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Female and male perspectives on male partner roles in expanded carrier screening
Journal of Assisted Reproduction and Genetics ( IF 3.1 ) Pub Date : 2021-01-06 , DOI: 10.1007/s10815-020-02029-5
Sarah Jurgensmeyer 1 , Sarah Walterman 2 , Andrew Wagner 2, 3 , Kenny Wong 4 , Annie Bao 1 , Sarah Stueber 3 , Sara Spencer 2
Affiliation  

Purpose

To explore facilitators and barriers for male partner follow through carrier screening (CS) after their female partners were identified as carriers, from both male and female perspectives.

Methods

Participants were either females identified as a carrier through CS (512 participants) or males who had CS (125 participants). Participants were recruited via e-mails with survey links. The survey explored factors surrounding decisions to pursue CS or not.

Results

Males who attended the females’ CS appointment were more likely to have CS (OR: 2.07). More male partners of females identified as carriers of severe or profound conditions pursued CS (82.0%) than male partners of females who were carriers for moderate conditions (50.0%). Logistic factors were more impactful for males who pursued CS. Females whose male partners did not test endorsed personal belief factors as most impactful, reporting the perceived low risk (75.0%) and his low concern for the specific condition (65.5%) were the top reasons their partners did not test.

Conclusion

Many factors impact how male partners appraise reproductive risk from CS and make decisions regarding their own screening. Advising that male partners attend CS appointments may increase the likelihood of follow through CS. Thorough and repeated risk counseling is indicated.



中文翻译:

扩大携带者筛查中男性伴侣角色的女性和男性观点

目的

从男性和女性的角度探讨男性伴侣在其女性伴侣被确定为携带者后进行携带者筛查 (CS) 的促进因素和障碍。

方法

参与者是通过 CS 确定为携带者的女性(512 名参与者)或患有 CS 的男性(125 名参与者)。参与者是通过带有调查链接的电子邮件招募的。该调查探讨了决定是否追求 CS 的因素。

结果

参加女性 CS 预约的男性更有可能患有 CS(OR:2.07)。被确定为严重或严重疾病携带者的女性男性伴侣接受 CS (82.0%) 比患有中度疾病携带者的女性男性伴侣 (50.0%) 更多。后勤因素对追求 CS 的男性影响更大。男性伴侣未测试的女性认为个人信念因素最具影响力,报告认为低风险(75.0%)和他对特定条件的低关注(65.5%)是其伴侣未测试的主要原因。

结论

许多因素会影响男性伴侣如何评估 CS 的生殖风险并就他们自己的筛查做出决定。建议男性伴侣参加 CS 预约可能会增加跟进 CS 的可能性。需要进行彻底和反复的风险咨询。

更新日期:2021-01-07
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