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Journal of Health Communication
International Perspectives
Volume 16, 2011 - Issue 6
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ARTICLES

Attitudes Toward Direct-to-Consumer Advertisements and Online Genetic Testing Among High-Risk Women Participating in a Hereditary Cancer Clinic

Giselle K. Perez Department of Psychology, University of Connecticut, Storrs, Connecticut, USACorrespondence[email protected]
,
Dean G. Cruess Department of Psychology, University of Connecticut, Storrs, Connecticut, USA
,
Stacy Cruess Department of Psychology, University of Connecticut, Storrs, Connecticut, USA
,
Molly Brewer Division of Human Genetics, University of Connecticut Health Center, West Hartford, Connecticut, USA
,
Jennifer Stroop Division of Human Genetics, University of Connecticut Health Center, West Hartford, Connecticut, USA
,
Robin Schwartz Division of Human Genetics, University of Connecticut Health Center, West Hartford, Connecticut, USA
&
Robert Greenstein Division of Human Genetics, University of Connecticut Health Center, West Hartford, Connecticut, USA
 show all
Pages 607-628 | Published online: 22 Mar 2011
 
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Abstract

Genetic testing for the breast cancer genes 1/2 (BRCA 1/2) has helped women determine their risk of developing breast and ovarian cancer. As interest in genetic testing has grown, companies have created strategies to disseminate information about testing, including direct-to-consumer advertising (DTCA) and online genetic testing. This study examined attitudes toward DTCA and online testing for BRCA among 84 women at a high-risk clinic as well as additional factors that may be associated with these attitudes, such as personal and familial cancer history, cancer worry and risk perception, and history with genetic testing/counseling. Results showed that the majority of the women held favorable attitudes toward DTCA for BRCA testing but did not support online testing. Factors such as familial ovarian cancer, cancer worry, and satisfaction with genetic counseling/testing were associated with positive attitudes toward DTCA, whereas personal breast cancer history was related to negative attitudes. The findings suggest that women may view DTCA as informational but rely on physicians for help in their decision to undergo testing, and also suggest that cancer history may affect women's acceptance of DTCA and genetic testing.

Notes

Note. DTCA = direct-to-consumer advertisement.

Note. DTCA = direct-to-consumer advertisement. Values reflect phi, a chi-square correlation coefficient.

a Kendall's tau correlation coefficient was calculated for this association.

*p < .05. **p < .01. ***p < .001.

Note. DTCA = direct-to-consumer advertisement. Values reflect Kendall's tau correlation coefficient.

a Phi, a chi-square correlation coefficient, was calculated for this association.

*p < .05. **p < .01.

Note. DTCA = direct-to-consumer advertisement. Values reflect phi, a chi-square correlation coefficient.

a Kendall's tau correlation coefficient was calculated for this association.

*p < .05.

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