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Views of reproductive genetic carrier screening participants regarding screening for genes associated with non‐syndromic hearing loss
Author(s) -
Freeman Lucinda,
Delatycki Martin B.,
Leach Scully Jackie,
Kirk Edwin P.
Publication year - 2022
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.6253
Subject(s) - hearing loss , psychological intervention , reproductive health , medicine , reproductive medicine , inclusion (mineral) , audiology , pregnancy , psychology , genetics , biology , psychiatry , environmental health , population , social psychology
Objective Reproductive genetic carrier screening (RGCS) panels often include genes associated with non‐syndromic hearing loss (NSHL) despite a lack of evidence of acceptability. Although some couples take steps to avoid having a child who is deaf, there are effective interventions for children who are deaf. There is no consensus whether deafness is considered a disabling condition. Method This study explored views of people who had RGCS, without genes for NSHL, about this topic. Online surveys were sent to 2186 people who had a low chance RGCS result and 655 completed the survey (participation rate 30%). Results Sixty‐three percent ( N  = 412) think deafness is a serious health condition. The majority agreed (60%, N  = 391) that with support (i.e. hearing aids/cochlear implants) deafness is a minor condition in children. Most (84%, N  = 545) agreed genes for NSHL should be included in RGCS. Thirty‐five percent ( N  = 231) indicated they would make different reproductive decisions if they had an increased chance of having a child born deaf; 31% would not change their reproductive plans and 34% were unsure what they would do. Conclusion While the majority support inclusion of genes associated with NSHL in RGCS, there was uncertainty about the severity of deafness as a health condition and there was no consensus on whether it is a health condition that warrants changing reproductive decisions.

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