----- 家族性癌症的风险沟通
Specific consultations to inform people about the cancer risks possibly running in their family is a newly emerging form of clinical practice. In this special issue, public health, medical and psycho-social researchers cover some of the issues at stake during the risk communication process for familial breast, ovarian and colon cancer. The authors belong to a collaborative network set up within the framework of a European project focusing on cancer risk communication. Issues discussed include a comparison of the genetic services for breast and colon cancer provided by seven European centres, the reactions of general practitioners, nurses and midwives to breast cancer genetic information, and clinical experience with presenting risks in terms of odds. Further described are the sources of information and the social interactions of women during their breast/ovarian cancer genetic testing as well as the link between breast self-examination and anxiety in women from high-risk families. The psychological and behavioural effects of BRCA genetic testing are considered, as well as women’s willingness to convey genetic information to their families. This issue demonstrates similarities and divergences in practices of various European countries in dealing with cancer risk communication. Cancer geneticists, genetic counsellors, nurses and social workers involved in genetics as well as researchers in public health, community medicine, health psychology, counselling and health sociology will find this publication to be a valuable source of information.
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