Are genetic tests exceptional? Lessons from a qualitative study on thrombophilia

Policy makers have suggested that information about genetic risk factors, which are associated with low risk and for which preventive strategies exist, should not be considered “exceptional” and should not warrant special safeguards, such as data protection or specialist pre-test counselling. There...

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Main Authors: Paula Saukko, Suzanne H. Richards, Maggie H. Shepherd, John L. Campbell
Format: Default Article
Published: 2006
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UK
Online Access:https://hdl.handle.net/2134/5637
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spelling rr-article-94748032006-01-01T00:00:00Z Are genetic tests exceptional? Lessons from a qualitative study on thrombophilia Paula Saukko (1254435) Suzanne H. Richards (7188797) Maggie H. Shepherd (7188800) John L. Campbell (5180906) Other human society not elsewhere classified Other language, communication and culture not elsewhere classified Thrombophilia Deep vein thrombosis Patient perceptions UK Language, Communication and Culture not elsewhere classified Studies in Human Society not elsewhere classified Policy makers have suggested that information about genetic risk factors, which are associated with low risk and for which preventive strategies exist, should not be considered “exceptional” and should not warrant special safeguards, such as data protection or specialist pre-test counselling. There is scant research on how such risk factors are perceived, and to explore this we conducted qualitative interviews with 42 participants who had undergone testing in the South West of England for a low risk genetic susceptibility to deep vein thrombosis (DVT). Generally the participants, who were mostly women, thought the test was less serious than a genetic test for a predisposition to breast cancer or a non-genetic, diagnostic test for diabetes. They had used the genetic information to reduce their risk of DVTs by avoiding oral contraceptives and hormone replacement therapy but had not changed their lifestyle. Many considered pre-test genetic counselling unnecessary. However, a subgroup of participants, who were often less educated or at a high risk, were distressed and/or confused about thrombophilia and thought pre-test counselling would have been helpful. The findings indicate an emerging interpretation of genetics not as revealing exceptional or “in depth” knowledge about one's health and identity but as occasionally relevant surface information, which participants use to make specific health decisions but not to transform their everyday lives. However, the views of the subgroup indicate that some participants interpret thrombophilia as serious and/or need special support. 2006-01-01T00:00:00Z Text Journal contribution 2134/5637 https://figshare.com/articles/journal_contribution/Are_genetic_tests_exceptional_Lessons_from_a_qualitative_study_on_thrombophilia/9474803 CC BY-NC-ND 4.0
institution Loughborough University
collection Figshare
topic Other human society not elsewhere classified
Other language, communication and culture not elsewhere classified
Thrombophilia
Deep vein thrombosis
Patient perceptions
UK
Language, Communication and Culture not elsewhere classified
Studies in Human Society not elsewhere classified
spellingShingle Other human society not elsewhere classified
Other language, communication and culture not elsewhere classified
Thrombophilia
Deep vein thrombosis
Patient perceptions
UK
Language, Communication and Culture not elsewhere classified
Studies in Human Society not elsewhere classified
Paula Saukko
Suzanne H. Richards
Maggie H. Shepherd
John L. Campbell
Are genetic tests exceptional? Lessons from a qualitative study on thrombophilia
description Policy makers have suggested that information about genetic risk factors, which are associated with low risk and for which preventive strategies exist, should not be considered “exceptional” and should not warrant special safeguards, such as data protection or specialist pre-test counselling. There is scant research on how such risk factors are perceived, and to explore this we conducted qualitative interviews with 42 participants who had undergone testing in the South West of England for a low risk genetic susceptibility to deep vein thrombosis (DVT). Generally the participants, who were mostly women, thought the test was less serious than a genetic test for a predisposition to breast cancer or a non-genetic, diagnostic test for diabetes. They had used the genetic information to reduce their risk of DVTs by avoiding oral contraceptives and hormone replacement therapy but had not changed their lifestyle. Many considered pre-test genetic counselling unnecessary. However, a subgroup of participants, who were often less educated or at a high risk, were distressed and/or confused about thrombophilia and thought pre-test counselling would have been helpful. The findings indicate an emerging interpretation of genetics not as revealing exceptional or “in depth” knowledge about one's health and identity but as occasionally relevant surface information, which participants use to make specific health decisions but not to transform their everyday lives. However, the views of the subgroup indicate that some participants interpret thrombophilia as serious and/or need special support.
format Default
Article
author Paula Saukko
Suzanne H. Richards
Maggie H. Shepherd
John L. Campbell
author_facet Paula Saukko
Suzanne H. Richards
Maggie H. Shepherd
John L. Campbell
author_sort Paula Saukko (1254435)
title Are genetic tests exceptional? Lessons from a qualitative study on thrombophilia
title_short Are genetic tests exceptional? Lessons from a qualitative study on thrombophilia
title_full Are genetic tests exceptional? Lessons from a qualitative study on thrombophilia
title_fullStr Are genetic tests exceptional? Lessons from a qualitative study on thrombophilia
title_full_unstemmed Are genetic tests exceptional? Lessons from a qualitative study on thrombophilia
title_sort are genetic tests exceptional? lessons from a qualitative study on thrombophilia
publishDate 2006
url https://hdl.handle.net/2134/5637
_version_ 1797739802417692672