Skip to main content
Journal of Medical Genetics logoLink to Journal of Medical Genetics
. 1992 Jan;29(1):24–26. doi: 10.1136/jmg.29.1.24

Effects of genetic screening on perceptions of health: a pilot study.

T M Marteau 1, M van Duijn 1, I Ellis 1
PMCID: PMC1015816  PMID: 1552538

Abstract

The aim of the current study was to determine how carriers of a recessive gene, which confers no risk to their own health, perceive their health, relative to non-carriers. Perceptions of health in three groups were compared: those screened and found to carry the gene for Tay-Sachs disease, those screened and not found to carry the gene for Tay-Sachs disease, and a community based sample who, it was presumed, had not undergone screening. The groups did not differ in their perceptions of their current health or their past health. Carriers, however, viewed their future health with less optimism than the other two groups. The causes and consequences of this altered perception need to be explored in future studies. With the advent of population based screening for cystic fibrosis carrier status, these results highlight the importance of assessing in detail people's experiences of screening before the introduction of any mass genetic screening programmes.

Full text

PDF

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beutler E., Boggs D. R., Heller P., Maurer A., Motulsky A. G., Sheehy T. W. Hazards of indiscriminate screening for sickling. N Engl J Med. 1971 Dec 23;285(26):1485–1486. doi: 10.1056/NEJM197112232852612. [DOI] [PubMed] [Google Scholar]
  2. Durant J. R., Evans G. A., Thomas G. P. The public understanding of science. Nature. 1989 Jul 6;340(6228):11–14. doi: 10.1038/340011a0. [DOI] [PubMed] [Google Scholar]
  3. Evers-Kiebooms G., Denayer L., Van den Berghe H. A child with cystic fibrosis: II. Subsequent family planning decisions, reproduction and use of prenatal diagnosis. Clin Genet. 1990 Mar;37(3):207–215. doi: 10.1111/j.1399-0004.1990.tb03504.x. [DOI] [PubMed] [Google Scholar]
  4. Hampton M. L., Anderson J., Lavizzo B. S., Bergmen A. B. Sickle cell "nondisease". A potentially serious public health problem. Am J Dis Child. 1974 Jul;128(1):58–61. [PubMed] [Google Scholar]
  5. Knott P. D., Penketh R. J., Lucas M. K. Uptake of amniocentesis in women aged 38 years or more by the time of the expected date of delivery: a two-year retrospective study. Br J Obstet Gynaecol. 1986 Dec;93(12):1246–1250. doi: 10.1111/j.1471-0528.1986.tb07859.x. [DOI] [PubMed] [Google Scholar]
  6. Marteau T. M. Screening in practice: Reducing the psychological costs. BMJ. 1990 Jul 7;301(6742):26–28. doi: 10.1136/bmj.301.6742.26. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. McQueen D. V. Social aspects of genetic screening for Tay-Sachs disease: the pilot community screening program in Baltimore and Washington. Soc Biol. 1975 Summer;22(2):125–133. doi: 10.1080/19485565.1975.9988157. [DOI] [PubMed] [Google Scholar]
  8. Riordan J. R., Rommens J. M., Kerem B., Alon N., Rozmahel R., Grzelczak Z., Zielenski J., Lok S., Plavsic N., Chou J. L. Identification of the cystic fibrosis gene: cloning and characterization of complementary DNA. Science. 1989 Sep 8;245(4922):1066–1073. doi: 10.1126/science.2475911. [DOI] [PubMed] [Google Scholar]
  9. Stoate H. G. Can health screening damage your health? J R Coll Gen Pract. 1989 May;39(322):193–195. [PMC free article] [PubMed] [Google Scholar]
  10. Sujansky E., Kreutzer S. B., Johnson A. M., Lezotte D. C., Schrier R. W., Gabow P. A. Attitudes of at-risk and affected individuals regarding presymptomatic testing for autosomal dominant polycystic kidney disease. Am J Med Genet. 1990 Apr;35(4):510–515. doi: 10.1002/ajmg.1320350413. [DOI] [PubMed] [Google Scholar]
  11. Tymstra T., Bieleman B. The psychosocial impact of mass screening for cardiovascular risk factors. Fam Pract. 1987 Dec;4(4):287–290. doi: 10.1093/fampra/4.4.287. [DOI] [PubMed] [Google Scholar]
  12. Weinstein N. D. Why it won't happen to me: perceptions of risk factors and susceptibility. Health Psychol. 1984;3(5):431–457. doi: 10.1037//0278-6133.3.5.431. [DOI] [PubMed] [Google Scholar]
  13. Wooldridge E. Q., Murray R. F., Jr The Health Orientation Scale: a measure of feelings about sickle cell trait. Soc Biol. 1988 Spring-Summer;35(1-2):123–136. doi: 10.1080/19485565.1988.9988694. [DOI] [PubMed] [Google Scholar]
  14. Zeesman S., Clow C. L., Cartier L., Scriver C. R. A private view of heterozygosity: eight-year follow-up study on carriers of the Tay-Sachs gene detected by high school screening in Montreal. Am J Med Genet. 1984 Aug;18(4):769–778. doi: 10.1002/ajmg.1320180424. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Medical Genetics are provided here courtesy of BMJ Publishing Group

RESOURCES