Latinx individuals’ knowledge of, preferences for, and experiences with prenatal genetic testing: a scoping review

Plain language summary Significant racial, ethnic, and language disparities exist in prenatal genetic testing (PGT). Latina (Latinx) people, one of the fastest growing ethnic groups in the United States, have low acceptance rates of PGT. This scoping review provides a systematic search of the litera...

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Main Authors: Natalie Grafft, Andrew A. Dwyer, María Pineros-Leano
Format: Article
Language:English
Published: BMC 2022-06-01
Series:Reproductive Health
Subjects:
Online Access:https://doi.org/10.1186/s12978-022-01438-2
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author Natalie Grafft
Andrew A. Dwyer
María Pineros-Leano
author_facet Natalie Grafft
Andrew A. Dwyer
María Pineros-Leano
author_sort Natalie Grafft
collection DOAJ
description Plain language summary Significant racial, ethnic, and language disparities exist in prenatal genetic testing (PGT). Latina (Latinx) people, one of the fastest growing ethnic groups in the United States, have low acceptance rates of PGT. This scoping review provides a systematic search of the literature to better understand Latinx individuals’ knowledge of, preferences for, and experiences with PGT. Eight electronic data bases were systematically searched and identified articles underwent title, abstract, full text, and reference review. Iterative thematic analysis was conducted to group article findings into themes. Thirty-five studies met inclusion criteria and three overarching themes were identified: genetic knowledge/literacy, provider (mis)communication/patient satisfaction, and cross-cultural beliefs. Findings indicate that discordant patient-provider decision making and language and patient provider miscommunication pose barriers to high-quality PGT decisions. Latinx individuals’ understanding and recall of PGT information is improved when delivered in a culturally and linguistically concordant manner. This suggests culturally-informed interventions, including the use of community health workers or cultural brokers, may enhance PGT acceptability and support high quality pregnancy decisions.
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spelling doaj.art-ac590d6bcc294855a7fd21629062f3442022-12-22T00:18:42ZengBMCReproductive Health1742-47552022-06-0119112110.1186/s12978-022-01438-2Latinx individuals’ knowledge of, preferences for, and experiences with prenatal genetic testing: a scoping reviewNatalie Grafft0Andrew A. Dwyer1María Pineros-Leano2School of Social Work, Boston CollegeWilliam F. Connell School of Nursing, Boston CollegeSchool of Social Work, Boston CollegePlain language summary Significant racial, ethnic, and language disparities exist in prenatal genetic testing (PGT). Latina (Latinx) people, one of the fastest growing ethnic groups in the United States, have low acceptance rates of PGT. This scoping review provides a systematic search of the literature to better understand Latinx individuals’ knowledge of, preferences for, and experiences with PGT. Eight electronic data bases were systematically searched and identified articles underwent title, abstract, full text, and reference review. Iterative thematic analysis was conducted to group article findings into themes. Thirty-five studies met inclusion criteria and three overarching themes were identified: genetic knowledge/literacy, provider (mis)communication/patient satisfaction, and cross-cultural beliefs. Findings indicate that discordant patient-provider decision making and language and patient provider miscommunication pose barriers to high-quality PGT decisions. Latinx individuals’ understanding and recall of PGT information is improved when delivered in a culturally and linguistically concordant manner. This suggests culturally-informed interventions, including the use of community health workers or cultural brokers, may enhance PGT acceptability and support high quality pregnancy decisions.https://doi.org/10.1186/s12978-022-01438-2Health literacyGenetic counselingGenetic testingGenomic healthcareGenetic literacyAttitudes
spellingShingle Natalie Grafft
Andrew A. Dwyer
María Pineros-Leano
Latinx individuals’ knowledge of, preferences for, and experiences with prenatal genetic testing: a scoping review
Reproductive Health
Health literacy
Genetic counseling
Genetic testing
Genomic healthcare
Genetic literacy
Attitudes
title Latinx individuals’ knowledge of, preferences for, and experiences with prenatal genetic testing: a scoping review
title_full Latinx individuals’ knowledge of, preferences for, and experiences with prenatal genetic testing: a scoping review
title_fullStr Latinx individuals’ knowledge of, preferences for, and experiences with prenatal genetic testing: a scoping review
title_full_unstemmed Latinx individuals’ knowledge of, preferences for, and experiences with prenatal genetic testing: a scoping review
title_short Latinx individuals’ knowledge of, preferences for, and experiences with prenatal genetic testing: a scoping review
title_sort latinx individuals knowledge of preferences for and experiences with prenatal genetic testing a scoping review
topic Health literacy
Genetic counseling
Genetic testing
Genomic healthcare
Genetic literacy
Attitudes
url https://doi.org/10.1186/s12978-022-01438-2
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AT mariapinerosleano latinxindividualsknowledgeofpreferencesforandexperienceswithprenatalgenetictestingascopingreview