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本文引用的文献

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Primary care patient willingness for genetic testing for salt-sensitive hypertension: a cross sectional study.原发性高血压患者对盐敏感性高血压基因检测的意愿:一项横断面研究。
BMC Fam Pract. 2013 Oct 9;14:149. doi: 10.1186/1471-2296-14-149.
2
Prenatal screening for sickle cell anemia: awareness among health professionals and medical students at the Lagos University Teaching Hospital and the concept of prevention by termination.镰状细胞贫血的产前筛查:拉各斯大学教学医院医护人员和医学生的认知以及通过终止妊娠进行预防的观念
J Pediatr Hematol Oncol. 2012 May;34(4):252-6. doi: 10.1097/MPH.0b013e31824e3109.
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Parents' attitudes toward pediatric genetic testing for common disease risk.家长对常见疾病风险的儿科遗传检测的态度。
Pediatrics. 2011 May;127(5):e1288-95. doi: 10.1542/peds.2010-0938. Epub 2011 Apr 18.
4
Racial and ethnic disparities in awareness of genetic testing for cancer risk.癌症风险基因检测认知的种族和民族差异。
Am J Prev Med. 2009 Dec;37(6):524-30. doi: 10.1016/j.amepre.2009.07.021.
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Health care provider and consumer awareness, perceptions, and use of direct-to-consumer personal genomic tests, United States, 2008.2008年美国医疗服务提供者及消费者对直接面向消费者的个人基因组检测的认知、看法及使用情况
Genet Med. 2009 Aug;11(8):595. doi: 10.1097/GIM.0b013e3181b1cc2c.
6
The Scientific Foundation for personal genomics: recommendations from a National Institutes of Health-Centers for Disease Control and Prevention multidisciplinary workshop.个人基因组学的科学基础:美国国立卫生研究院-疾病控制与预防中心多学科研讨会的建议。
Genet Med. 2009 Aug;11(8):559-67. doi: 10.1097/GIM.0b013e3181b13a6c.
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Attitudes towards and beliefs about genetic testing in the haemophilia community: a qualitative study.血友病群体对基因检测的态度和看法:一项定性研究。
Haemophilia. 2007 Sep;13(5):633-41. doi: 10.1111/j.1365-2516.2007.01454.x.
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Huntington's disease.亨廷顿舞蹈症
Lancet. 2007 Jan 20;369(9557):218-28. doi: 10.1016/S0140-6736(07)60111-1.
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Ethical, legal, and social issues in genetic testing for complex genetic diseases.复杂遗传性疾病基因检测中的伦理、法律和社会问题。
Valparaiso Univ Law Rev. 2003 Summer;37(3):793-829.
10
Awareness and acceptability of prenatal diagnosis of sickle cell anaemia among health professionals and students in North Eastern Nigeria.尼日利亚东北部卫生专业人员和学生对镰状细胞贫血产前诊断的认知与接受度
Niger J Med. 2004 Jan-Mar;13(1):48-51.

尼日利亚人对复杂疾病个人基因组检测的知识与态度。

Knowledge and attitudes to personal genomics testing for complex diseases among Nigerians.

作者信息

Fagbemiro Lawrence, Adebamowo Clement

机构信息

National Drug and Poison Information Centre, Federal Ministry of Health, Abuja, FCT, Nigeria.

出版信息

BMC Med Ethics. 2014 Apr 27;15:34. doi: 10.1186/1472-6939-15-34.

DOI:10.1186/1472-6939-15-34
PMID:24766930
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4005395/
Abstract

BACKGROUND

The study examined the knowledge and attitudes to personal genomics testing for complex diseases among Nigerians and identified how the knowledge and attitudes vary with gender, age, religion, education and related factors.

METHODS

Data were collected using qualitative method in 2 districts of the Federal Capital Territory. In the study, eight (8) Focused Group Discussions (FGDs) and twenty seven (27) Key Informant Interviews (KIIs) were conducted. Participants for the research were recruited among healthy Nigerians, individuals with complex diseases, health care professionals, community leaders and health policy makers.

RESULT

Analysis of the result showed that most respondents in both FGDs and KIIs had limited knowledge about genomics test initially. Their understanding of the test however improved after explanation on its concept. Participants showed positive attitude towards genomics tests. Nevertheless they expressed fear over direct to consumer personal genomics testing, testing unborn babies and disclosure of results to third parties. Culture and religion were found to influence the perspectives of respondents on genomics test particularly those aspects that could either directly contradict their beliefs and practices or lead to actions which contradict them.

CONCLUSION

In conclusion, most Nigerians interviewed had limited knowledge of genomics test but with supportive attitude towards its use in predicting future risk of complex diseases after understanding the test concept. Genomics testing for complex diseases was not a common practice in Nigeria.

摘要

背景

该研究调查了尼日利亚人对复杂疾病个人基因组检测的知识和态度,并确定了这些知识和态度如何随性别、年龄、宗教、教育及相关因素而变化。

方法

采用定性方法在联邦首都地区的2个区收集数据。在该研究中,进行了8次焦点小组讨论(FGD)和27次关键 informant访谈(KII)。研究参与者从健康的尼日利亚人、患有复杂疾病的个体、医疗保健专业人员、社区领袖和卫生政策制定者中招募。

结果

结果分析表明,焦点小组讨论和关键 informant访谈中的大多数受访者最初对基因组检测的了解有限。然而,在对检测概念进行解释后,他们对检测的理解有所提高。参与者对基因组检测表现出积极态度。尽管如此,他们对直接面向消费者的个人基因组检测、检测未出生婴儿以及向第三方披露检测结果表示担忧。发现文化和宗教会影响受访者对基因组检测的看法,特别是那些可能直接与他们的信仰和做法相矛盾或导致与他们相矛盾的行为的方面。

结论

总之,大多数接受采访的尼日利亚人对基因组检测的了解有限,但在理解检测概念后,对其用于预测复杂疾病未来风险持支持态度。在尼日利亚,针对复杂疾病的基因组检测并不常见。