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父母对儿童健康状况基因检测的态度:系统评价。

Parents' attitudes toward genetic testing of children for health conditions: A systematic review.

机构信息

School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, Australia.

Behavioral Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Randwick, Australia.

出版信息

Clin Genet. 2017 Dec;92(6):569-578. doi: 10.1111/cge.12989. Epub 2017 Mar 30.

Abstract

This review assessed parents' attitudes toward childhood genetic testing for health conditions, with a focus on perceived advantages and disadvantages. We also evaluated the factors that influence parents' attitudes toward childhood genetic testing. We searched Medline, Medline In-Process, EMBASE, PsycINFO, Social Work Abstracts and CINAHL. We screened 945 abstracts and identified 21 studies representing the views of 3934 parents. Parents reported largely positive attitudes toward childhood genetic testing across different genetic tests with varying medical utility. Parents perceived a range of advantages and disadvantages of childhood genetic testing. Childhood genetic testing was viewed by most as beneficial. Parents' education level, genetic status, sex and sociodemographic status were associated with reported attitudes. This yielded some conflicting findings, indicating the need for further research. Genetic counseling remains essential to support this population in making well-informed decisions. Targeted interventions tailored to specific families with different sociodemographic characteristics may be useful. Further research on the long-term impact of childhood genetic testing on families is warranted.

摘要

本综述评估了父母对儿童健康状况遗传检测的态度,重点关注其感知到的优缺点。我们还评估了影响父母对儿童遗传检测态度的因素。我们检索了 Medline、Medline In-Process、EMBASE、PsycINFO、Social Work Abstracts 和 CINAHL。我们筛选了 945 篇摘要,确定了 21 项研究,这些研究代表了 3934 位父母的观点。父母对不同具有不同医学效用的遗传检测的儿童遗传检测表现出总体上的积极态度。父母认为儿童遗传检测有一系列的优缺点。大多数父母认为儿童遗传检测是有益的。父母的教育水平、遗传状况、性别和社会人口统计学状况与报告的态度有关。这得出了一些相互矛盾的发现,表明需要进一步研究。遗传咨询仍然是支持这一人群做出明智决策的必要手段。针对具有不同社会人口统计学特征的特定家庭量身定制的针对性干预措施可能会有所帮助。有必要对儿童遗传检测对家庭的长期影响进行进一步研究。

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