Family communication is essential for accurate @entity5 risk assessment and counseling; family blockers play a role in this communication process. This qualitative analysis of social exchanges is an extension of earlier work characterizing those who are perceived by study @entity1 as health information gatherers, disseminators, and blockers within families with @entity5344 ( @entity5344 ) susceptibility. Eighty-nine @entity1 , ages 23-56  years, enrolled in a Breast Imaging Study (BIS) and participated in a sub-study utilizing a social assessment tool known as the Colored Ecological Genetic Relational Map (CEGRM). Purposive sampling ensured that @entity1 varied according to numbers of participating family members e.g., ranging from 1 to 6. Eighty-nine @entity1 from 42 families (1-8 relatives/family) participated. They collectively designated 65 blockers, both male and female. Situational factors, beliefs, attitudes and cultural traditions, privacy and protectiveness comprised perceived reasons for @entity616 intra-family health communications. Longitudinal data collected over 4  years showed families where @entity616 behavior was universally recognized and stable over time, as well as other families where @entity616 was less consistent. Self- @entity616 was observed among a significant minority of participating @entity1 . Blocking of health communications among family members with @entity5344 was variable, complex, and multifaceted. The reasons for @entity616 were heterogeneous; duration of the @entity616 appeared to depend on the reasons for @entity616 . Blocking often seemed to involve bi-directional feedback loops, in keeping with Lepore's Social Constraints and Modulation Theory. Privacy and protectiveness predominated as explanations for long-term @entity616 .

Unpacking the blockers: understanding perceptions and social constraints of health communication in XXXX ( @entity5344 ) susceptibility families.

@entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity1 :: ('9606', 'Species') :: ['participants', 'women'] @entity5344 :: ('MESH:D061325', 'Disease') :: ['HBOC', 'Hereditary Breast and Ovarian Cancer'] @entity616 :: ('MESH:D006327', 'Disease') :: ['blocking']
@entity5344 :: (MESH:D061325,Disease) :: ['hereditary breast ovarian cancer']
