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人们对遗传学有何看法?一项系统综述。

What do people think about genetics? A systematic review.

作者信息

LePoire Erin, Basu Baishakhi, Walker Lorelei, Bowen Deborah J

机构信息

University of Washington, Box 357120, Seattle, WA, 98195, USA.

Health Equity Circle, University of Washington, Seattle, WA, 98195, USA.

出版信息

J Community Genet. 2019 Apr;10(2):171-187. doi: 10.1007/s12687-018-0394-0. Epub 2018 Nov 7.

Abstract

Genetics is increasingly becoming a part of modern medical practice. How people think about genetics' use in medicine and their daily lives is therefore essential. Earlier studies indicated mixed attitudes about genetics. However, this might be changing. Using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) as a guideline, we initially reviewed 442 articles that looked at awareness, attitudes, knowledge, and perception of risks among the general and targeted recruitment populations. After fitting our criteria (from the last 5 years, conducted in the USA, non-provider populations, quantitative results reported, and assessed participants 18 years and older), finally 51 eligible articles were thematically coded and presented in this paper. Awareness is reported as relatively high in the studies reviewed. Attitudes are mixed but with higher proportions reporting positive attitudes towards genetic testing and counseling. Self-reported knowledge is reasonably high, specifically with the effects of specific programs developed to raise knowledge levels of the general and targeted recruited populations. Perception of risk is somewhat aligned with actual risk. With the reasonable positive reports of genetic awareness and knowledge, there is similar positive attitude and perception of risk, supporting the need for continued dissemination of such knowledge. Given interest in incorporating community participation in genomic educational strategies, we provide this review as a baseline from which to launch community-specific educational supports and tools.

摘要

遗传学正日益成为现代医学实践的一部分。因此,人们如何看待遗传学在医学及其日常生活中的应用至关重要。早期研究表明人们对遗传学的态度不一。然而,这种情况可能正在发生变化。我们以系统评价和荟萃分析的首选报告项目(PRISMA)为指导方针,最初检索了442篇研究普通人群和目标招募人群的认知、态度、知识以及风险感知的文章。在符合我们的标准(过去5年在美国开展、针对非医疗人员群体、报告定量结果且评估对象为18岁及以上人群)后,最终对51篇符合条件的文章进行了主题编码并呈现在本文中。在所审查的研究中,认知水平相对较高。态度不一,但对基因检测和咨询持积极态度的比例更高。自我报告的知识水平相当高,特别是在为提高普通人群和目标招募人群的知识水平而制定的特定项目的效果方面。风险感知与实际风险在一定程度上相符。鉴于对将社区参与纳入基因组教育策略存在兴趣,我们提供本综述作为开展针对特定社区的教育支持和工具的基线。

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