Factors affecting the utilization of genetic counseling services among Israeli Arab women

    loading  Checking for direct PDF access through Ovid

Abstract

Objectives

To assess the factors associated with utilization of genetic counseling services among pregnant Israeli Arab women.

Methods

A case–control study was conducted among 414 pregnant Arab women who were referred by a family physician or a perinatologist to genetic counseling services between 2008 and 2011. Data was collected using interviews, with both groups ‘users’ and ‘non-users’ of genetic counseling, based on a structured questionnaire including demographic, socio-economic, medical and cultural variables.

Results

In multivariate analysis, factors affecting women's utilization of genetic counseling service were high income level (OR 3.44, 95%CI 1.8–6.5, p < 0.001), high service accessibility (OR 0.75, 95%CI 0.67–0.84, p = 0.001), more positive attitude toward genetic counseling (OR 0.43, 95%CI 0.27–0.67, p = 0.012) and lower religiosity level (OR 1.40, 95%CI 0.94–2.09, p = 0.04). However, when we examined the following variable: pregnant woman's age, woman's education, consanguinity and pregnancy' age, knowledge level and the perspective toward abortion, no significant differences were found between the users and non-users groups.

Conclusions

The underutilization of genetic counseling services among pregnant Israeli Arab women was associated with the following: lower income level, attitude toward genetic counseling, accessibility to service and religiosity. Thus, it is advisable to expand genetic counseling service within this community. © 2014 John Wiley & Sons, Ltd.

Related Topics

    loading  Loading Related Articles