Journal
JOURNAL OF ASSISTED REPRODUCTION AND GENETICS
Volume 38, Issue 2, Pages 375-385Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10815-020-02029-5
Keywords
Carrier screening; Expanded carrier screening (ECS); Genetic counseling; Genetic screening; Reproductive genetics
Funding
- Northwestern University Graduate Program in Genetic Counseling
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The study found that male partners attending female carriers' screening appointments can increase the likelihood of them going through screening. Logical factors had more impact on males pursuing screening. On the other hand, female carriers reported that their male partners did not undergo screening mainly due to perceived low risk and lack of concern for the specific condition.
Purpose To explore facilitators and barriers for male partner follow through carrier screening (CS) after their female partners were identified as carriers, from both male and female perspectives. Methods Participants were either females identified as a carrier through CS (512 participants) or males who had CS (125 participants). Participants were recruited via e-mails with survey links. The survey explored factors surrounding decisions to pursue CS or not. Results Males who attended the females' CS appointment were more likely to have CS (OR: 2.07). More male partners of females identified as carriers of severe or profound conditions pursued CS (82.0%) than male partners of females who were carriers for moderate conditions (50.0%). Logistic factors were more impactful for males who pursued CS. Females whose male partners did not test endorsed personal belief factors as most impactful, reporting the perceived low risk (75.0%) and his low concern for the specific condition (65.5%) were the top reasons their partners did not test. Conclusion Many factors impact how male partners appraise reproductive risk from CS and make decisions regarding their own screening. Advising that male partners attend CS appointments may increase the likelihood of follow through CS. Thorough and repeated risk counseling is indicated.
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