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The British Journal of General Practice logoLink to The British Journal of General Practice
. 1991 Jun;41(347):237–240.

Attitudes to carrier screening for cystic fibrosis: a survey of health care professionals, relatives of sufferers and other members of the public.

E K Watson 1, R Williamson 1, J Chapple 1
PMCID: PMC1371586  PMID: 1931202

Abstract

The gene which is mutated in cystic fibrosis has now been identified, thus permitting the detection of carriers in the general population. This paper reports pilot surveys in the North West Thames region of the health service to assess knowledge of people about cystic fibrosis and their attitudes towards screening. Three groups were surveyed: a group of relatives of those with cystic fibrosis (n = 268), a sample of the community (school pupils and family planning clinic attenders, n = 363), and a group of health care professionals (general practitioners and family planning clinic staff, n = 227). The relatives of cystic fibrosis sufferers were unanimously in favour of the introduction of cystic fibrosis screening, and the results indicate that there is likely to be support from the relevant health professionals: approximately 75% of respondents in the group of health care professionals believe the introduction of screening would be worthwhile. Data from the community sample suggest that, although knowledge of cystic fibrosis within the general community is low (less than 50% of respondents realized that cystic fibrosis affects the lungs and that no cure is available), there is likely to be considerable demand for carrier testing from the general public. Approximately 75% of the community sample indicated that they would like to be tested. There was no clear consensus, either from the professionals or the public, as to the best time to offer screening.

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Selected References

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

  1. Calnan M., Rutter D. R. Do health beliefs predict health behaviour? An analysis of breast self-examination. Soc Sci Med. 1986;22(6):673–678. doi: 10.1016/0277-9536(86)90039-0. [DOI] [PubMed] [Google Scholar]
  2. Community control of hereditary anaemias: memorandum from a WHO meeting. Bull World Health Organ. 1983;61(1):63–80. [PMC free article] [PubMed] [Google Scholar]
  3. Johnson I. S., Milner P. C., Todd J. N. An assessment of the effectiveness of cervical cytology screening in Sheffield. Community Med. 1987 May;9(2):160–170. [PubMed] [Google Scholar]
  4. Kerem B., Rommens J. M., Buchanan J. A., Markiewicz D., Cox T. K., Chakravarti A., Buchwald M., Tsui L. C. Identification of the cystic fibrosis gene: genetic analysis. Science. 1989 Sep 8;245(4922):1073–1080. doi: 10.1126/science.2570460. [DOI] [PubMed] [Google Scholar]
  5. Lench N., Stanier P., Williamson R. Simple non-invasive method to obtain DNA for gene analysis. Lancet. 1988 Jun 18;1(8599):1356–1358. doi: 10.1016/s0140-6736(88)92178-2. [DOI] [PubMed] [Google Scholar]
  6. Owen J. P., Rutt G., Keir M. J., Spencer H., Richardson D., Richardson A., Barclay C. Survey of general practitioners' opinions on the role of radiology in patients with low back pain. Br J Gen Pract. 1990 Mar;40(332):98–101. [PMC free article] [PubMed] [Google Scholar]
  7. 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]
  8. Roderick P., Victor C. R., Beardow R. Developing care in the community: GPs and the HIV epidemic. AIDS Care. 1990;2(2):127–132. doi: 10.1080/09540129008257723. [DOI] [PubMed] [Google Scholar]
  9. Rommens J. M., Iannuzzi M. C., Kerem B., Drumm M. L., Melmer G., Dean M., Rozmahel R., Cole J. L., Kennedy D., Hidaka N. Identification of the cystic fibrosis gene: chromosome walking and jumping. Science. 1989 Sep 8;245(4922):1059–1065. doi: 10.1126/science.2772657. [DOI] [PubMed] [Google Scholar]
  10. Thomas K., Birch S., Milner P., Nicholl J., Westlake L., Williams B. Estimates of general practitioner workload: a review. J R Coll Gen Pract. 1989 Dec;39(329):509–513. [PMC free article] [PubMed] [Google Scholar]
  11. Watson E., Williamson B., Brueton L., Winter R. Genetic counselling for cystic fibrosis based upon mutation/haplotype analysis. Lancet. 1990 Jul 21;336(8708):190–191. doi: 10.1016/0140-6736(90)91725-p. [DOI] [PubMed] [Google Scholar]
  12. Wilcken B., Chalmers G. Reduced morbidity in patients with cystic fibrosis detected by neonatal screening. Lancet. 1985 Dec 14;2(8468):1319–1321. doi: 10.1016/s0140-6736(85)92623-6. [DOI] [PubMed] [Google Scholar]
  13. Williamson R., Allison M. E., Bentley T. J., Lim S. M., Watson E., Chapple J., Adam S., Boulton M. Community attitudes to cystic fibrosis carrier testing in England: a pilot study. Prenat Diagn. 1989 Oct;9(10):727–734. doi: 10.1002/pd.1970091008. [DOI] [PubMed] [Google Scholar]

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