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社区教育需求评估结果,以促进基因组医学融入初级保健。

Findings from a community education needs assessment to facilitate the integration of genomic medicine into primary care.

机构信息

Center for Biotechnology, Genomics and Health Research, The University of North Carolina at Greensboro, North Carolina, USA.

出版信息

Genet Med. 2010 Sep;12(9):587-93. doi: 10.1097/GIM.0b013e3181ed3f97.

DOI:10.1097/GIM.0b013e3181ed3f97
PMID:20860071
Abstract

PURPOSE

To assess the lay public's knowledge of, and beliefs about, genetics and genetic testing to create an educational initiative that promotes acceptance and utilization of genomic medicine in primary health care.

METHODS

A telephone survey of English-speaking adults in Guilford County, North Carolina was conducted in 2006 to identify community members' educational needs regarding genetics and genetic testing.

RESULTS

Most respondents recognized the connection between family history and disease risk. A majority did not appear to know about: (1) basic principles of inheritance, (2) laws prohibiting genetic discrimination, and (3) the availability and limitations of genetic tests. About 25% thought that they could not reduce their risk if they have a genetic predisposition for disease. Knowledge level was affected by education, experience, age, and race.

CONCLUSION

If primary care providers use family history as a risk assessment tool, community education programs must address (1) the collection of family health history, (2) legislation regarding genetic nondiscrimination, (3) benefits and limitations of existing genetic tests, and (4) genetic determinism. Programs emphasizing practical, "how to" information can be targeted to individuals likely to collect family history information and address misperceptions about discrimination, testing, and determinism.

摘要

目的

评估公众对遗传学和基因检测的了解和信念,制定一项教育计划,促进基因组医学在初级保健中的接受和应用。

方法

2006 年在北卡罗来纳州吉尔福德县对讲英语的成年人进行了电话调查,以确定社区成员在遗传学和基因检测方面的教育需求。

结果

大多数受访者认识到家族史与疾病风险之间的联系。大多数人似乎不知道:(1)遗传的基本原理,(2)禁止基因歧视的法律,以及(3)遗传检测的可用性和局限性。约 25%的人认为,如果他们有疾病的遗传易感性,就无法降低患病风险。知识水平受教育程度、经验、年龄和种族的影响。

结论

如果初级保健提供者将家族史用作风险评估工具,社区教育计划必须解决(1)家族健康史的收集,(2)关于遗传非歧视的立法,(3)现有基因检测的益处和局限性,以及(4)遗传决定论。强调实用的“如何做”信息的计划可以针对可能收集家族史信息的个人,并解决关于歧视、检测和决定论的误解。

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