Cystic Fibrosis Screening
Methods The sample comprised all
carriers (n=435) and, for each carrier, two matched screen-negative
individuals (n=870) detected during screening programmes for cystic
fibrosis in the general population and in antenatal populations carried
out a median of 3 years earlier in six UK centres. Questionnaires were
sent to all eligible participants, with reminders sent to
non-responders. The main endpoints were understanding of test results,
degree of anxiety, perceptions of health, and reproductive intentions,
and behaviour.
Findings 746 (62%)
of 1201 questionnaires were returned. Recall of the meaning of test
results was accurate in 225 (80%) of 280 carriers but only 200 (43%) of
466 screen-negative individuals. 46 (16%) of 280 proven carriers
believed that their result meant that they were only likely, rather than
definitely, to be a carrier; 232 (50%) of 466 of those with a
screen-negative result erroneously believed that the result meant that
they were definitely not carriers. There was no significant difference
between carriers and screen-negative individuals in degree of general
anxiety, although 16% of carriers reported feeling worried about their
test results. Carriers had a poorer perception of their current health
than did non-carriers, even though they had been told that carrier
status confers no disadvantages to their own health. There were no
differences between carriers and screen-negative individuals in
reproductive intentions or behaviour.
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