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doi: 10.1007/s12687-023-00681-9.
Online ahead of print.
Affiliations
Affiliations
- 1 National Human Genome Research Institute, Bethesda, MD, USA. kfiallo1@jhmi.edu.
- 2 Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. kfiallo1@jhmi.edu.
- 3 Johns Hopkins University School of Medicine, Baltimore, MD, USA. kfiallo1@jhmi.edu.
- 4 Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
- 5 Johns Hopkins McKusick-Nathans Department of Genetic Medicine, Baltimore, MD, USA.
- 6 Clínica Alemana, Santiago, Chile.
- 7 Universidad del Desarrollo, Santiago, Chile.
- 8 National Human Genome Research Institute, Bethesda, MD, USA.
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Katie Fiallos et al.
J Community Genet.
.
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doi: 10.1007/s12687-023-00681-9.
Online ahead of print.
Affiliations
- 1 National Human Genome Research Institute, Bethesda, MD, USA. kfiallo1@jhmi.edu.
- 2 Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. kfiallo1@jhmi.edu.
- 3 Johns Hopkins University School of Medicine, Baltimore, MD, USA. kfiallo1@jhmi.edu.
- 4 Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
- 5 Johns Hopkins McKusick-Nathans Department of Genetic Medicine, Baltimore, MD, USA.
- 6 Clínica Alemana, Santiago, Chile.
- 7 Universidad del Desarrollo, Santiago, Chile.
- 8 National Human Genome Research Institute, Bethesda, MD, USA.
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Abstract
Latinos in the US suffer health disparities including stage of disease at time of breast or colon cancer diagnosis. Understanding Latinas’ causal attributions of breast and colon cancer may provide insight into some of the individual level determinants of cancer disparities in this population. Cultural consensus analysis (CCA) is one way to study causal beliefs. The objective of this study was to describe Latina immigrants’ causal attributions of breast and colon cancer. We conducted Spanish-language interviews with 22 Latina immigrants using a qualitative exploratory design comprised of freelisting, ranking, and open-ended questions. Participants freelisted causes and risk factors for breast and colon cancer then ranked risk factors according to their perceived role in the development of each cancer. CCA was conducted on rank orders to identify whether a cultural consensus model was present. Participants answered semi-structured, open-ended questions regarding the risk factors and rankings. Interviews were transcribed and subjected to thematic analysis. CCA showed no consensus around rank of causes for either cancer, and residual agreement analysis suggested the presence of two subcultural groups. “Genetics” and “hereditary factors” ranked first and second on average across participants for both cancers. Based on interview data, participants were less aware of colon cancer than breast cancer. Participants’ endorsement of heredity as a cause of breast and colon cancer was similar to beliefs reported in studies of primarily non-Latina populations.
Keywords:
Breast cancer; Causal beliefs; Colon cancer; Cultural consensus analysis; Hispanic or Latino; Immigrants.
© 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.
References
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American Cancer Society (2018) Cancer facts & figures for Hispanics / Latinos 2018–2020. American Cancer Society.
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Andrews, C., Dressler, W. W., & Oths, K. (2020). La Buena Vida: a multicentric cultural model for Mexican immigrant women in Alabama.
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Borgatti SP, Everett MG, Freeman LC (2002) Ucinet for Windows: software for social network analysis. Analytic Technologies, Harvard, MA
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Case AP, Royle M, Scheuerle AE (2014) Birth defects, causal attributions, and ethnicity in the National Birth Defects Prevention Study:860–873. https://doi.org/10.1007/s10897-014-9708-5
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