title: Factors associated with preimplantation genetic diagnosis acceptance among women concerned about hereditary breast and ovarian cancer.
abstract: OBJECTIVE
  To assess sociodemographic, clinical, awareness, and attitudinal factors associated with acceptance of preimplantation genetic diagnosis among women concerned about hereditary breast and ovarian cancer.
  
  
  METHODS
  Participants (n = 962) were members of a national advocacy organization dedicated to empowering women at high risk for developing breast or ovarian cancer. Participants completed a web-based survey assessing factors associated with preimplantation genetic diagnosis acceptance. Factors significantly associated with acceptance in the bivariate analyses were used to build a logistic regression model.
  
  
  RESULTS
  Among the 962 respondents, 318 (33.1%) selected the option that they would consider preimplantation genetic diagnosis, 367 (38.2%) would not consider preimplantation genetic diagnosis, and 277 (28.8%) selected "don't know." Significant predictors of preimplantation genetic diagnosis acceptance were the desire to have more children, having had a prenatal genetic test, preimplantation genetic diagnosis awareness, belief that preimplantation genetic diagnosis is acceptable for individuals at risk for hereditary breast and ovarian cancer, belief that preimplantation genetic diagnosis information should be given to individuals at risk for hereditary breast and ovarian cancer, concerns about preimplantation genetic diagnosis, perceived benefits of preimplantation genetic diagnosis, and how preimplantation genetic diagnosis is considered.
  
  
  CONCLUSIONS
  Women at increased risk for hereditary cancer may consider preimplantation genetic diagnosis as part of their reproductive decision making. Therefore, it is important to understand existing levels of awareness and attitudes toward this technology to provide optimal counseling and support.
authors.affiliation: Health Outcomes and Behavior Program, Division of Population Sciences, Moffitt Cancer Center, Tampa, FL, USA.
authors.forename: Susan T
authors.initials: ST
authors.lastname: Vadaparampil
authors.forename: Gwendolyn P
authors.initials: GP
authors.lastname: Quinn
authors.forename: Caprice
authors.initials: C
authors.lastname: Knapp
authors.forename: Teri L
authors.initials: TL
authors.lastname: Malo
authors.forename: Susan
authors.initials: S
authors.lastname: Friedman
mesh_terms: D001364:Awareness; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000235:genetics* / Q000523:psychology; D015984:Causality; D003430:Cross-Sectional Studies; D003625:Data Collection; D005260:Female; D005817:Genetic Counseling / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D016017:Odds Ratio; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000235:genetics* / Q000523:psychology; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data; D019836:Preimplantation Diagnosis / Q000523:psychology*