Environmental Exposure Assessment in High-Risk and Early-Onset Breast Cancer Care

Inclusion Criteria:

* AIM 1 INCLUSION CRITERIA:

  * ONE of the following:

    * Either average risk of developing breast cancer (defined by woman with no Tyrer-Cuzick model ≥ 20%, no mention of Tyrer-Cuzick model, and no Pathogenic/Likely Pathogenic \[P/LP\] in breast cancer related genes) OR high risk of developing breast cancer (defined by ≥ 20% chance of developing breast cancer across lifetime measured by Tyrer-Cuzick model or gene mutation carrier, P/LP carrier in breast cancer related genes including BRCA1, BRCA2, BARD1, ATM, CHEK2, CDH1, NF1, PALB2, PTEN, RAD51C, RAD51D, STK11, TP53) OR early onset breast cancer (defined by a breast cancer diagnosis in a patient younger than 50 years of age)
  * Age: ≥ 18 years
  * Speak English or Spanish
  * Sex: female
  * Willingness to:

    * Participate in study activities
    * Permit medical record/ clinical laboratory result review
* AIM 2 INCLUSION CRITERIA

  * Practice at COH (i.e., genetic counselors, geneticists, oncologists, nurse practitioners)
  * Willingness to:

    * Participate in study activities
* AIM 3 INCLUSION CRITERIA:

  * Provide written consent
  * ONE of the following:

    * Either average risk of developing breast cancer (defined by woman with no Tyrer-Cuzick model ≥ 20%, no mention of Tyrer-Cuzick model, and no P/LP in breast cancer related genes) OR High risk: empirical risk of developing breast cancer (defined by ≥ 20% chance of developing breast cancer across lifetime measured by Tyrer-Cuzick model and no P/LP in breast cancer related genes) OR High Risk: gene carrier (defined by P/LP carrier in breast cancer related genes, including BRCA1, BRCA2, BARD1, ATM, CHEK2, CDH1, NF1, PALB2, PTEN, RAD51C, RAD51D, STK11, TP53)
  * Age: ≥ 18 years
  * Speak English or Spanish
  * Sex: female
  * Willingness to:

    * Wear the wristband for 1 week
    * Participate in study activities
    * Permit medical record/ clinical laboratory result review