对种族和种族多样化的人口进行遗传咨询过程和策略:系统性审查
Mrunmayee Shete1, Megan Kocher2, Rebekah Pratt3
1Department of Genetics, Cell Biology & Development, University of Minnesota-Twin Cities, Minneapolis, Minnesota, USA.
Journal of genetic counseling
|September 25, 2023
概括
针对不同人群的基因咨询需要社区参与和特定文化资源. 需要进一步的研究来衡量这些策略在改善患者护理方面的有效性.
科学领域:
- 遗传学 遗传学 是一个
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 遗传咨询策略会影响患者和人口的结果.
- 针对不同种族和族裔群体量身定制的遗传咨询尚未得到充分探索.
- 了解这些量身定制的策略对于提高遗传咨询的有效性至关重要.
研究的目的:
- 识别不同种族和民族群体的遗传咨询策略.
- 探索改善遗传咨询结果的方法.
- 综合当前关于文化定制遗传咨询的研究.
主要方法:
- 从Medline,Cochrane CENTRAL,Embase,PsychInfo和CINAHL的文献进行系统的审查.
- 包含英语原创研究文章,重点是针对不同人群的遗传咨询.
- 分析了36篇从5300多个标题和摘要中选出的文章.
主要成果:
- 出现了三个关键主题:社区参与定制,使用文化特定资源,以及咨询过程的修改.
- 缺乏一致的结果措施阻止了对战略有效性的评估.
- 确定的策略集中在遗传咨询的文化适应上.
结论:
- 让多样化的人群参与开发遗传咨询工具对于公平的患者护理至关重要.
- 未来的研究应该专注于一致的结果措施,以评估战略的有效性.
- 文化定制的方法对于改善所有人群的遗传咨询至关重要.
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