Fagbemiro Lawrence, Adebamowo Clement
National Drug and Poison Information Centre, Federal Ministry of Health, Abuja, FCT, Nigeria.
BMC Med Ethics. 2014 Apr 27;15:34. doi: 10.1186/1472-6939-15-34.
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.
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.
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.
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.
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。
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。
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。