Withrow Kara A, Tracy Kelly A, Burton Sarah K, Norris Virginia W, Maes Hermine H, Arnos Kathleen S, Pandya Arti
Department of Human and Molecular Genetics, Virginia Commonwealth University, Richmond, VA 23298-0033, USA.
Am J Med Genet A. 2009 Jun;149A(6):1159-68. doi: 10.1002/ajmg.a.32800.
Hearing loss is a common neuro-sensory deficit; nearly 50% of children with hearing loss have a genetic etiology. With the discovery of 40 genes and more than 100 loci involved in hearing loss, genetic testing is becoming more widely available. The information obtained through genetic testing can be perceived and used in different ways by parents of deaf children and deaf adults, based on their prior knowledge and understanding of these advances. It is therefore important to clarify the feelings of these potential consumers towards genetic services for hearing loss and understand their goals for genetic testing. The present study evaluates the feelings of consumers towards the advances in the genetics of hearing loss, the motivations for pursuing testing, and the perceived impact testing may have on their lives. We surveyed 808 parents of children with hearing loss nationally and 156 young deaf adults at Gallaudet University. In this study, learning the etiology of the hearing loss was the most commonly cited motivation for pursuing genetic testing and for parents was the most commonly cited outcome that genetic testing may have on their children's lives. Culturally Deaf respondents were less likely to believe that genetic testing will impact their lives or their children's lives and were less likely to report positive feelings about advances in the genetics of hearing loss. Cultural affiliation and genetic testing status, rather than hearing status, contributed more to the participants' responses.
听力损失是一种常见的神经感觉缺陷;近50%的听力损失儿童有遗传病因。随着40个基因和100多个与听力损失相关的基因座的发现,基因检测越来越普及。聋儿父母和成年聋人基于他们对这些进展的先验知识和理解,可以以不同方式感知和使用通过基因检测获得的信息。因此,明确这些潜在消费者对听力损失基因服务的感受并了解他们进行基因检测的目标很重要。本研究评估了消费者对听力损失遗传学进展的感受、进行检测的动机以及检测可能对他们生活产生的感知影响。我们在全国范围内调查了808名聋儿父母,并在加劳德特大学调查了156名年轻成年聋人。在本研究中,了解听力损失的病因是进行基因检测最常被提及的动机,对父母来说,基因检测可能对其子女生活产生的最常被提及的结果也是如此。具有聋人文化背景的受访者不太可能相信基因检测会影响他们或他们孩子的生活,对听力损失遗传学进展的积极感受也较少。文化归属和基因检测状况,而非听力状况,对参与者的回答影响更大。