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Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: Health behaviors and their relationship with disease control in people attending genetic clinics with a family history of breast or colorectal cancer
Author(s): Anderson, Annie S
Caswell, Stephen
Macleod, Maureen
Steele, Robert
Berg, Jonathan
Dunlop, Jacqueline
Stead, Martine
Eadie, Douglas
O'Carroll, Ronan
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Keywords: Genetic
Issue Date: Feb-2017
Citation: Anderson AS, Caswell S, Macleod M, Steele R, Berg J, Dunlop J, Stead M, Eadie D & O'Carroll R (2017) Health behaviors and their relationship with disease control in people attending genetic clinics with a family history of breast or colorectal cancer, Journal of Genetic Counselling, 26 (1), pp. 40-51.
LivingWell- a feasibility study to assess the impact of a lifestyle intervention in people attending family history clinics with an increased risk of colorectal or breast cancer.
Abstract: The current work aimed to assess health behaviors, perceived risk and control over breast/colorectal cancer risk and views on lifestyle advice amongst attendees at cancer family history clinics. Participants attending the East of Scotland Genetics Service were invited to complete a questionnaire (demographic data, weight and height, health behaviors and psycho-social measures of risk and perceived control) and to participate in an in-depth interview. The questionnaire was completed by 237 (49%) of attendees, ranging from 18 to 77years (mean age 46 (±10) years). Reported smoking rates (11%) were modest, most (54%) had a BMI>25kg/m2, 55% had low levels of physical activity, 58% reported inappropriate alcohol intakes and 90% had fiber intakes indicative of a low plant diet. Regression analysis indicated that belief in health professional control was associated with higher, and belief in fatalism with poorer health behavior. Qualitative findings highlighted doubts about the link between lifestyle and cancer, and few were familiar with the current evidence. Whilst lifestyle advice was considered interesting in general there was little appetite for non-tailored guidance. In conclusion, current health behaviors are incongruent with cancer risk reduction guidance amongst patients who have actively sought advice on disease risk. There are some indications that lifestyle advice would be welcomed but endorsement requires a sensitive and flexible approach, and the acceptability of lifestyle interventions remains to be explored.
DOI Link: 10.1007/s10897-016-9977-2
Rights: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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