Jessica R. Williams|Vivian M. Yeh|Marino A. Bruce|Carolyn Szetela|Flora Ukoli|Consuelo H. Wilkins|Sunil Kripalani
Precision Medicine: Familiarity, Perceived Health Drivers, and Genetic Testing Considerations Across Health Literacy Levels in a Diverse Sample
University of North Carolina at Chapel Hill|University of Miami|Vanderbilt University Medical Center|Vanderbilt University|Meharry Medical College|Meharry Medical College|Vanderbilt University Medical Center|Vanderbilt University Medical Center
clear awareness patients knowledge values perspectives important component effective genetic counseling advances precision medicine however outpaced understanding patient perceptions new approach patient views may differ across three domains precision medicine genetics behavioral environmental determinants health ethnicracial groups health literacy levels study describes compares group differences familiarity perceptions preferences precision medicine diverse sample 2016 2017 252 participants completed 1015min survey three primary care clinics florida tennessee final sample 425 african americanblack 258 hispaniclatino 250 white 67 ethnicityrace less quarter participants reported familiar term precision medicine familiar basic genetic terms participants higher health literacy reported greater familiarity terms p 003 african americansblack participants likely identify ethnicityrace discrimination influencing health p 004 deciding get genetic test individuals across ethnicracial groups shared similar considerations higher health literacy however gave significantly greater importance provider trust p 008 given recent emergence precision medicine present may limited differences patient perceptions across ethnicracial groups culturally sensitive efforts tailored health literacy level may aid equitable precision medicine uptake