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Offer and uptake of prenatal screening for Down syndrome in women from different social and ethnic backgrounds
Author(s) -
Rowe Rachel,
Puddicombe David,
Hockley Christine,
Redshaw Maggie
Publication year - 2008
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.2125
Subject(s) - ethnic group , down syndrome , prenatal diagnosis , medicine , prenatal care , prenatal screening , pregnancy , obstetrics , genetics , fetus , psychiatry , biology , sociology , anthropology
Objective To compare offer and uptake of prenatal screening for Down syndrome in women from different social and ethnic backgrounds. Method A total of 4800 randomly selected women in England were sent a survey three months after they had given birth; 2960 women responded. Odds ratios (OR) for reported offer and uptake of screening comparing women by area deprivation and ethnicity were calculated. Results In all, 65% of women reported having screening; 89% reported being offered screening, and 69% of these reported taking up the offer. There was no evidence of a difference in the reported offer (adjusted OR = 0.88, 95% confidence interval (CI) 0.65–1.19, p = 0.41) or uptake (adjusted OR = 0.84, 95% CI 0.66–1.06, p = 0.15) of screening for women living in the most deprived areas compared with other women. Asian women were less likely to report being offered screening than White women (adjusted OR = 0.61, 95% CI 0.39–0.94, p = 0.02) and were less likely to take up screening when offered (adjusted OR = 0.48, 95% CI 0.33–0.72, p < 0.001). Conclusions While most pregnant women in England are offered prenatal screening for Down syndrome, approximately 1 in 10 is not. Asian women are less likely than White women to report being offered Down syndrome screening and are less likely to have a screening test when offered. Copyright © 2008 John Wiley & Sons, Ltd.