遺伝的非ポリポジス性大腸がんの家族における遺伝子検査
C Lerman1, C Hughes, B J Trock
1Lombardi Cancer Center, Georgetown University Medical Center, Washington, DC 20007-4104, USA. Lermanc@gunet.georgetown.edu
JAMA
|May 11, 1999
まとめ
遺伝性非多重性結腸がん (HNPCC) の家族のうち,遺伝検査を受け入れたのは43%のみでした. 教育水準の低下とうつ病症状,特に女性の場合は,HNPCCの遺伝子検査の利用に障壁となっている.
科学分野:
- 遺伝学 遺伝学とは
- 腫瘍学 腫瘍学
- 公衆衛生は公衆衛生である.
背景:
- 遺伝性非多重性大腸がん (HNPCC) の遺伝子検査が利用可能である.
- HNPCCの遺伝子検査の受け入れ率と障壁は不明です.
研究 の 目的:
- HNPCCの遺伝子検査の利用率を調査する.
- HNPCC遺伝子テストの利用率の予測要因を特定する.
主な方法:
- 4つのHNPCC家族から208人の成人を対象としたコホート研究.
- ベースラインの電話インタビュー,家族教育,遺伝カウンセリング.
- HNPCCのテスト結果に対する参加者の受け入れが評価された.
主要な成果:
- 家族の43%がHNPCCの遺伝子検査を受け入れた.
- 高等教育と遺伝学研究への参加は,テストの受験率を予測した.
- うつ病の症状は,特に女性では,HNPCCテストの使用が減少しました.
結論:
- HNPCCの家族のうち,遺伝子検査をするのはごく少数です.
- 障壁には,教育レベルが低いことや,特に女性ではうつ病などが挙げられます.
- 多様な集団や環境に対してさらなる研究が必要である.
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