Psychosocial correlates of pregnant women's attitudes toward prenatal maternal serum screening and invasive diagnostic testing: Beyond traditional risk status

被引:8
作者
Lumley, MA
Zamerowski, ST
Jackson, L
Dukes, K
Sullivan, L
机构
[1] Wayne State Univ, Dept Psychol, Detroit, MI 48202 USA
[2] Villanova Univ, Coll Nursing, Villanova, PA 19085 USA
[3] Drexel Univ, Coll Med, Dept Obstet & Gynecol, Philadelphia, PA 19104 USA
[4] DM STAT Inc, Malden, MA USA
[5] Boston Univ, Dept Biostat, Boston, MA 02215 USA
来源
GENETIC TESTING | 2006年 / 10卷 / 02期
关键词
D O I
10.1089/gte.2006.10.131
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
This study examined whether psychosocial variables predict pregnant women's attitudes toward maternal serum screening and invasive diagnostic testing, beyond the influence of traditional obstetric risk status ( based on advanced maternal age, history of genetic disorders, etc.). In a sample of 612 pregnant women ( 66.5% high risk, 33.5% low risk) we assessed responses to hypothetical scenarios of invasive testing following normal or abnormal maternal serum screening. We also assessed psychosocial variables stemming from the theory of planned behavior ( e. g., knowledge, concern for fetus, attitudes toward termination, health locus of control). Overall, two thirds of the women would want serum screening. Follow- up invasive diagnostic testing would be sought by 37.2% of the women after a negative screening, and by 75.0% after a positive screening. As expected, traditional risk status predicted desire for screening and also invasive testing following either a negative or positive screen. Yet, controlling for risk status, many psychosocial variables predicted a women's interest in screening and in invasive testing: more knowledge about prenatal testing, concern about fetal health, willingness to terminate a pregnancy, and an internal or medical profession health locus of control. We conclude that psychosocial variables influence women's desire for screening or invasive testing beyond traditional risk status.
引用
收藏
页码:131 / 138
页数:8
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