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G-1 Increase the proportion of women with a family history of breast and/or ovarian cancer who receive genetic counseling
About the Data
Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.
Number of women aged 18 years and older who have ever discussed the possibility of getting a genetic test for cancer risk with a Health Care provider, who met the USPSTF criteria, based on first-degree relatives only, for BRCA1/2 genetic counseling referral, and who do not have a personal history of breast or ovarian cancer
Number of women aged 18 years and older who met the USPSTF criteria, based on first-degree relatives only, for BRCA1/2 genetic counseling referral, and who do not have a personal history of breast or ovarian cancer
- Yes
- No
- Refused
- Don't know
- Bladder
- Blood
- Bone
- Brain
- Breast
- Cervix
- Colon
- Esophagus
- Gallbladder
- Kidney
- Larynx-windpipe
- Leukemia
- Liver
- Lung
- Lymphoma
- Melanoma
- Mouth/tongue/lip
- Ovary
- Pancreas
- Prostate
- Rectum
- Skin (non melanoma)
- Skin (DK what kind)
- Soft tissue (muscle or fat)
- Stomach
- Testis
- Throat-pharynx
- Thyroid
- Uterus
- Other
- Refused
- Don't know
- Bladder
- Blood
- Bone
- Brain
- Breast
- Cervix
- Colon
- Esophagus
- Gallbladder
- Kidney
- Larynx-windpipe
- Leukemia
- Liver
- Lung
- Lymphoma
- Melanoma
- Mouth/tongue/lip
- Ovary
- Pancreas
- Prostate
- Rectum
- Skin (non melanoma)
- Skin (DK what kind)
- Soft tissue (muscle or fat)
- Stomach
- Testis
- Throat-pharynx
- Thyroid
- Uterus
- Other
- Refused
- Don't know
- Yes
- No
- Refused
- Don't know
- Bladder
- Blood
- Bone
- Brain
- Breast
- Cervix
- Colon
- Esophagus
- Gallbladder
- Kidney
- Larynx-windpipe
- Leukemia
- Liver
- Lung
- Lymphoma
- Melanoma
- Mouth/tongue/lip
- Ovary
- Pancreas
- Prostate
- Rectum
- Skin (non melanoma)
- Skin (DK what kind)
- Soft tissue (muscle or fat)
- Stomach
- Testis
- Throat-pharynx
- Thyroid
- Uterus
- Other
- Refused
- Don't know
- Bladder
- Blood
- Bone
- Brain
- Breast
- Cervix
- Colon
- Esophagus
- Gallbladder
- Kidney
- Larynx-windpipe
- Leukemia
- Liver
- Lung
- Lymphoma
- Melanoma
- Mouth/tongue/lip
- Ovary
- Pancreas
- Prostate
- Rectum
- Skin (non melanoma)
- Skin (DK what kind)
- Soft tissue (muscle or fat)
- Stomach
- Testis
- Throat-pharynx
- Thyroid
- Uterus
- Other
- Refused
- Don't know
- No
- Yes
- Refused
- Don't know
- None
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21+
- Refused
- Don't know
- Bladder
- Blood
- Bone
- Brain
- Breast
- Cervix
- Colon
- Esophagus
- Gallbladder
- Kidney
- Larynx-windpipe
- Leukemia
- Liver
- Lung
- Lymphoma
- Melanoma
- Mouth/tongue/lip
- Ovary
- Pancreas
- Prostate
- Rectum
- Skin (non melanoma)
- Skin (DK what kind)
- Soft tissue (muscle or fat)
- Stomach
- Testis
- Throat-pharynx
- Thyroid
- Uterus
- Other
- Refused
- Don't know
- Bladder
- Blood
- Bone
- Brain
- Breast
- Cervix
- Colon
- Esophagus
- Gallbladder
- Kidney
- Larynx-windpipe
- Leukemia
- Liver
- Lung
- Lymphoma
- Melanoma
- Mouth/tongue/lip
- Ovary
- Pancreas
- Prostate
- Rectum
- Skin (non melanoma)
- Skin (DK what kind)
- Soft tissue (muscle or fat)
- Stomach
- Testis
- Throat-pharynx
- Thyroid
- Uterus
- Other
- Refused
- Don't know
- No
- Yes
- Refused
- Don't know
- None
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21+
- Refused
- Don't know
[NUMERATOR:]
Have you EVER DISCUSSED the possibility of getting a genetic test for cancer risk with a doctor or other health professional?
[NUMERATOR AND DENOMINATOR:]
What kind of cancer did your father have?
What kind of cancer did your mother have?
Was your biological mother under 50 years of age when [cancer type] was first diagnosed?
What kinds of cancer did your brother/brothers have?
What kind of cancer did your sister/sisters have?
Was your sister under 50 years of age when [cancer type] was first diagnosed?
How many of these sisters were under 50 years of age when [cancer type] was first diagnosed?
What kinds of cancer did your son/sons have?
What kinds of cancer did your daughter/daughters have?
Was your daughter under 50 years of age when [cancer type] was first diagnosed?
How many of these daughters were under 50 years of age when [cancer type] was first diagnosed?
The United States Preventive Services Task Force (USPSTF) issued an evidence-based statement in 2005 recommending that women whose family history is associated with an increased risk for deleterious mutations in BRCA1 or BRCA2 genes be referred for genetic counseling and evaluation for BRCA testing. Specific family history patterns identified by the USPSTF as associated with an increased risk for deleterious mutations in the BRCA1 and BRCA2 genes in non-Ashkenazi Jewish women include:
2 first-degree relatives with breast cancer, 1 of whom received the diagnosis at age 50 years or younger;
a combination of 3 or more first- or second-degree relatives with breast cancer regardless of age at diagnosis;
a combination of both breast and ovarian cancer among first- and second-degree relatives;
a first-degree relative with bilateral breast cancer;
a combination of 2 or more first- or second-degree relatives with ovarian cancer regardless of age at diagnosis;
a first- or second-degree relative with both breast and ovarian cancer at any age; and
a history of breast cancer in a male relative.
NHIS does not ascertain:
1) Ashkenazi Jewish ancestry: analyses assume non-Ashkenazi Jewish ancestry;
2) cancer history for second-degree relatives: only first-degree relatives are included in the analyses; and
3) bilateral breast cancer: this USPSTF increased risk family history category is excluded from the analyses.
- Total: 18-44, 45-64, 65+
- Race/Ethnicity: 18-44, 45-64, 65+
- Educational Attainment: 25-44, 45-64, 65+
- Family Income (percent poverty threshold): 18-44, 45-64, 65+
- Family Type: 18-44, 45-64, 65+
- Country of Birth: 18-44, 45-64, 65+
- Disability Status: 18-44, 45-64, 65+
- Geographic Location: 18-44, 45-64, 65+
- Health Insurance Status: 18-44, 45-64
- Marital Status: 18-44, 45-64, 65+
This Indicator uses Age-Adjustment Groups:
Revision History
Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.
References
Additional resources about the objective
- U.S. Preventive Services Task Force. Genetic risk assessment and BRCA mutation testing for breast and ovarian cancer susceptibility: Recommendation statement. Ann Intern Med 2004;143:355-36