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影响准婚姻个体进行婚前筛查意愿的因素。

Factors Affecting the Willingness to Undertake Premarital Screening Test Among Prospective Marital Individuals.

作者信息

Alkalbani Ali, Alharrasi Maryam, Achura Susan, Al Badi Ammar, Al Rumhi Amjad, Alqassabi Khalid, Almamari Raya, Alomari Omar

机构信息

Sultan Qaboos University Hospital, Muscat, Oman.

Sultan Qaboos University, College of Nursing, Muscat, Oman.

出版信息

SAGE Open Nurs. 2022 Feb 25;8:23779608221078156. doi: 10.1177/23779608221078156. eCollection 2022 Jan-Dec.

Abstract

INTRODUCTION

Awareness toward premarital screening test and its influence on preventing high risk marriages has become a concern to the health care system in Oman. This is due to the increased rates of inherited diseases and genetic disorders among the Omani population secondary to consanguineous marriages.

OBJECTIVES

This cross-sectional study aims to describe the utilization of premarital screening tests of selected university study participants as future prospective couples.

METHODS

The study included 400 Omani study participants from different majors at a national governmental university that receives students from all over the country. Data was collected using a self-administered questionnaire.

RESULTS

Out of the 400 study participants 193 [48.3%] were females and 195 [48.8%] were males, and 380 [95%] were unmarried and 19 [4.8%] were married. Personal and family history of hereditary diseases and consanguinity between parents were reported by 40 participants [10%], 158 [39.5%] and 175 [43.8%] respectively. Three hundred and sixty-one [90.3%] of the total participants were aware of the availability of premarital screening tests in Oman. A total of 357 [89.3%] thought it is necessary to do a premarital screening test and 367 [91.8%] agreed to carry out it in the future. The novel contribution of this manuscript is that our logistic regression showed that people with personal or family history of hereditary disease, and have consanguinity between parents, being a female did not show willingness to undertake the screening while those who are married, have higher GPA, and older supported it.

CONCLUSION

Usability of the freely available premarital screening is low despite the study participants awareness and willingness. Future studies should target those who have a history of genetic disease and females as we found them not willing to undertake the test in this study. We also recommend putting in place mandatory rules and regulations for premarital screening tests with better counselling strategies.

摘要

引言

对婚前筛查测试的认知及其对预防高风险婚姻的影响已成为阿曼医疗保健系统关注的问题。这是由于近亲结婚导致阿曼人群中遗传疾病和基因紊乱的发病率上升。

目的

这项横断面研究旨在描述选定的大学研究参与者作为未来准夫妻对婚前筛查测试的利用情况。

方法

该研究纳入了来自一所全国性政府大学不同专业的400名阿曼研究参与者,该大学接收来自全国各地的学生。数据通过自行填写的问卷收集。

结果

在400名研究参与者中,193名(48.3%)为女性,195名(48.8%)为男性,380名(95%)未婚,19名(4.8%)已婚。分别有40名参与者(10%)、158名(39.5%)和175名(43.8%)报告了遗传疾病的个人和家族史以及父母之间的血缘关系。总共有361名(90.3%)参与者知道阿曼有婚前筛查测试。共有357名(89.3%)认为有必要进行婚前筛查测试,367名(91.8%)同意在未来进行该测试。本手稿的新颖贡献在于,我们的逻辑回归显示,有遗传疾病个人或家族史、父母有血缘关系的人,女性不太愿意接受筛查,而已婚、平均绩点较高且年龄较大的人则支持筛查。

结论

尽管研究参与者有认知和意愿,但免费提供的婚前筛查的利用率较低。未来的研究应针对有遗传疾病史的人和女性,因为我们发现他们在本研究中不愿意接受测试。我们还建议制定婚前筛查测试的强制性规章制度,并采用更好的咨询策略。

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