与罕见疾病遗传检测相关的耻辱感 - - 原因和建议
Gareth Baynam1,2,3, Roy Gomez4, Ritu Jain5,6
1Undiagnosed Diseases Program -WA, Genetic Services of WA, King Edward Memorial Hospital, Subiaco, WA, Australia.
Frontiers in genetics
|April 19, 2024
概括
耻辱感显著影响生活在罕见遗传疾病 (RDs) 的人及其家人,影响生活质量和护理. 需要更多关于耻辱的研究.
科学领域:
- 医学遗传学 医学遗传学
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
背景情况:
- 罕见疾病 (RDs) 影响全球每10人中就有1人,其中71.9%具有遗传起源.
- 患有罕见遗传疾病带来独特的挑战,包括对家庭的社会和心理影响.
- 耻辱是罕见病患者 (PLWRD) 的普遍问题,影响了他们的整个医疗保健旅程.
研究的目的:
- 审查现有的关于与罕见疾病遗传检测相关的耻辱的文献.
- 探索与罕见疾病遗传检测中的耻辱相关的挑战和潜在干预措施.
- 发现研究中的差距,特别是关于低收入和中等收入国家 (LMICs).
主要方法:
- 在PubMed和Embase数据库中进行了文献搜索.
- 确定了2013年1月至2023年2月期间发表的文章,重点关注污名和罕见疾病.
- 审查的重点是罕见疾病遗传测试背景下的耻辱感.
主要成果:
- 只有有限的研究专门研究了耻辱和罕见疾病遗传测试的动态.
- 污名化对LMIC患者的治疗结果和潜在干预措施的影响仍未得到充分研究.
- 耻辱对罕见病患者的生活质量产生不利影响.
结论:
- 进一步的研究至关重要,以了解和解决耻辱对接受罕见疾病遗传测试的个体的多方面的影响.
- 开发有针对性的干预措施是必要的,以减轻耻辱的负面影响,特别是在资源有限的环境中.
- 解决污名化问题对于改善罕见病患者及其家属的福祉和医疗保健经验至关重要.
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