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Perception of genomic newborn screening among peripartum mothers

Abstract

Advances in genomic technology have generated possibilities for expanding newborn screening from traditional procedures to genomic newborn screening (gNBS). However, before the implementation of gNBS, it is crucial to address various aspects, including parental attitudes, at the national level. With this aim, we analyzed the attitudes and expectations of Slovenian peripartum mothers regarding gNBS and the acceptability of its implementation into the Slovenian health system. A questionnaire-based study was conducted on a convenience sample of 1136 peripartum mothers (a response rate of 84.1%) in a hospital setting in Slovenia. We measured participants’ level of general genetic knowledge, motivation to undergo gNBS, attitude toward its benefits and drawbacks, willingness to participate financially, and factors that would influence their decision to undergo gNBS. Most participants exhibited a positive attitude (83.2%) and were motivated to undertake gNBS (63.4%). They were willing to share genetic data and also contribute to the testing costs. Mothers with better genetic literacy and higher education level, and those with the familial genetic testing experiences were more supportive of gNBS. However, several emotional and socio-ethical concerns were raised regarding how the genetic information would influence family and social life.

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Fig. 1: Distributions of respondents’ answers.
Fig. 2: Distributions of respondents’ answers to five questions regarding the impact of genomic information from genomic newborn screening (gNBS) on their emotional and socio-ethical perceptions (higher score = higher agreement).
Fig. 3: Distributions of respondents’ answers to two multiple-choice questions.

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Data availability

The data that support the findings of this study are available upon request.

References

  1. Therrell BL, Padilla CD, Loeber JG, Kneisser I, Saadallah A, Borrajo GJC, et al. Current status of newborn screening worldwide: 2015. Semin Perinatol. 2015;39:171–87.

    Article  PubMed  Google Scholar 

  2. Battelino T, Kržišnik C, Pavlin K. Early detection and follow-up of children with phenylketonuria in Slovenia. Zdr Vestn. 1994;63:25–8.

    Google Scholar 

  3. Lampret BR, Remec ŽI, Torkar AD, Tanšek MŽ, Šmon A, Koračin V, et al. Expanded newborn screening program in Slovenia using tandem mass spectrometry and confirmatory next generation sequencing genetic testing. Zdr Varst. 2020;59:256–63.

    PubMed  PubMed Central  Google Scholar 

  4. Koracin V, Mlinaric M, Baric I, Brincat I, Djordjevic M, Drole Torkar A, et al. Current status of newborn screening in Southeastern Europe. Front Pediatr. 2021;9:648939.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Sikonja J, Groselj U, Scarpa M, la Marca G, Cheillan D, Kölker S, et al. Towards achieving equity and innovation in newborn screening across Europe. Int J Neonatal Screen. 2022;8:31.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Government Office for Science. Genomics beyond health [Internet]. 2022. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1049628/Genomics_Beyond_Health_Final_Report_Government_Office_for_Science.pdf

  7. Cornwall J, Slatter T, Guilford P, Print CG, Henaghan M, Wee R. Culture, law, ethics, and social implications: is society ready for advanced genomic medicine? Australas Med J. 2014;7:200–2.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Khoury MJ, Gwinn M, Yoon PW, Dowling N, Moore CA, Bradley L. The continuum of translation research in genomic medicine: how can we accelerate the appropriate integration of human genome discoveries into health care and disease prevention? Genet Med. 2007;9:665–74.

    Article  PubMed  Google Scholar 

  9. Wright CF, Kroese M. Evaluation of genetic tests for susceptibility to common complex diseases: why, when and how? Hum Genet. 2010;127:125–34.

    Article  PubMed  Google Scholar 

  10. Etchegary H. Public attitudes toward genetic risk testing and its role in healthcare. Per Med. 2014;11:509–22.

    Article  PubMed  CAS  Google Scholar 

  11. Etchegary H, Pullman D, Simmonds C, Rabie Z, Rahman P. Identifying aspects of public attitudes toward whole genome sequencing to inform the integration of genomics into care. Public Health Genom. 2021;24:229–40.

    Article  Google Scholar 

  12. LePoire E, Basu B, Walker L, Bowen DJ. What do people think about genetics? A systematic review. J Community Genet. 2019;10:171–87.

    Article  PubMed  Google Scholar 

  13. R Core Team. A language and environment for statistical computing [Internet]. Vienna, Austria: R Foundation for Statistical Computing; 2021. Available from: https://www.R-project.org/

  14. Screen4Rare. A multi-stakeholder initiative launched by IPOPI, ISNS and ESID [Internet]. [cited 2023 Oct 23]. Available from: https://screen4rare.org/

  15. EURORDIS - Rare Diseases Europe. Home [Internet]. [cited 2023 Oct 23]. Available from: https://www.eurordis.org/

  16. EURORDIS. Key principles for newborn screening [Internet]. 2021 [cited 2023 Oct 23]. Available from: https://www.eurordis.org/publications/key-principles-for-newborn-screening/

  17. Etchegary H, Dicks E, Green J, Hodgkinson K, Pullman D, Parfrey P. Interest in newborn genetic testing: a survey of prospective parents and the general public. Genet Test Mol Biomark. 2012;16:353–8.

    Article  Google Scholar 

  18. Waisbren SE, Bäck DK, Liu C, Kalia SS, Ringer SA, Holm IA, et al. Parents are interested in newborn genomic testing during the early postpartum period. Genet Med. 2015;17:501–4.

    Article  PubMed  Google Scholar 

  19. Moultrie RR, Paquin R, Rini C, Roche MI, Berg JS, Powell CM, et al. Parental views on newborn next generation sequencing: implications for decision support. Matern Child Health J. 2020;24:856–64.

    Article  PubMed  Google Scholar 

  20. Ballard LM, Horton RH, Fenwick A, Lucassen AM. Genome sequencing in healthcare: understanding the UK general public’s views and implications for clinical practice. Eur J Hum Genet. 2020;28:155–64.

    Article  PubMed  Google Scholar 

  21. Stark Z, Scott RH. Genomic newborn screening for rare diseases. Nat Rev Genet. 2023;24:1–12.

  22. ASHG - American Society of Human Genetics. Public attitudes toward genetics & genomics research: literature and polling review report [Internet]. 2020. Available from: https://www.ashg.org/wp-content/uploads/2020/01/2020-Public-Views-Genetics-Literature-Review.pdf

  23. Iskrov G, Ivanov S, Wrenn S, Stefanov R. Whole-genome sequencing in newborn screening-attitudes and opinions of Bulgarian pediatricians and geneticists. Front Public Health. 2017;5:308.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Ulm E, Feero WG, Dineen R, Charrow J, Wicklund C. Genetics professionals’ opinions of whole-genome sequencing in the newborn period. J Genet Couns. 2015;24:452–63.

    Article  PubMed  Google Scholar 

  25. Frost CJ, Andrulis IL, Buys SS, Hopper JL, John EM, Terry MB, et al. Assessing patient readiness for personalized genomic medicine. J Community Genet. 2019;10:109–20.

    Article  PubMed  Google Scholar 

  26. Bombard Y, Miller FA, Hayeems RZ, Barg C, Cressman C, Carroll JC, et al. Public views on participating in newborn screening using genome sequencing. Eur J Hum Genet. 2014;22:1248–54.

    Article  PubMed  PubMed Central  Google Scholar 

  27. EURORDIS. Juggling care and daily life. The balancing act of the rare disease community. A rare barometer survey [Internet]. 2017. Available from: https://download2.eurordis.org/rbv/2017_05_09_Social%20survey%20leaflet%20final.pdf

  28. European Union Agency for Fundamental Rights. EU Charter of Fundamental Rights [Internet]. 2021 [cited 2023 Oct 23]. Available from: http://fra.europa.eu/en/eu-charter/title/title-iii-equality

  29. United Nations. Convention on the Rights of Persons with Disabilities; Article 5 [Internet]. 2006. Available from: https://social.desa.un.org/issues/disability/crpd/convention-on-the-rights-of-persons-with-disabilities-crpd

  30. Joly Y, Dupras C, Pinkesz M, Tovino SA, Rothstein MA. Looking beyond GINA: policy approaches to address genetic discrimination. Annu Rev Genom Hum Genet. 2020;21:491–507.

    Article  CAS  Google Scholar 

  31. Wauters A, Van Hoyweghen I. Global trends on fears and concerns of genetic discrimination: a systematic literature review. J Hum Genet. 2016;61:275–82.

    Article  PubMed  CAS  Google Scholar 

  32. Downie L, Halliday J, Lewis S, Lunke S, Lynch E, Martyn M, et al. Exome sequencing in newborns with congenital deafness as a model for genomic newborn screening: the Baby Beyond Hearing project. Genet Med. 2020;22:937–44.

    Article  PubMed  Google Scholar 

  33. Pereira S, Smith HS, Frankel LA, Christensen KD, Islam R, Robinson JO, et al. Psychosocial effect of newborn genomic sequencing on families in the BabySeq Project: a randomized clinical trial. JAMA Pediatr. 2021;175:1132–41.

    Article  PubMed  Google Scholar 

  34. Goldenberg AJ, Dodson DS, Davis MM, Tarini BA. Parents’ interest in whole-genome sequencing of newborns. Genet Med. 2014;16:78–84.

    Article  PubMed  Google Scholar 

  35. Matro JM, Ruth KJ, Wong YN, McCully KC, Rybak CM, Meropol NJ, et al. Cost sharing and hereditary cancer risk: predictors of willingness-to-pay for genetic testing. J Genet Couns. 2014;23:1002–11.

    Article  PubMed  PubMed Central  Google Scholar 

  36. DeLuca JM. Public attitudes toward expanded newborn screening. J Pediatr Nurs. 2018;38:e19–23.

    Article  PubMed  Google Scholar 

  37. Ries NM, Hyde-Lay R, Caulfield T. Willingness to pay for genetic testing: a study of attitudes in a Canadian population. Public Health Genom. 2010;13:292–300.

    Article  CAS  Google Scholar 

  38. Tarini BA, Simon NJ, Payne K, Gebremariam A, Rose A, Prosser LA. An assessment of public preferences for newborn screening using best-worst scaling. J Pediatr. 2018;201:62–68.e1.

    Article  PubMed  Google Scholar 

  39. Persky S, Kaphingst KA, Condit CM, McBride CM. Assessing hypothetical scenario methodology in genetic susceptibility testing analog studies: a quantitative review. Genet Med. 2007;9:727–38.

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

The authors would like to thank Mr. Urh Prosenc for his help with editing/translating this paper. The authors also thank the nurses at the maternity wards for their help with surveying the mothers and all mothers for their participation in the study.

Funding

This study was a part of the project/program Gynecology and Reproduction: Genomics for Personalized Medicine and was financially supported by the Slovenian Research Agency (P3-0326).

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Authors

Contributions

BoP and BeP conceived and designed the study. Data was acquired by BeP, GK, and MH, and analyzed by MCS, BoP, BeP, and M.C.S contributed to the interpretation of the results. BeP and MCS wrote the manuscript, while BoP, GK, and MH revised it critically. BoP, BeP, GK, MH, and MCS gave the final approval and are accountable for all aspects of the work.

Corresponding author

Correspondence to Borut Peterlin.

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Competing interests

The authors declare no competing interests.

Ethics approval

This study protocol was reviewed and approved by Medical Ethics Committee of the Republic of Slovenia (No. 0120-464/2020/5). Written information about the study was provided to those who expressed interest in taking part.

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Prosenc, B., Cizek Sajko, M., Kavsek, G. et al. Perception of genomic newborn screening among peripartum mothers. Eur J Hum Genet 32, 163–170 (2024). https://doi.org/10.1038/s41431-023-01497-4

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  • DOI: https://doi.org/10.1038/s41431-023-01497-4

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