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This research aims to evaluate how health system engagement affects women's awareness and choice to undergo genetic testing for cancer risk.

June 3, 2026Open Access

Can Health System Engagement Facilitate Greater Utilization of Genetic Tests to Predict Cancer Risk? A Health Disparities Exploration of National Survey Data

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This research aims to evaluate how health system engagement affects women's awareness and choice to undergo genetic testing for cancer risk.
Analyzed data from the National Health Interview Surveys (2000, 2005, 2010, 2015)
Utilized multivariate logistic regression models to calculate weighted odds ratios
Examined relationships between socioeconomic, demographic factors, and health system involvement on genetic testing outcomes.
White women had higher odds of genetic test awareness (OR = 2.16, p < .001) and discussion with providers (OR = 5.34, p < .05).
Consistent medical care significantly improved genetic test utilization for white women only (OR = 2.53, p < .001).
No significant increase in awareness or discussion of genetic tests was observed among African American women.

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Randomized trial explores racial disparities in genetic test awareness and decision-making in women, indicating underlying health engagement issues.

Jason Semprini (2019) studied this question.

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Randomized trial explores racial disparities in genetic test awareness and decision-making in women, indicating underlying health engagement issues.