Consumers’ Desire towards Current and Prospective Reproductive Genetic Testing
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As our knowledge and abilities in molecular genetics continues to expand, so does our ability to detect certain conditions/traits prenatally; however, it is unknown if this increase in scientific ability will be utilized by the consumers of genetic services. Our study gauges the consumers’ opinion towards reproductive testing for diseases and enhancements. Prior to their initial visit with a genetic counselor, patients were asked to participate in a survey. These consumers were asked to indicate traits and conditions for which they would choose reproductive genetic testing. The majority of respondents would elect to have prenatal genetic testing for mental retardation (75%), deafness (54%), blindness (56%), heart disease (52%), and cancer (51%). Our results indicated that 49.3% would choose testing for a condition that resulted in death by 5 years of age, whereas only 41.1%, 24.9%, and 19% would choose testing for conditions that results in death by 20, 40, and 50 years of age, respectively. Most respondents did not desire testing for enhancements (e.g. 13% would choose testing for superior intelligence). Our study suggests that consumers desire more reproductive genetic testing than what is currently offered; however, their selection of tests suggests self-imposed limits on testing.
KeywordsGenetic Testing Attitude Reproductive Screening
- Austin, J., Smith, G., & Honer, W. (2006). The genomic era and perceptions of psychotic disorders: genetic risk estimation, associations with reproductive decisions and views about predictive testing. American Journal of Medical Genetics, 141B, 926–928. doi:10.1002/ajmg.b.30372.PubMedCrossRefGoogle Scholar
- Creighton, S., Almqvist, E. W., MacGregor, D., Fernandez, B., Hogg, H., Beis, J., et al. (2003). Predictive, pre-natal and diagnostic testing for Huntington disease: the experience in Canada from 1987–2000. Clinical Genetics, 63, 462–475. doi:10.1034/j.1399-0004.2003.00093.x.PubMedCrossRefGoogle Scholar
- Dyson, F. (2007). Our biotech future. The New York Review of Books, 54, 4–8.Google Scholar
- Harmon, A. (2004a). As gene test menu grows, who gets to choose? The New York Times, July 21.Google Scholar
- Harmon, A. (2004b). Burden of knowledge: tracking prenatal health; In New Tests for Fetal Defects, Agonizing Choices for Parents. The New York Times, June 20.Google Scholar
- Harmon, A. (2004c) Neurodiversity forever; the disability movement turns to brains. The New York Times, May 9.Google Scholar
- Harmon, A. (2005). The problem with an almost perfect genetic world. The New York Times, November 20.Google Scholar
- Henneman, L., et al. (2001). Attitudes towards reproductive issues and carrier testing among adult patients and parents of children with cystic fibrosis (CF). Prenatal Diagnosis, 21(1), 1–9. doi:10.1002/1097-0223(200101)21:1<1::AID-PD9671::AID-PD967>3.0.CO;2-#.PubMedCrossRefGoogle Scholar
- Hudson, K., et al. (2004). Reproductive genetic testing: what America thinks. Genetics and Public Policy Center. Available at: http://www.dnapolicy.org/pub.reports.php?action=detail&report_id=6 Accessed May 20, 2007.
- Kronn, D., Jansen, V., & Ostrer, H. (1998). Carrier screening for cystic fibrosis, Gaucher disease, and Tay-Sachs disease in the Ashkenazi Jewish population: the first 1000 cases at New York University Medical Center, New York, NY. Archives of Internal Medicine, 158(7), 777–781.PubMedCrossRefGoogle Scholar
- Milner, K., Collins, E., Connors, G., & Petty, E. (1998). Attitudes of young adults to prenatal screening and genetic correction for human attributes and psychiatric conditions. American Journal of Medical Genetics, 76, 111–119. doi:10.1002/(SICI)1096-8628(19980305)76:2<111::AID-AJMG2>3.0.CO;2-W.PubMedCrossRefGoogle Scholar
- Nelkin, D., & Tancredi, L. (1989). Diagnosis in the healthcare system. In Dangerous Diagnostics: The Social Power of Biological Information (pp. 51–74). New York: Basic.Google Scholar
- Rothman, S., & Rothman, D. (2003). The Pursuit of Perfection: The Promise and Perils of Medical Enhancement, 1st Edn. New York: Pantheon.Google Scholar
- Sandel, M. J. (2007). The Case against Perfection: Ethics in the Age of Genetic Engineering, 1st Edn. Cambridge: Harvard University Press.Google Scholar
- U.S. Census Bureau. American Fact Finder, 2000. Available at: http://factfinder.census.gov/home/saff/main.html?_lang=en Accessed May 7, 2008.