Azriel Elyse, Henley Candace, Ehrhardt Joan, Hampel Heather, Newlin Anna, Ramos Erica, Wicklund Catherine, Duquette Debra
Northwestern University, Feinberg School of Medicine, Chicago, IL, United States.
The Blue Hat Foundation, Chicago, IL, United States.
Front Genet. 2022 May 13;13:886755. doi: 10.3389/fgene.2022.886755. eCollection 2022.
DNA-Based population screening in the United States has the promise to improve the health of all people in all communities. We highlight recent DNA-based population screening examples at the state, local, and individual level. Key public health principles and concepts with a focus on equity appear to be lacking in current efforts. We request 'A Call to Action' that involves all partners in DNA-based population screening. Potential actions to consider include: a) identification and elimination of systemic barriers that result in health inequities in DNA-based population screening and follow-up; b) creation of a national multidisciplinary advisory committee with representation from underserved communities; c) revisiting well-described public health screening principles and frameworks to guide new screening decisions and initiatives; d) inclusion of the updated Ten Essential Public Health Services with equity at the core in efforts at the local, state and national level.
在美国,基于DNA的人群筛查有望改善所有社区所有人的健康状况。我们重点介绍了近期在州、地方和个人层面基于DNA的人群筛查实例。当前的工作似乎缺乏以公平为重点的关键公共卫生原则和概念。我们呼吁开展“行动呼吁”,让所有参与基于DNA的人群筛查的伙伴共同参与。可考虑的潜在行动包括:a)识别并消除导致基于DNA的人群筛查及后续工作中出现健康不平等现象的系统性障碍;b)成立一个由服务不足社区代表参与的全国多学科咨询委员会;c)重新审视已详尽描述的公共卫生筛查原则和框架,以指导新的筛查决策和举措;d)在地方、州和国家层面的工作中纳入以公平为核心的最新版《十项基本公共卫生服务》。