Evidence map›Paper›PMID 18318970›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2008

Parents' experiences of universal screening for haemoglobin disorders: implications for practice in a new genetics era.

Louise Locock, Joe Kai

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Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
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29citing papers in PubMed, 6 pooled it
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1 · What the graph read from it

What it found

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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.

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3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  15. Preferences for prenatal diagnosis of sickle-cell disorder: A discrete choice experiment comparing potential service users and health-care providers.Health expectations : an international journal of public participation in health care and health policy · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Louise LocockDepartment of Primary Care, University of Oxford, Oxford. louise.locock@dphpc.ox.ac.uk
Joe Kai

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEngland is the only country in the world that currently has universal population screening for haemoglobin disorders through linked antenatal and newborn screening. Little is known about the acceptability of such screening.

aimTo explore parents' experiences of, and attitudes towards, new universal genetic screening for haemoglobin disorders. DESIGN OF STUDY: Narrative interview study.

settingPrimary and community care settings across England.

methodNarrative interviews were undertaken with a maximum variation sample of 39 people who had experienced gene-carrier identification through antenatal and newborn screening for sickle cell, thalassaemia, and other haemoglobin variants within the previous 2 years.

resultsMost parents were unaware screening had occurred or had given it little consideration and so were surprised or shocked by results. However, they were glad to learn of their carrier status, reproductive genetic risk, or their newborn's carrier status. Participants emphasised that antenatal screening should happen as early as possible. Many would rather have known their carrier status before pregnancy or before entering a relationship. Although most were satisfied with the information they received, significant misunderstandings remained. There were culturally diverse attitudes towards prenatal diagnosis and termination. These procedures were acceptable to some parents with strong religious beliefs, including Christians and Muslims.

conclusionParents support screening for haemoglobin disorders but need to be better informed and better prepared for results and what they mean. Sensitivity to patient diversity in attitudes and choices is also required. Universal screening for genetic reproductive risk will increasingly involve generalists, particularly in primary care, presenting opportunities for screening before or earlier in pregnancy, which is likely to be welcomed by patients.

Indexed as

Patient SatisfactionDecision MakingFemaleGenetic CounselingGenetic TestingHemoglobinopathiesHumansInfant, NewbornMaleNeonatal ScreeningPregnancyPregnancy Complications, HematologicPrenatal DiagnosisReligionRisk Factors

Identifiers

PMID18318970
PMCPMC2249791

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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.