Pediatric Predispositional Genetic Risk Communication: Potential Utility for Prevention and Control of Melanoma Risk

Yelena P Wu1,2, Darren Mays3, Wendy Kohlmann4

  • 1Division of Public Health, Department of Family & Preventive Medicine, University of Utah, 375 Chipeta Way, Suite A, Salt Lake City, UT, 84108, USA. yelena.wu@utah.edu.

Insights

Genetic testing for hereditary melanoma in children is debated but can be beneficial. Communicating genetic risk and promoting preventive behaviors in childhood can reduce future cancer risk.

Area of Science:

  • Genetics
  • Pediatric Oncology
  • Health Behavior

Background:

  • Predispositional genetic testing in minors is controversial due to potential benefits and harms.
  • Current guidelines suggest pediatric genetic testing is appropriate if preventive services exist to mitigate health risks.
  • Hereditary melanoma serves as a model for communicating adult-onset cancer risk to pediatric populations.

Purpose of the Study:

  • To illustrate the rationale and application of genetic risk communication for adult-onset cancers in pediatric populations.
  • To explore how childhood behaviors can influence later-life disease risk.
  • To suggest methods for delivering genetic test results and education to children and families to promote preventive behaviors.

Main Methods:

  • Literature review of adult melanoma genetic risk communication.
  • Literature review of pediatric health behavior change.
  • Application of findings to hereditary melanoma risk communication in minors.

Main Results:

  • Childhood behaviors can modify the risk of adult-onset cancers like melanoma.
  • Effective genetic risk communication and education can engage children and families in preventive actions.
  • Personalized and translational approaches can be integrated into cancer prevention programs.

Conclusions:

  • Genetic discoveries offer opportunities to provide predispositional genetic risk information to children.
  • Targeted communication strategies are essential for empowering children with hereditary cancer risk to adopt preventive behaviors.
  • Integrating genetic risk information into pediatric care can enhance personalized cancer prevention efforts.

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