Table 2.
Provision of prenatal screening and intentional participation in prenatal screening with CT and FAS
| Within native Dutch and immigrant generations | Within language proficiency level (LPL) group | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total | Native Dutch | First-gen. immigrant | Second-gen. immigrant | Total | Absent Dutch LPL | Limited Dutch LPL | Fluent Dutch LPL | |||||||||
| n | (%) | n | (%) | n | (%) | n | (%) | n | (%) | n | (%) | n | (%) | n | (%) | |
| First antenatal visit | ||||||||||||||||
| Late (≥11 weeks gestational age) | 1175 | (19) | 609 | 15e, f | 526 | (28)e, g | 40 | (22)e, g | 5765 | (21) | 235 | (41)b, c | 416 | (34)b, d | 5114 | (20)c, d |
| Step 1 | ||||||||||||||||
| Information offer | ||||||||||||||||
| CT (yes) | 5103 | (90) | 3450 | (94)e | 1492 | (84)e, g | 161 | (89)g | 24,030 | (89) | 373 | (71)b, c | 937 | (78)b, d | 22,720 | (90)c, d |
| FAS (yes) | 5470 | (96) | 3571 | (97)e | 1723 | (95)e | 176 | (98) | 25,163 | (94) | 485 | (90)b, c | 1123 | (93)b | 23,555 | (94) c |
| Counseling desired | ||||||||||||||||
| CT (yes) | 3960 | (73) | 2626 | (73) | 1204 | (72) | 130 | (76) | 17,996 | (76) | 287 | (80)b, c | 732 | (87)b | 16,977 | (90)c |
| FAS (yes) | 5377 | (96) | 3499 | (96) | 1707 | (96) | 171 | (97) | 23,351 | (98) | 465 | (97) | 1075 | (99) | 21,811 | (99) |
| Step 2 | ||||||||||||||||
| Counseling | ||||||||||||||||
| CT (yes) | 4009 | (76) | 2668 | (76)e | 126 | (77)e | 1215 | (74) | 19,503 | (79) | 303 | (67)b, c | 789 | (75)b d | 18,411 | (79)c, d |
| FAS (yes) | 3956 | (77) | 2522 | (75)e, f | 1284 | (79)e, g | 150 | (90)f, g | 17,477 | (74) | 296 | (64)b, c | 755 | (70)b, d | 16,426 | (75)c, d |
| Counseling setting | ||||||||||||||||
| Specific counseling consult | 1294 | (24) | 829 | (24) | 428 | (26) | 37 | (23) | 1749 | (23) | 74 | (37)b, c | 104 | (27)b, d | 571 | (23)c, d |
| Other | 4009 | (76) | 2668 | (76) | 1,215 | (74) | 126 | (77) | 5826 | (77) | 126 | (63)b, c | 277 | (73)b, d | 5423 | (77)c, d |
| Counseling CTa | ||||||||||||||||
| Leaflets | 3495 | (60) | 2834 | (61)e | 1033 | (56)e, g | 122 | (66) | 16,089 | (59) | 238 | (44)b, c | 85 | (56)b, d | 5611 | (60)c, d |
| Counseling (verbal explanation) | 3511 | (61) | 2329 | (62)e | 1063 | (57)e | 119 | (65) | 17,441 | (64) | 237 | (43)b, c | 719 | (56)b, d | 16,485 | (65)c, d |
| Website | 945 | (16) | 626 | (17)e, f | 303 | (16)e, g | 16 | (9)f, g | 4673 | (17) | 64 | (12)b, c | 208 | (17) b | 4401 | (17) c |
| Other | 17 | (<1) | 7 | (<1)e | 10 | (<1)e | 0 | (0) | 204 | (<1) | 21 | (4)b, c | 19 | (2)b, d | 164 | (1)c, d |
| Counseling FASa | ||||||||||||||||
| Leaflets | 4776 | (83) | 3072 | (82) | 1544 | (84) | 160 | (87) | 6753 | (82) | 170 | (70)b, c | 343 | (80)b | 6240 | (82)c |
| Counseling (verbal explanation) | 4683 | (81) | 3001 | (80)f | 1521 | (82) | 161 | (87)f | 21,956 | (82) | 428 | (78)c | 1003 | (82) | 20,525 | (82)c |
| Website | 988 | (17) | 637 | (17)f | 331 | (18)g | 20 | (11)f, g | 3952 | (15) | 75 | (14) | 192 | (16) | 3685 | (15) |
| Other | 110 | (2) | 77 | (2) | 32 | (2) | 1 | (<1) | 433 | (5) | 27 | (11)b, c | 32 | (7)b | 374 | (5)c |
| Step 3 | ||||||||||||||||
| Intention to participate in CTa | ||||||||||||||||
| Yes | 1250 | (22) | 966 | 26)e, f | 259 | 15)e, g | 25 | (14)e, f, g | 6084 | (23) | 66 | (13)c | 124 | (11)d | 5894 | (24)c, d |
| No | 2524 | (44) | 1638 | (44)e, f | 810 | (46)e, g | 76 | (42)e, f, g | 11,733 | (44) | 199 | (40)c | 551 | (47)d | 10,983 | (44)c, d |
| Thinking about | 1338 | (23) | 849 | (23)e, f | 429 | (25)e, g | 60 | (33)e, f, g | 6310 | (24) | 102 | (21)c | 270 | (23)d | 5938 | (24)c, d |
| Inapplicable/not asked | 581 | (10) | 255 | (7)e, f | 255 | (14)e, g | 21 | (11)e, f, g | 2526 | (9) | 127 | (26)c | 227 | (19)d | 1879 | (8)c, d |
| Intention to participate in FASa | ||||||||||||||||
| Yes | 5009 | (88) | 3286 | (89) | 1562 | (88) | 161 | (88) | 22,312 | (84) | 439 | (84) c | 993 | (85) | 20,880 | (85) c |
| No | 49 | (<1) | 31 | (<1) | 17 | (1) | 1 | (<1) | 443 | (2) | 10 | (2) c | 19 | (2) | 414 | (2) c |
| Thinking about | 412 | (7) | 261 | (7) | 137 | (8) | 14 | (8) | 2423 | (9) | 38 | (7)c | 103 | (9) | 2282 | (9)c |
| Inapplicable/not asked | 220 | (4) | 128 | (3) | 86 | (5) | 6 | (3) | 1470 | (5) | 33 | (6)c | 60 | (5) | 1046 | (4)c |
Significant differences = p-value between 0.001 and 0.05
PS prenatal screening, CT combined test, FAS fetal anomaly scan, gen generation
aMore than one answer is possible
bSignificant difference between absent Dutch language proficiency level and limited Dutch language proficiency level
cSignificant difference between absent Dutch language proficiency level and fluent Dutch language proficiency level
d Significant difference between limited Dutch language proficiency level and fluent Dutch language proficiency level
eSignificant difference between native Dutch and first-generation immigrants
fSignificant difference between native Dutch and second-generation immigrants
gSignificant difference between first- and second-generation immigrants