Document Detail

Factors influencing women's acceptance of prenatal screening tests.
MedLine Citation:
PMID:  19003797     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the factors influencing a woman's acceptance of the expanded alpha-fetoprotein (AFP) test. METHODS: A population-based case-control study. All women (age < 35) who declined the expanded AFP test were identified as eligible cases. Controls were randomly selected from all women (age < 35) who accepted the test. RESULTS: We interviewed 199 cases and 229 controls before 30 weeks of gestation. While 47% of cases reported opposition to abortion as one of their reasons for declining the test (Group A), the remaining 53% of cases had a variety of other reasons for declining (Group B). After controlling for potential confounders, factors significantly associated with declining the test included: skepticism of the usefulness of the test results (odds ratio (OR) = 33.0), influence from family members (OR = 11.4), low educational level (OR = 7.1), willingness to keep a malformed fetus (OR = 6.2), failure to use providers as useful sources of information (OR = 5.0), and misunderstanding of the purpose of the test (OR = 2.0). Polytomous logistic regression revealed that Groups A and B had different determining factors as well as common factors. CONCLUSION: While many influential factors for participating in prenatal screening remain unmodifiable, some of them may be addressed to improve women's acceptance of prenatal screening tests.
De-Kun Li; Kristen Karlberg; Soora Wi; Carol Norem
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Prenatal diagnosis     Volume:  28     ISSN:  0197-3851     ISO Abbreviation:  Prenat. Diagn.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-02     Completed Date:  2009-02-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8106540     Medline TA:  Prenat Diagn     Country:  England    
Other Details:
Languages:  eng     Pagination:  1136-43     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2008 John Wiley & Sons, Ltd.
Division of Research, Kaiser Foundation Research Institute, Oakland, California 94612, USA.
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MeSH Terms
Abortion, Induced / psychology
Case-Control Studies
Health Knowledge, Attitudes, Practice
Mass Screening / psychology,  statistics & numerical data
Patient Acceptance of Health Care* / statistics & numerical data
Prenatal Diagnosis / psychology*
Reproductive History
Socioeconomic Factors
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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