Socioeconomic Barriers to Informed Decisionmaking Regarding Maternal Serum Screening for Down Syndrome

Results of the French National Perinatal Survey of 1998

Datos Bibliográficos

ID11035481
AutoresBabak Khoshnood (0000-0002-4031-4915, The authors are with L’Institut National de la Santé et de la Recherche Médicale (INSERM), Villejuif, France.), Béatrice Blondel (0000-0002-9367-8317, The authors are with L’Institut National de la Santé et de la Recherche Médicale (INSERM), Villejuif, France.), Catherine De Vigan (The authors are with L’Institut National de la Santé et de la Recherche Médicale (INSERM), Villejuif, France.), Gérard Breart (0000-0003-3142-9128, The authors are with L’Institut National de la Santé et de la Recherche Médicale (INSERM), Villejuif, France.)
Año2004
Volumen94
Número3
Páginas484-491
Fecha de publicación2004-03-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.94.3.484
PMID14998818
OpenAlexW2084030165
IdiomaEN
Citas recibidas3
Referencias citadas22

Objectives. We sought to evaluate socioeconomic disparities in serum screening for Down syndrome and assess whether such disparities are more likely to reflect limits in access or information or, rather, informed decisionmaking. Methods. A nationally representative sample of 12 869 French women completed interviews after giving birth. Results. We found substantial disparities in the likelihood of (1) women not being offered screening, (2) screening not being offered as a result of late prenatal care, and (3) women not knowing whether or not they had undergone screening. Except in the case of nationality, there was essentially no evidence of differences in refusal of testing. Conclusions. Rather than representing informed decisionmaking, socioeconomic disparities in screening for Down syndrome are mostly due to limits in access or to information

Down syndrome · Environmental health · Family medicine · Immigration · Nationality · Political science · Population · Prenatal care · Psychiatry · Socioeconomic status · Sociology · Demography · Disability Rights and Representation · Down syndrome and intellectual disability research · Medicine · Prenatal Screening and Diagnostics