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Journal of Pediatric Psychology Advance Access published online on August 7, 2008
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsn086
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Adolescent Medical Providers' Willingness to Recommend Genetic Susceptibility Testing for Nicotine Addiction and Lung Cancer Risk to Adolescents

Suzanne C. O'Neill, PhD1, George Luta, PhD2, Beth N. Peshkin, MS1, Anisha Abraham, MD MPH3, Leslie R. Walker, MD4 and Kenneth P. Tercyak, PhD1

1Lombardi Comprehensive Cancer Center, 2Department of Biostatistics, Bioinformatics & Biomathematics, 3Department of Pediatrics, Georgetown University Medical Center, and 4Department of Pediatrics, Children's Hospital and Regional Medical Center

All correspondence concerning this article should be addressed to Suzanne O’Neill, PhD, Cancer Control Program, Lombardi Comprehensive Cancer Center, 3300 Whitehaven St, NW, Suite 4100, Washington DC 20007, USA. E-mail: sco4{at}georgetown.edu


  Abstract

Objective To examine the influences of disease, lifestyle, and other factors on adolescent medical providers’ willingness to recommend genetic susceptibility testing (GST). Method Providers attending a national conference completed a self-report survey (n = 232) about their willingness to recommend hypothetical GSTs, differentiated by disease (nicotine addiction/lung cancer), patient lifestyle (nonsmoker/smoker), and other contextual factors. Results Compared to recommending GST unconditionally, providers were more willing to recommend GST with parental/patient consent/assent, and in the presence of a preexisting illness and substance abuse history. Compared to offering nicotine addiction GST to a nonsmoker, providers were more willing to offer this type of testing to a smoker and were more willing to offer GST for lung cancer regardless of patient lifestyle. Conclusions Providers’ willingness to recommend GSTs is sensitive to many factors. Efforts to integrate GST into adolescent preventive care likely will need to address these and other influences on provider behavior.

Key words: adolescents; chronic disease; genetics; prevention; smoking.

Received December 1, 2007; revision received July 15, 2008; accepted July 17, 2008


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