Q: Several people in my family have had cancer, and I’m terrified of getting it, too. How can I reduce my odds?

It’s true that having a family history of cancer raises your risk of developing the disease. But getting sick is not inevitable.

In a recent study, researchers used 2019 data on cancer cases among U.S. adults ages 30 and older, and they estimated that about 40 percent of cases were caused by lifestyle factors you can change.

“That’s actually good news,” said Dr. Farhad Islami, the lead author of the study and senior scientific director of cancer disparity research at the American Cancer Society. This means you may be able to lower your risk by making better decisions for your health, he said.

Here are a few steps you can take.

People with a family history of cancer are more likely to inherit genetic changes that have been passed down from their parents, which increase their cancer risk.

This is particularly true if first- or second-degree relatives have had the disease, said Dr. Amy Comander, medical director of the Mass General Cancer Center in Waltham, Mass. So gather information about your parents, siblings and children, as well as your grandparents, grandchildren, uncles, aunts, nieces, nephews and half-siblings.

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