Adolescent medical providers' willingness to recommend genetic susceptibility testing for nicotine addiction and lung cancer risk to adolescents.

Suzanne C. O'Neill; George Luta; Beth N. Peshkin; Anisha Abraham; Leslie R. Walker; Kenneth P. Tercyak

doi:10.1093/jpepsy/jsn086

Adolescent medical providers' willingness to recommend genetic susceptibility testing for nicotine addiction and lung cancer risk to adolescents.

Suzanne C. O'Neill, George Luta, Beth N. Peshkin, Anisha Abraham, Leslie R. Walker, Kenneth P. Tercyak

Department of Pediatrics

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

OBJECTIVE: To examine the influences of disease, lifestyle, and other factors on adolescent medical providers' willingness to recommend genetic susceptibility testing (GST). METHOD: Providers attending a national conference completed a self-report survey (n = 232) about their willingness to recommend hypothetical GSTs, differentiated by disease (nicotine addiction/lung cancer), patient lifestyle (nonsmoker/smoker), and other contextual factors. RESULTS: Compared to recommending GST unconditionally, providers were more willing to recommend GST with parental/patient consent/assent, and in the presence of a preexisting illness and substance abuse history. Compared to offering nicotine addiction GST to a nonsmoker, providers were more willing to offer this type of testing to a smoker and were more willing to offer GST for lung cancer regardless of patient lifestyle. CONCLUSIONS: Providers' willingness to recommend GSTs is sensitive to many factors. Efforts to integrate GST into adolescent preventive care likely will need to address these and other influences on provider behavior.

Original language	English (US)
Pages (from-to)	617-626
Number of pages	10
Journal	Journal of pediatric psychology
Volume	34
Issue number	6
DOIs	https://doi.org/10.1093/jpepsy/jsn086
State	Published - Jul 2009

All Science Journal Classification (ASJC) codes

Pediatrics, Perinatology, and Child Health
Developmental and Educational Psychology

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title = "Adolescent medical providers' willingness to recommend genetic susceptibility testing for nicotine addiction and lung cancer risk to adolescents.",

abstract = "OBJECTIVE: To examine the influences of disease, lifestyle, and other factors on adolescent medical providers' willingness to recommend genetic susceptibility testing (GST). METHOD: Providers attending a national conference completed a self-report survey (n = 232) about their willingness to recommend hypothetical GSTs, differentiated by disease (nicotine addiction/lung cancer), patient lifestyle (nonsmoker/smoker), and other contextual factors. RESULTS: Compared to recommending GST unconditionally, providers were more willing to recommend GST with parental/patient consent/assent, and in the presence of a preexisting illness and substance abuse history. Compared to offering nicotine addiction GST to a nonsmoker, providers were more willing to offer this type of testing to a smoker and were more willing to offer GST for lung cancer regardless of patient lifestyle. CONCLUSIONS: Providers' willingness to recommend GSTs is sensitive to many factors. Efforts to integrate GST into adolescent preventive care likely will need to address these and other influences on provider behavior.",

author = "O'Neill, {Suzanne C.} and George Luta and Peshkin, {Beth N.} and Anisha Abraham and Walker, {Leslie R.} and Tercyak, {Kenneth P.}",

note = "Funding Information: The authors would like to thank the volunteers and staff who participated in this research. This research was supported, in part, by grant CA91831 from the National Cancer Institute at the National Institutes of Health (NIH) (to K.P.T.). Article preparation was supported by a fellowship funded by the Battelle Corporation and the Intramural Research Program of the National Human Genome Research Institute at NIH (to S.C.O.).",

year = "2009",

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doi = "10.1093/jpepsy/jsn086",

language = "English (US)",

volume = "34",

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AU - O'Neill, Suzanne C.

AU - Luta, George

AU - Peshkin, Beth N.

AU - Abraham, Anisha

AU - Walker, Leslie R.

AU - Tercyak, Kenneth P.

N1 - Funding Information: The authors would like to thank the volunteers and staff who participated in this research. This research was supported, in part, by grant CA91831 from the National Cancer Institute at the National Institutes of Health (NIH) (to K.P.T.). Article preparation was supported by a fellowship funded by the Battelle Corporation and the Intramural Research Program of the National Human Genome Research Institute at NIH (to S.C.O.).

PY - 2009/7

Y1 - 2009/7

N2 - OBJECTIVE: To examine the influences of disease, lifestyle, and other factors on adolescent medical providers' willingness to recommend genetic susceptibility testing (GST). METHOD: Providers attending a national conference completed a self-report survey (n = 232) about their willingness to recommend hypothetical GSTs, differentiated by disease (nicotine addiction/lung cancer), patient lifestyle (nonsmoker/smoker), and other contextual factors. RESULTS: Compared to recommending GST unconditionally, providers were more willing to recommend GST with parental/patient consent/assent, and in the presence of a preexisting illness and substance abuse history. Compared to offering nicotine addiction GST to a nonsmoker, providers were more willing to offer this type of testing to a smoker and were more willing to offer GST for lung cancer regardless of patient lifestyle. CONCLUSIONS: Providers' willingness to recommend GSTs is sensitive to many factors. Efforts to integrate GST into adolescent preventive care likely will need to address these and other influences on provider behavior.

AB - OBJECTIVE: To examine the influences of disease, lifestyle, and other factors on adolescent medical providers' willingness to recommend genetic susceptibility testing (GST). METHOD: Providers attending a national conference completed a self-report survey (n = 232) about their willingness to recommend hypothetical GSTs, differentiated by disease (nicotine addiction/lung cancer), patient lifestyle (nonsmoker/smoker), and other contextual factors. RESULTS: Compared to recommending GST unconditionally, providers were more willing to recommend GST with parental/patient consent/assent, and in the presence of a preexisting illness and substance abuse history. Compared to offering nicotine addiction GST to a nonsmoker, providers were more willing to offer this type of testing to a smoker and were more willing to offer GST for lung cancer regardless of patient lifestyle. CONCLUSIONS: Providers' willingness to recommend GSTs is sensitive to many factors. Efforts to integrate GST into adolescent preventive care likely will need to address these and other influences on provider behavior.

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Adolescent medical providers' willingness to recommend genetic susceptibility testing for nicotine addiction and lung cancer risk to adolescents.

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