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Awareness and Attitudes Regarding Prenatal Testing among Texas Women of Childbearing Age

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Journal of Genetic Counseling

Abstract

Despite increased visibility and availability of prenatal testing procedures, very little is known about the attitudes among the populace toward these procedures. Using a computer assisted telephone interview of pregnant and non-pregnant women of childbearing age we analyze awareness and attitudes regarding prenatal tests among a diverse group of women of childbearing age in Texas. We also examine maternal characteristics associated with awareness and the willingness to undergo these procedures. While 89% were aware that such tests are available, younger, black and less educated women were less likely to know about prenatal tests for birth defects. Seventy-two percent of respondents said they would want their baby tested while Hispanic and black women were significantly more likely to express an interest than non-Hispanic whites. This study demonstrates the variability of knowledge and beliefs and confirms the importance of taking time to understand an individual’s personal beliefs, knowledge and attitudes about prenatal diagnosis.

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References

  • Baker, D., Teklehaimanot, S., Hassan, R., & Guze, C. (2004). A look at a Hispanic and Black population in an urban prenatal diagnostic center: Referral reasons, amniocentesis acceptance, and abnormalities detected. Genetics in Medicine, 6, 211–218.

    Article  PubMed  Google Scholar 

  • Bennett, R. L., Hampel, H. L., Mandell, J. B., & Marks, J. H. (2003). Genetic counselors: Translating genomic science into clinical practice. Journal of Clinical Investigation, 112, 1274–1279.

    Article  PubMed  CAS  Google Scholar 

  • Brown, J. B., Carroll, J., Boon, H., & Marmoereo, J. (2002). Women’s decision-making about their health care: Views over the life cycle. Patient Education and Counseling, 48, 225–231.

    Article  PubMed  Google Scholar 

  • Browner, C. H., Preloran, M., & Press, N. A. (1996). The effects of ethnicity, education, and an informational video on pregnant women’s knowledge and decisions about a prenatal diagnostic screening test. Patient Education and Counseling, 27, 135–146.

    Article  PubMed  CAS  Google Scholar 

  • Dobie, S., Hart, L. G., Fordyce, M., Andrilla, C. H., & Rosenblatt, R. A. (1998). Obstetric care and payment source: Do low-risk Medicaid women get less care? American Journal of Public Health, 88, 51–56.

    Article  PubMed  CAS  Google Scholar 

  • Dormandy, E., Hooper, R., Michie, S., & Marteau, T. M. (2002). Informed choice to undergo prenatal screening: A comparison of two hospitals conducting testing either as part of a routine visit or requesting a separate visit. Journal of Medical Screening, 9, 109–114.

    Article  PubMed  CAS  Google Scholar 

  • Drake, E. R., Engler-Todd, L., O’Connor, A. M., Surh, L. C., & Hunter, A. (1999). Development and evaluation of a decision aid about prenatal testing for women of advanced maternal age. Journal of Genetic Counseling, 8(4), 217–233.

    Article  Google Scholar 

  • Gooding, H. C., Boehm, K., Thompson, R. E., Hadley, D., Francomano, C. A., & Biesecker, B. B. (2002). Issues surrounding prenatal genetic testing for achondroplasia. Prenatal Diagnosis, 22, 933–940.

    Article  PubMed  Google Scholar 

  • Grant, S. (2000). Prenatal genetic screening. Online Journal of Issues in Nursing, 5(3).

  • Hedrick, H., & Crombleholme, T. (2001). Current status of fetal surgery. Contemporary Ob/Gyn, 12, 42–70.

    Google Scholar 

  • Jenkins-Woelk, L. D., Baldwin, L. M., Raine, T. R., Hart, L. G., Fordyce, M. A., & Rosenblatt, R. A. (1998). Influence of provider characteristics and insurance status on maternal serum alpha-fetoprotein screening. Journal of the American Board of Family Practice, 11, 357–365.

    PubMed  CAS  Google Scholar 

  • Khoshnood, B., De Vigan, C., Vodovar, V., Goujard, J., Lhomme, A., Bonnet, D., & Goffinet, F. (2005). Trends in prenatal diagnosis, pregnancy termination, and perinatal mortality of newborns with congenital heart disease in France, 1983–2000: A population-based evaluation. Pediatrics, 115(1), 95–101. (Jan).

    PubMed  Google Scholar 

  • Kuppermann, M., Learman, L. A., Gates, E., Gregorich, S. E., Nease, R. F. Jr., Lewis, J., et al. (2006). Beyond race or ethnicity and socioeconomic status: Predictors of prenatal testing for Down syndrome. Obstetrics & Gynecology, 107(5), 1087–1097, (May). (Erratum in: Obstetrics & Gynecology, 108(2), 453. 2006 Aug).

    Google Scholar 

  • Lanie, A. D., Jayaratne, T. E., Sheldon, J. P., Kardia, S. L., Anderson, E. S., Feldbaum, M., et al. (2004). Exploring the public understanding of basic genetic concepts. Journal of Genetics Counseling, 13(4), 305–320. Aug.

    Article  Google Scholar 

  • Learman, L. A., Kuppermann, M., Gates, E., Nease, R. F., Gildengorin, V., & Washington, A. E. (2003). Social and familial context of prenatal genetic testing decisions: Are there racial/ethnic differences? American Journal of Medical Genetics, 119C, 19–26.

    Article  PubMed  Google Scholar 

  • Lumley, M. A., Zamerowski, S. T., Jackson, L., Dukes, K., & Sullivan, L. (2006) Psychosocial correlates of pregnant women’s attitudes toward prenatal maternal serum screening and invasive diagnostic testing: Beyond traditional risk status. Genetic Test, 10(2), 131–138. Summer.

    Article  Google Scholar 

  • Markens, S., Browner, C. H., & Press, N. (1999). ‘Because of the risks’: How US pregnant women account for refusing prenatal screening. Social Science and Medicine, 49(3), 359–369.

    Google Scholar 

  • Meryash, D. L. (1992). Characteristics of fragile X relatives with different attitudes towards terminating an affected pregnancy. American Journal on Mental Retardation, 96, 528–535.

    PubMed  CAS  Google Scholar 

  • Peller, A. J., Westgate, M. N., & Holmes, L. B. (2004). Trends in congenital malformations, 1974–1999: Effect of prenatal diagnosis and elective termination. Obstetrics Gynecology, 104, 957–964.

    PubMed  Google Scholar 

  • Redlinger-Grosse, K., Bernhardt, B. A., Berg, K., Muenke, M., & Biesecker, B. B. (2002). The decision to continue: The experiences and needs of parents who receive a prenatal diagnosis of holoprosencephaly. American Journal of Medical Genetics, 1;112(4), 369–378.

    Article  Google Scholar 

  • Saucier, J., Johnston, D., Wicklund, C., Robbins-Furman, P., Hecht, J., & Monga, M. (2005). Racial-ethnic difference in genetic amniocentesis uptake. Journal of Genetic Counseling, 14, 189–195.

    Article  PubMed  Google Scholar 

  • Singer, E., Antonucci, T., & Van Hoewyk, J. (2004). Racial and ethnic variations in knowledge and attitudes about genetic testing. Genetic Test, 8, 31–43.

    Article  Google Scholar 

  • Vergani, P., Locatelli, A., Biffi, A., Ciriello, E., Zagarella, A., Pezzullo, J. C., & Ghidini, A. (2002). Factors affecting the decision regarding amniocentesis in women at genetic risk because of age 35 years or older. Prenatal Diagnosis, 22, 769–774.

    Article  PubMed  Google Scholar 

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Acknowledgements

Funding for this study was provided in part by the Texas Center for Birth Defects Research and Prevention, Texas Birth Defects Epidemiology and surveillance Branch at the Texas Department of State Health Services, through cooperative agreement U50/CCU613232 from the Centers for Disease Control and Prevention.

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Correspondence to Amy P. Case.

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Case, A.P., Ramadhani, T.A., Canfield, M.A. et al. Awareness and Attitudes Regarding Prenatal Testing among Texas Women of Childbearing Age. J Genet Counsel 16, 655–661 (2007). https://doi.org/10.1007/s10897-007-9103-6

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  • DOI: https://doi.org/10.1007/s10897-007-9103-6

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