be most distressing for this population indicating that this may be the most appropriate time for psychological intervention. Citation Information: Cancer Epidemiol Biomarkers Prev 2010;19(10 Suppl):A33.