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Patient attitudes toward prenatal diagnostic testing during antenatal care in an urban population
Objective Investigate factors that influence the decision to accept or decline diagnostic testing for pregnant women referred for genetic counseling. Methods Cross sectional anonymous survey of pregnant women undergoing genetic counseling at a tertiary care referral center. Subjects' perceived...
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| Published in: | Prenatal diagnosis 2021-06, Vol.41 (7), p.888-895 |
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| container_end_page | 895 |
| container_issue | 7 |
| container_start_page | 888 |
| container_title | Prenatal diagnosis |
| container_volume | 41 |
| creator | Igel, Catherine M. Rabin‐Havt, Sara Estrada Trejo, Fatima Doulaveris, Georgios Eisenberg, Ruth Fazzari, Melissa Klugman, Susan |
| description | Objective
Investigate factors that influence the decision to accept or decline diagnostic testing for pregnant women referred for genetic counseling.
Methods
Cross sectional anonymous survey of pregnant women undergoing genetic counseling at a tertiary care referral center. Subjects' perceived risk of procedure related loss and fetal chromosomal problem were obtained via survey where patients rated risk from 0 (no risk) to 10 (highest risk).
Results
There were no differences in sociodemographic factors between women undergoing a diagnostic procedure compared to those not undergoing a procedure. As the perceived risk for having a baby with genetic problem increased by one point, the estimated odds of having the diagnostic procedure increased by 43% controlling for the perceived risk of procedure related loss (p |
| doi_str_mv | 10.1002/pd.5899 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2479422834</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2479422834</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3079-1fcfbf62361e3dd8cbe51a73934cc370b3b2f1852c5f726fefd8ed2648d795fd3</originalsourceid><addsrcrecordid>eNp1kMtKw0AUhgdRbL3gG0jAhYKkziXJJEupVyjYha6HyVxKSjoT50Lp2zu11YXg5vyHw8fH4QfgAsEJghDfDXJS1k1zAMYINjSHGJNDMIYo7aQu0QiceL9MYI0begxGhBQUFoSOAZ_z0CkTMh5CF6JUPgt2zZ3MBqcMD7zPZMcXxvrQiSyoFGaRyei2wU3YM4I7lXUmXbLo2jQHO8Q-qa05A0ea916d7_MUfDw9vk9f8tnb8-v0fpYLAmmTIy10qytMKqSIlLVoVYk4JQ0phCAUtqTFGtUlFqWmuNJKy1pJXBW1pE2pJTkFNzvv4OxnTI-yVeeF6ntulI2e4YI2BcY1KRJ69Qdd2uhM-o7hskCY0IrQRF3vKOGs905pNrhuxd2GIci2rbNBsm3ribzc-2K7UvKX-6k5Abc7YN31avOfh80fvnVf-Q-Lbg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2541237637</pqid></control><display><type>article</type><title>Patient attitudes toward prenatal diagnostic testing during antenatal care in an urban population</title><source>Wiley</source><creator>Igel, Catherine M. ; Rabin‐Havt, Sara ; Estrada Trejo, Fatima ; Doulaveris, Georgios ; Eisenberg, Ruth ; Fazzari, Melissa ; Klugman, Susan</creator><creatorcontrib>Igel, Catherine M. ; Rabin‐Havt, Sara ; Estrada Trejo, Fatima ; Doulaveris, Georgios ; Eisenberg, Ruth ; Fazzari, Melissa ; Klugman, Susan</creatorcontrib><description>Objective
Investigate factors that influence the decision to accept or decline diagnostic testing for pregnant women referred for genetic counseling.
Methods
Cross sectional anonymous survey of pregnant women undergoing genetic counseling at a tertiary care referral center. Subjects' perceived risk of procedure related loss and fetal chromosomal problem were obtained via survey where patients rated risk from 0 (no risk) to 10 (highest risk).
Results
There were no differences in sociodemographic factors between women undergoing a diagnostic procedure compared to those not undergoing a procedure. As the perceived risk for having a baby with genetic problem increased by one point, the estimated odds of having the diagnostic procedure increased by 43% controlling for the perceived risk of procedure related loss (p < .0001). Similarly, as the perceived risk of miscarriage increased by one point, the odds of having the diagnostic procedure decreased by 40%, controlling for the perceived risk of having a baby with a genetic problem (p < .0001). The main reason women cited for not undergoing a procedure was fear of procedure related loss.
Conclusions
Pregnant women that decline diagnostic testing have a higher perceived risk of procedure related loss and lower perceived risk of fetal chromosomal abnormality than those who accept.
Key Points
What is already known about this topic?
There has been an exponential increase in prenatal genetic testing options available (in both screening and diagnostic testing) with a simultaneous decrease in diagnostic testing. Our objective was to investigate the factors that influence the decision to accept or decline diagnostic testing
What does this study add?
Pregnant women that decline diagnostic testing have a higher perceived risk of procedure related loss and lower perceived risk of fetal chromosomal abnormality than those who accept diagnostic testing and there are no differences in sociodemographic factors</description><identifier>ISSN: 0197-3851</identifier><identifier>EISSN: 1097-0223</identifier><identifier>DOI: 10.1002/pd.5899</identifier><identifier>PMID: 33470437</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Chromosome aberrations ; Cross-Sectional Studies ; Diagnostic systems ; Diagnostic tests ; Female ; Fetuses ; Genetic counseling ; Genetic screening ; Health Knowledge, Attitudes, Practice ; Humans ; Medical diagnosis ; Noninvasive Prenatal Testing - methods ; Noninvasive Prenatal Testing - standards ; Noninvasive Prenatal Testing - statistics & numerical data ; Polls & surveys ; Pregnancy ; Pregnant Women - psychology ; Prenatal Care - methods ; Prenatal Care - standards ; Prospective Studies ; Risk management ; Risk perception ; Surveys and Questionnaires ; Urban Population - statistics & numerical data ; Urban populations</subject><ispartof>Prenatal diagnosis, 2021-06, Vol.41 (7), p.888-895</ispartof><rights>2021 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3079-1fcfbf62361e3dd8cbe51a73934cc370b3b2f1852c5f726fefd8ed2648d795fd3</cites><orcidid>0000-0003-4014-2153 ; 0000-0001-5574-235X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33470437$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Igel, Catherine M.</creatorcontrib><creatorcontrib>Rabin‐Havt, Sara</creatorcontrib><creatorcontrib>Estrada Trejo, Fatima</creatorcontrib><creatorcontrib>Doulaveris, Georgios</creatorcontrib><creatorcontrib>Eisenberg, Ruth</creatorcontrib><creatorcontrib>Fazzari, Melissa</creatorcontrib><creatorcontrib>Klugman, Susan</creatorcontrib><title>Patient attitudes toward prenatal diagnostic testing during antenatal care in an urban population</title><title>Prenatal diagnosis</title><addtitle>Prenat Diagn</addtitle><description>Objective
Investigate factors that influence the decision to accept or decline diagnostic testing for pregnant women referred for genetic counseling.
Methods
Cross sectional anonymous survey of pregnant women undergoing genetic counseling at a tertiary care referral center. Subjects' perceived risk of procedure related loss and fetal chromosomal problem were obtained via survey where patients rated risk from 0 (no risk) to 10 (highest risk).
Results
There were no differences in sociodemographic factors between women undergoing a diagnostic procedure compared to those not undergoing a procedure. As the perceived risk for having a baby with genetic problem increased by one point, the estimated odds of having the diagnostic procedure increased by 43% controlling for the perceived risk of procedure related loss (p < .0001). Similarly, as the perceived risk of miscarriage increased by one point, the odds of having the diagnostic procedure decreased by 40%, controlling for the perceived risk of having a baby with a genetic problem (p < .0001). The main reason women cited for not undergoing a procedure was fear of procedure related loss.
Conclusions
Pregnant women that decline diagnostic testing have a higher perceived risk of procedure related loss and lower perceived risk of fetal chromosomal abnormality than those who accept.
Key Points
What is already known about this topic?
There has been an exponential increase in prenatal genetic testing options available (in both screening and diagnostic testing) with a simultaneous decrease in diagnostic testing. Our objective was to investigate the factors that influence the decision to accept or decline diagnostic testing
What does this study add?
Pregnant women that decline diagnostic testing have a higher perceived risk of procedure related loss and lower perceived risk of fetal chromosomal abnormality than those who accept diagnostic testing and there are no differences in sociodemographic factors</description><subject>Adult</subject><subject>Chromosome aberrations</subject><subject>Cross-Sectional Studies</subject><subject>Diagnostic systems</subject><subject>Diagnostic tests</subject><subject>Female</subject><subject>Fetuses</subject><subject>Genetic counseling</subject><subject>Genetic screening</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Medical diagnosis</subject><subject>Noninvasive Prenatal Testing - methods</subject><subject>Noninvasive Prenatal Testing - standards</subject><subject>Noninvasive Prenatal Testing - statistics & numerical data</subject><subject>Polls & surveys</subject><subject>Pregnancy</subject><subject>Pregnant Women - psychology</subject><subject>Prenatal Care - methods</subject><subject>Prenatal Care - standards</subject><subject>Prospective Studies</subject><subject>Risk management</subject><subject>Risk perception</subject><subject>Surveys and Questionnaires</subject><subject>Urban Population - statistics & numerical data</subject><subject>Urban populations</subject><issn>0197-3851</issn><issn>1097-0223</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kMtKw0AUhgdRbL3gG0jAhYKkziXJJEupVyjYha6HyVxKSjoT50Lp2zu11YXg5vyHw8fH4QfgAsEJghDfDXJS1k1zAMYINjSHGJNDMIYo7aQu0QiceL9MYI0begxGhBQUFoSOAZ_z0CkTMh5CF6JUPgt2zZ3MBqcMD7zPZMcXxvrQiSyoFGaRyei2wU3YM4I7lXUmXbLo2jQHO8Q-qa05A0ea916d7_MUfDw9vk9f8tnb8-v0fpYLAmmTIy10qytMKqSIlLVoVYk4JQ0phCAUtqTFGtUlFqWmuNJKy1pJXBW1pE2pJTkFNzvv4OxnTI-yVeeF6ntulI2e4YI2BcY1KRJ69Qdd2uhM-o7hskCY0IrQRF3vKOGs905pNrhuxd2GIci2rbNBsm3ribzc-2K7UvKX-6k5Abc7YN31avOfh80fvnVf-Q-Lbg</recordid><startdate>202106</startdate><enddate>202106</enddate><creator>Igel, Catherine M.</creator><creator>Rabin‐Havt, Sara</creator><creator>Estrada Trejo, Fatima</creator><creator>Doulaveris, Georgios</creator><creator>Eisenberg, Ruth</creator><creator>Fazzari, Melissa</creator><creator>Klugman, Susan</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7T7</scope><scope>7TK</scope><scope>7TM</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4014-2153</orcidid><orcidid>https://orcid.org/0000-0001-5574-235X</orcidid></search><sort><creationdate>202106</creationdate><title>Patient attitudes toward prenatal diagnostic testing during antenatal care in an urban population</title><author>Igel, Catherine M. ; Rabin‐Havt, Sara ; Estrada Trejo, Fatima ; Doulaveris, Georgios ; Eisenberg, Ruth ; Fazzari, Melissa ; Klugman, Susan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3079-1fcfbf62361e3dd8cbe51a73934cc370b3b2f1852c5f726fefd8ed2648d795fd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Chromosome aberrations</topic><topic>Cross-Sectional Studies</topic><topic>Diagnostic systems</topic><topic>Diagnostic tests</topic><topic>Female</topic><topic>Fetuses</topic><topic>Genetic counseling</topic><topic>Genetic screening</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Medical diagnosis</topic><topic>Noninvasive Prenatal Testing - methods</topic><topic>Noninvasive Prenatal Testing - standards</topic><topic>Noninvasive Prenatal Testing - statistics & numerical data</topic><topic>Polls & surveys</topic><topic>Pregnancy</topic><topic>Pregnant Women - psychology</topic><topic>Prenatal Care - methods</topic><topic>Prenatal Care - standards</topic><topic>Prospective Studies</topic><topic>Risk management</topic><topic>Risk perception</topic><topic>Surveys and Questionnaires</topic><topic>Urban Population - statistics & numerical data</topic><topic>Urban populations</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Igel, Catherine M.</creatorcontrib><creatorcontrib>Rabin‐Havt, Sara</creatorcontrib><creatorcontrib>Estrada Trejo, Fatima</creatorcontrib><creatorcontrib>Doulaveris, Georgios</creatorcontrib><creatorcontrib>Eisenberg, Ruth</creatorcontrib><creatorcontrib>Fazzari, Melissa</creatorcontrib><creatorcontrib>Klugman, Susan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Prenatal diagnosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Igel, Catherine M.</au><au>Rabin‐Havt, Sara</au><au>Estrada Trejo, Fatima</au><au>Doulaveris, Georgios</au><au>Eisenberg, Ruth</au><au>Fazzari, Melissa</au><au>Klugman, Susan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient attitudes toward prenatal diagnostic testing during antenatal care in an urban population</atitle><jtitle>Prenatal diagnosis</jtitle><addtitle>Prenat Diagn</addtitle><date>2021-06</date><risdate>2021</risdate><volume>41</volume><issue>7</issue><spage>888</spage><epage>895</epage><pages>888-895</pages><issn>0197-3851</issn><eissn>1097-0223</eissn><abstract>Objective
Investigate factors that influence the decision to accept or decline diagnostic testing for pregnant women referred for genetic counseling.
Methods
Cross sectional anonymous survey of pregnant women undergoing genetic counseling at a tertiary care referral center. Subjects' perceived risk of procedure related loss and fetal chromosomal problem were obtained via survey where patients rated risk from 0 (no risk) to 10 (highest risk).
Results
There were no differences in sociodemographic factors between women undergoing a diagnostic procedure compared to those not undergoing a procedure. As the perceived risk for having a baby with genetic problem increased by one point, the estimated odds of having the diagnostic procedure increased by 43% controlling for the perceived risk of procedure related loss (p < .0001). Similarly, as the perceived risk of miscarriage increased by one point, the odds of having the diagnostic procedure decreased by 40%, controlling for the perceived risk of having a baby with a genetic problem (p < .0001). The main reason women cited for not undergoing a procedure was fear of procedure related loss.
Conclusions
Pregnant women that decline diagnostic testing have a higher perceived risk of procedure related loss and lower perceived risk of fetal chromosomal abnormality than those who accept.
Key Points
What is already known about this topic?
There has been an exponential increase in prenatal genetic testing options available (in both screening and diagnostic testing) with a simultaneous decrease in diagnostic testing. Our objective was to investigate the factors that influence the decision to accept or decline diagnostic testing
What does this study add?
Pregnant women that decline diagnostic testing have a higher perceived risk of procedure related loss and lower perceived risk of fetal chromosomal abnormality than those who accept diagnostic testing and there are no differences in sociodemographic factors</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33470437</pmid><doi>10.1002/pd.5899</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4014-2153</orcidid><orcidid>https://orcid.org/0000-0001-5574-235X</orcidid></addata></record> |
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| identifier | ISSN: 0197-3851 |
| ispartof | Prenatal diagnosis, 2021-06, Vol.41 (7), p.888-895 |
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| source | Wiley |
| subjects | Adult Chromosome aberrations Cross-Sectional Studies Diagnostic systems Diagnostic tests Female Fetuses Genetic counseling Genetic screening Health Knowledge, Attitudes, Practice Humans Medical diagnosis Noninvasive Prenatal Testing - methods Noninvasive Prenatal Testing - standards Noninvasive Prenatal Testing - statistics & numerical data Polls & surveys Pregnancy Pregnant Women - psychology Prenatal Care - methods Prenatal Care - standards Prospective Studies Risk management Risk perception Surveys and Questionnaires Urban Population - statistics & numerical data Urban populations |
| title | Patient attitudes toward prenatal diagnostic testing during antenatal care in an urban population |
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