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首页> 美国卫生研究院文献>American Journal of Public Hygiene >Characteristics of Health Information Gatherers Disseminators and Blockers Within Families at Risk of Hereditary Cancer: Implications for Family Health Communication Interventions
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Characteristics of Health Information Gatherers Disseminators and Blockers Within Families at Risk of Hereditary Cancer: Implications for Family Health Communication Interventions

机译：有遗传性癌症风险的家庭中的健康信息收集者传播者和阻断者的特征：对家庭健康交流干预的影响

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Objectives. Given the importance of the dissemination of accurate family history to assess disease risk, we characterized the gatherers, disseminators, and blockers of health information within families at high genetic risk of cancer.Methods. A total of 5466 personal network members of 183 female participants of the Breast Imaging Study from 124 families with known mutations in the BRCA1/2 genes (associated with high risk of breast, ovarian, and other types of cancer) were identified by using the Colored Eco-Genetic Relationship Map (CEGRM). Hierarchical nonlinear models were fitted to characterize information gatherers, disseminators, and blockers.Results. Gatherers of information were more often female (P < .001), parents (P < .001), and emotional support providers (P < .001). Disseminators were more likely female first- and second- degree relatives (both P < .001), family members in the older or same generation as the participant (P < .001), those with a cancer history (P < .001), and providers of emotional (P < .001) or tangible support (P < .001). Blockers tended to be spouses or partners (P < .001) and male, first-degree relatives (P < .001).Conclusions. Our results provide insight into which family members may, within a family-based intervention, effectively gather family risk information, disseminate information, and encourage discussions regarding shared family risk.
机译：目标。鉴于传播准确的家族史对评估疾病风险的重要性，我们对癌症高遗传风险家庭中健康信息的收集者，传播者和阻断者进行了表征。通过使用彩色显色法，鉴定了来自124个具有BRCA1 / 2基因已知突变（与乳腺癌，卵巢癌和其他类型癌症的高风险相关）的家庭的183个女性乳房成像研究参与者的5466个个人网络成员。生态遗传关系图（CEGRM）。拟合了非线性非线性模型来表征信息收集器，分发器和阻止器。信息收集者更多是女性（P <.001），父母（P <.001）和情感支持提供者（P <.001）。传播者更可能是女性一级和二级亲属（均P <.001），年龄较大或与参与者同代的家庭成员（P <.001），具有癌症病史的患者（P <.001），以及提供情感服务（P <.001）或有形支持（P <.001）的提供者。阻碍者往往是配偶或伴侣（P <.001）和男性一级亲属（P <.001）。我们的结果提供了关于哪些家庭成员可以在基于家庭的干预措施中有效收集家庭风险信息，传播信息并鼓励有关共同家庭风险的讨论的见解。

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