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Published in: Journal of Assisted Reproduction and Genetics 5/2015

01-05-2015 | Assisted Reproduction Technologies

Public perspectives on the use of preimplantation genetic diagnosis

Authors: William D. Winkelman, Stacey A. Missmer, Dale Myers, Elizabeth S. Ginsburg

Published in: Journal of Assisted Reproduction and Genetics | Issue 5/2015

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Abstract

Purpose

To study the perspectives of the United States population towards the use of preimplantation genetic diagnosis (PGD) in various clinical scenarios.

Methods

Online cross-sectional population based questionnaire of a nationally representative sample according to age, gender, race/ethnicity, income, education and religion.

Results

A total of 1006 completed the questionnaire with an overall response rate of 94 %. A majority supported PGD for diseases fatal early in life or those causing lifelong disability (72.9 and 66.7 %, respectively); only 48.0 % supported PGD for diseases that manifest late in life. Respondents were more supportive of PGD for genetic diseases if they were aware of PGD prior to the survey (OR = 1.64; CI = 1.13–2.39). However, a small proportion were in favor of genetically-based trait selection: 21.1 % supported PGD for sex selection, 14.6 % for physical traits and 18.9 % for personality traits. Compared to women, men were nearly two- to three-fold more supportive of PGD for sex selection (OR = 1.65; CI = 1.20–2.78), physical traits (OR = 2.38; CI = 1.60–3.48) and personality traits (OR = 2.31; CI = 1.64–3.26). Compared to Caucasians, Asians (OR = 3.87; CI = 1.71–8.78) and African Americans (OR = 1.61; CI = 1.04–2.74) were more supportive of PGD for sex selection.

Conclusions

In a nationally representative sample, a majority supported PGD to identify early onset diseases. We noted significant variation in opinions by sex, race, and education. There was more support among those with prior knowledge of PGD suggesting that education about PGD may foster favorable opinions. This study identifies public knowledge and attitudes that may be used to shape future research hypotheses and clinical policies.
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Metadata
Title
Public perspectives on the use of preimplantation genetic diagnosis
Authors
William D. Winkelman
Stacey A. Missmer
Dale Myers
Elizabeth S. Ginsburg
Publication date
01-05-2015
Publisher
Springer US
Published in
Journal of Assisted Reproduction and Genetics / Issue 5/2015
Print ISSN: 1058-0468
Electronic ISSN: 1573-7330
DOI
https://doi.org/10.1007/s10815-015-0456-8

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