Characteristics of women who refuse an offer of prenatal diagnosis

Data from the California maternal serum alpha fetoprotein blood test experience

Nancy Press, C. H. Browner

Research output: Contribution to journalArticle

66 Citations (Scopus)

Abstract

This paper presents data from the California maternal serum alpha fetoprotein (MSAFP) program in order to explore the effect and interaction of various factors, especially ethnicity, abortion history and attitudes, religion, and religiosity on MSAFP test decision. The intent is to describe which women are more likely to reject MSAFP screening and also to understand the reasons for refusal and the meanings associated with it. We obtained data on sociodemographics and reproductive history from 595 obstetrical patient charts; we conducted semistructured interviews with an additional 158 pregnant women who were European-American, English-speaking Latina, or Spanish-speaking Latina. All of the women had been offered screening within the context of California's MSAFP Program. We found that women who had never terminated a pregnancy, Spanish-speaking Latinas, and women who scored high on a religiosity scale were significantly more likely to refuse testing. However, we found that all of those factors were strongly mediated by the effects of ethnicity and acculturation, producing different patterns of association in different groups of women.

Original languageEnglish (US)
Pages (from-to)433-445
Number of pages13
JournalAmerican Journal of Medical Genetics
Volume78
Issue number5
DOIs
StatePublished - Aug 6 1998
Externally publishedYes

Fingerprint

alpha-Fetoproteins
Hematologic Tests
Prenatal Diagnosis
Mothers
Hispanic Americans
Serum
Acculturation
Reproductive History
Induced Abortion
Religion
Pregnant Women
Interviews
Pregnancy

Keywords

  • Abortion
  • Ethnicity
  • Maternal serum alpha fetoprotein
  • Prenatal diagnosis
  • Religiosity

ASJC Scopus subject areas

  • Genetics(clinical)

Cite this

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abstract = "This paper presents data from the California maternal serum alpha fetoprotein (MSAFP) program in order to explore the effect and interaction of various factors, especially ethnicity, abortion history and attitudes, religion, and religiosity on MSAFP test decision. The intent is to describe which women are more likely to reject MSAFP screening and also to understand the reasons for refusal and the meanings associated with it. We obtained data on sociodemographics and reproductive history from 595 obstetrical patient charts; we conducted semistructured interviews with an additional 158 pregnant women who were European-American, English-speaking Latina, or Spanish-speaking Latina. All of the women had been offered screening within the context of California's MSAFP Program. We found that women who had never terminated a pregnancy, Spanish-speaking Latinas, and women who scored high on a religiosity scale were significantly more likely to refuse testing. However, we found that all of those factors were strongly mediated by the effects of ethnicity and acculturation, producing different patterns of association in different groups of women.",
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