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Women's attitudes to the successive decisions possibly involved in prenatal screening for Down syndrome: how consistent with their actual decisions?
MedLine Citation:
PMID:  20872424     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVES: To investigate women's attitudes to successive decisions possibly involved in Down syndrome screening (i.e. about ultrasound and biochemical screening, invasive testing, and termination of pregnancy) and to compare attitudes and actual decisions.
METHODS: Four hundred women were invited to complete a self-administered questionnaire within 3 days postpartum. A hierarchical cluster analysis identified respondents with similar attitudes, and logistic regressions assessed the effects of factors relating to decision-making on attitudes.
RESULTS: Three hundred and ninety-one women returned the questionnaire. Three clusters of women were identified. Two clusters comprised respondents stating that decision-making should be based on attitudes to either termination of pregnancy (32.8%) or invasive testing-related miscarriage (30.2%). The third cluster (37.0%) considered that obtaining information about pregnancy should be the main objective when deciding about biochemical screening or invasive testing. Multivariate logistic regressions showed some consistency between attitudes and previous decisions.
PRACTICE IMPLICATIONS: Providing information and eliciting women's attitudes towards the sequence of decisions possibly involved in Down syndrome screening could help them make their decisions about screening and/or invasive testing in line with their attitudes.
Authors:
Valerie Seror; Yves Ville
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Prenatal diagnosis     Volume:  30     ISSN:  1097-0223     ISO Abbreviation:  Prenat. Diagn.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8106540     Medline TA:  Prenat Diagn     Country:  England    
Other Details:
Languages:  eng     Pagination:  1086-93     Citation Subset:  IM    
Affiliation:
INSERM, UMR912 Economic & Social Sciences, Health Systems & Societies (SE4S), F-13000 Marseilles, France. valerie.seror@inserm.fr
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