The meaning of a genetic test result (i.e., the scientific, medical, and personal understanding of a variant) is likely to vary among cultural contexts [Connell et al., 2009; Long et al., 2011; Vadaparampil et al., 2010]. Studies of AA women at high risk for breast cancer suggest that communalism in the form of group identity, a present-focused temporal orientation, and spirituality may be more important to testing decisions and interpreting results for this population than other populations [Armstrong et al., 2005; Edwards et al., 2008; Hughes et al., 2003]. However, these broad generalizations are based on limited research to date. AAs are a culturally rich and diverse population, and it is likely that perspectives on genetics and return of results differ considerably within and among local and regional communities.
