Evidence map›Paper›PMID 15216547›Full record

ArticleAmerican journal of medical genetics. Part A2004

Medical privacy and the disclosure of personal medical information: the beliefs and experiences of those with genetic and other clinical conditions.

Nancy E Kass, Sara Chandros Hull, Marvin R Natowicz, Ruth R Faden, Laura Plantinga, Lawrence O Gostin, Julia Slutsman

Abstract read
In one paragraph

Article in American journal of medical genetics. Part A, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Stigma of Sickle Cell Disease: A Systematic Review.Issues in mental health nursing · 2018
    Pooled it
  2. Review
  3. Article
  4. Joint replacement recipients' views about health information privacy.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
  5. Article
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  11. Influence of genetic discrimination perceptions and knowledge on cancer genetics referral practice among clinicians.Genetics in medicine : official journal of the American College of Medical Genetics · 2008
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nancy E KassDepartment of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA. nkass@jhsph.edu
Sara Chandros Hull
Marvin R Natowicz
Ruth R Faden
Laura Plantinga
Lawrence O Gostin
Julia Slutsman

Funding

Intramural NIH HHS Z99 HG999999
6 · The paper itself

Abstract

There has been heightened legislative attention to medical privacy and to protections from genetic discrimination, without large-scale studies to document privacy concerns or analysis of whether experiences differ by whether the condition is genetic (defined here as a single-gene disorder) or non-genetic. To determine whether experiences regarding privacy, disclosure, and consequences of disclosure differ by whether one's medical condition is genetic, we conducted a descriptive study with one-time, structured quantitative and qualitative interviews. We interviewed approximately 100 adults or parents of children with each of the following medical conditions: sickle cell disease, cystic fibrosis, diabetes, and HIV, and 200 adults with or at risk for breast cancer or colon cancer. The percentages of the total 597 respondents experiencing positive or negative consequences of disclosure and the degree to which experiences differed by whether the condition was genetic were the outcomes of interest. Seventy-four percent were glad and 13% regretted others knew about their condition; these findings did not differ significantly by genetic vs. non-genetic condition. Reports of job and health insurance discrimination were not uncommon for the overall study population (19 and 27%, respectively) but were more likely among those with genetic conditions (30 and 37%, respectively). Legislation and other policy-making should target the needs of persons with all conditions and not focus exclusively on genetic discrimination, given that experiences and concerns generally do not differ based on the genetic etiology of the condition.

Indexed as

Genetic PrivacyAdolescentAdultConfidentialityDisclosureEmploymentFemaleHumansInsurance, HealthInterviews as TopicMaleMiddle AgedPrejudicePrivacyEmpirical ApproachGenetics and Reproduction

Identifiers

PMID15216547
PMCPMC4819325

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.