title: Willingness of Mexican-American adults to share family health history with healthcare providers.
abstract: BACKGROUND
  Collecting family health history (FHH) information to share with healthcare providers is an important aspect of health-risk assessment.
  
  
  OBJECTIVE
  To examine associations between the content of FHH-informed risk feedback and willingness to share the information with a healthcare provider.
  
  
  METHODS
  Data were collected between June 2008 and July 2009 from 475 Mexican-origin adults residing in 161 households. Participants completed surveys 3 months after receiving FHH-informed risk feedback. Households were randomly assigned to feedback conditions in which household members received one or more of the following: an FHH pedigree, personalized risk assessments (PRAs), and tailored behavioral recommendations. Logistic regression models were fitted using generalized estimating equations, with exchangeable covariances, to account for the clustering of responses within and the random assignment of feedback condition to household. Analyses were completed in May 2010.
  
  
  RESULTS
  Participants who received personalized risk assessments were more willing to share their feedback with a provider than those who received a pedigree only (OR=2.25, p=0.02). The receipt of tailored behavioral recommendations did not significantly increase willingness to share feedback with a provider (OR=0.79, p=0.48).
  
  
  CONCLUSIONS
  The provision of PRAs in FHH assessments appears to motivate participants to consider sharing their FHH with a healthcare provider.
authors.affiliation: Social and Behavioral Research Branch, National Human Genome Research Institute/NIH, 31 Center Drive, Bethesda, MD 20892, USA. koehlyl@mail.nih.gov
authors.forename: Laura M
authors.initials: LM
authors.lastname: Koehly
authors.forename: Sato
authors.initials: S
authors.lastname: Ashida
authors.forename: Andrea F
authors.initials: AF
authors.lastname: Goergen
authors.forename: Kaley F
authors.initials: KF
authors.lastname: Skapinsky
authors.forename: Donald W
authors.initials: DW
authors.lastname: Hadley
authors.forename: Anna V
authors.initials: AV
authors.lastname: Wilkinson
mesh_terms: D000328:Adult; D016000:Cluster Analysis; D003625:Data Collection; D005192:Family Health; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016015:Logistic Models; D008297:Male; D008487:Medical History Taking / Q000379:methods*; D017058:Mexican Americans / Q000523:psychology*; D008875:Middle Aged; D009042:Motivation; D057285:Precision Medicine / Q000379:methods*; D018570:Risk Assessment; D012650:Self Disclosure