“I’ve Just Never Gotten Around to Doing It”: Men’s Approaches to Managing BRCA-Related Cancer Risks
BRCA, hereditary breast and ovarian cancer, genetics, risk management, patient perspectives
Digital Object Identifier (DOI)
Objective: To examine men’s approaches to managing BRCA-related cancer risks.
Methods: 25 Qualitative interviews were conducted with men who are at risk for BRCA-related cancers. Thematic analysis was conducted using the constant comparison.
Results: Qualitative analysis revealed two different approaches for how men managed their BRCA-related cancer risks. Men were engaged when: (1) initially seeking information, (2) uptake of genetic testing, and (3) population screening procedures. Men were passively avoidant for: (1) follow-up information seeking, (2) uptake of genetic testing, and (3) BRCA-specific screening. Men’s justifications for engaged risk management were to: (1) protect their family, (2) respond to encouragement from others, and (3) get knowledge for themselves. Their justifications for passively avoidant management were due to: (1) limited access to clear risk information, (2) little fear of cancer development, (3) barriers to testing/screening, and (4) reliance on incomplete illness representations.
Conclusions: Men at risk for developing BRCA-related cancers approached risk management by primarily using a passive avoidance approach. That approach should be interpreted in context with the inconsistent information available to them, and the minimal NCCN guidelines for their risk surveillance.
Practice implications: Findings may assist healthcare providers and family members in helping men manage their BRCA-related cancer risks.
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Citation / Publisher Attribution
Patient Education and Counseling, v. 101, issue 2, p. 340-345
Scholar Commons Citation
Rauscher, Emily A. and Dean, Marleah, "“I’ve Just Never Gotten Around to Doing It”: Men’s Approaches to Managing BRCA-Related Cancer Risks" (2018). Communication Faculty Publications. 866.