Parsons E P, Clarke A J
Institute of Medical Genetics, University of Wales College of Medicine, Heath Park, Cardiff, UK.
J Med Genet. 1993 Jul;30(7):562-6. doi: 10.1136/jmg.30.7.562.
This paper reports a study of 48 women (16 mothers and 32 daughters representing 28 families) who had lived with Duchenne muscular dystrophy (DMD) in their family. It looks at the way the women talked about their carrier risks during the course of an unstructured interview. It points to a significant difference between lay and health professionals' perspectives, in particular the thresholds they used to distinguish between high and low risk. A number of women, when quoting their risk in a mathematical form, confused their reproductive risks with their carrier risk, another indication of differential perceptions between the women and health professionals. There was evidence that several of the women did not retain their risk in a mathematical form but had translated it into a descriptive category which resolved their risk into greater certainty.
本文报告了一项针对48名女性(16名母亲和32名女儿,代表28个家庭)的研究,这些女性的家族中患有杜氏肌营养不良症(DMD)。该研究考察了这些女性在非结构化访谈过程中谈论自身携带风险的方式。研究指出,外行人与健康专业人员的观点存在显著差异,尤其是他们用于区分高风险和低风险的阈值。一些女性在以数学形式引用自身风险时,将生殖风险与携带风险混淆了,这是女性与健康专业人员之间认知差异的另一个表现。有证据表明,其中几名女性并未以数学形式记住她们的风险,而是将其转化为了一种描述性类别,从而使她们的风险变得更加确定。