Etchegary Holly, Dicks Elizabeth, Green Jane, Hodgkinson Kathleen, Pullman Daryl, Parfrey Patrick
Department of Clinical Epidemiology, Faculty of Medicine, Eastern Health and Memorial University, St. John's, Newfoundland and Labrador, Canada.
Genet Test Mol Biomarkers. 2012 May;16(5):353-8. doi: 10.1089/gtmb.2011.0221. Epub 2011 Nov 21.
Newborn screening (NBS) panels continue to expand, yet there are too few data on public attitudes toward testing in the newborn period to indicate whether there is support for such testing. We measured interest in newborn testing for several autosomal recessive disorders and reasons for interest.
A cross-sectional, pen and paper survey was administered to the general public and prospective parents attending prenatal classes in Eastern Canada between April and December, 2010.
A total of 648 individuals completed surveys. Interest in newborn testing for inherited hearing loss, vision loss, and neurological disorders was high (over 80% would have their newborn tested). The attitudes of prospective parents and students were positive, but somewhat less so than members of the general public. Across all disorders, interest in testing was driven by the desire to be prepared for the birth of a child with a genetic disorder. Significantly more people would use the information from testing for fatal neurological disorders in future reproductive decisions than the information generated by newborn testing for inherited hearing or vision loss.
Interest is high in newborn testing for a variety of conditions, including those for which no effective treatment exists. Findings lend support to the expansion of NBS panels to include those disorders currently lacking treatment and highlight the value of including the views of diverse stakeholders, including prospective parents, in screening policies.
新生儿筛查(NBS)项目持续扩大,但关于公众对新生儿期检测态度的数据过少,无法表明是否有对这类检测的支持。我们测量了公众对几种常染色体隐性疾病新生儿检测的兴趣及感兴趣的原因。
2010年4月至12月期间,对加拿大东部参加产前课程的普通公众和准父母进行了一项横断面纸笔调查。
共有648人完成了调查。对遗传性听力损失、视力损失和神经疾病进行新生儿检测的兴趣很高(超过80%的人会让他们的新生儿接受检测)。准父母和学生的态度较为积极,但略低于普通公众。在所有疾病中,检测兴趣是由为患有遗传疾病的孩子出生做好准备的愿望驱动的。与遗传性听力或视力损失新生儿检测所产生的信息相比,显著更多的人会在未来生育决策中使用致命神经疾病检测的信息。
对包括目前尚无有效治疗方法的多种疾病进行新生儿检测的兴趣很高。研究结果支持扩大新生儿筛查项目,将目前缺乏治疗方法的疾病纳入其中,并强调在筛查政策中纳入包括准父母在内的不同利益相关者观点的价值。