Berne-Fromell K, Josefson G, Kjessler B
Acta Obstet Gynecol Scand. 1984;63(8):687-91. doi: 10.3109/00016348409154664.
One hundred women who declined a voluntary alpha-fetoprotein screening test during early pregnancy and one hundred women who accepted the test were investigated by means of semistructured interviews with particular reference to background factors which could have influenced upon the decision making. Those who declined were, as expected, overrepresented among those opposed to legal abortion and they often showed an ambivalent or negative attitude towards prenatal diagnosis as such. These women were also more frequently legally married and active members of various religious denominations. Otherwise there were no socioeconomic, psychologic or other background factors specially associated with women who declined. The paramount individual reason given for abstaining from the test was the feeling that the test was 'unreliable'. The personal ethical attitude, together with the current reputation of the test in society, seem to be major factors affecting the rate of participation in an AFP-screening program.
对100名在孕早期拒绝自愿接受甲胎蛋白筛查试验的妇女和100名接受该试验的妇女进行了半结构化访谈调查，特别关注可能影响决策的背景因素。正如预期的那样，拒绝接受筛查的妇女中反对合法堕胎的人数过多，而且她们通常对产前诊断持矛盾或消极态度。这些妇女在法律上结婚的比例也更高，并且是各种宗教教派的活跃成员。除此之外，没有其他社会经济、心理或其他背景因素与拒绝接受筛查的妇女特别相关。拒绝接受该试验的首要个人原因是觉得该试验 “不可靠”。个人的道德态度以及该试验目前在社会上的声誉，似乎是影响甲胎蛋白筛查项目参与率的主要因素。
