中低收入国家初级保健从业人员的知识、态度和实践:遗传学范围界定综述。

IF 1.5 Q4 GENETICS & HEREDITY Journal of Community Genetics Pub Date : 2024-10-01 Epub Date: 2024-08-09 DOI:10.1007/s12687-024-00721-y
Sarah Walters, Colleen Aldous, Helen Malherbe
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引用次数: 0

摘要

个性化治疗,包括遗传学服务,要求初级保健医生(PHCPs)在诊断和护理遗传病患者方面发挥更大的作用。初级保健医生的遗传学知识和实践必须与时俱进,以确保提供充分的护理。我们进行了一次范围界定综述,以探究有关初级保健从业人员在遗传学、基因检测和基因服务方面的知识、态度和实践(KAPs)的同行评审文章。研究纳入了 1990 年 1 月至 2022 年 4 月期间在中低收入国家(LMICs)发表的英文人类遗传学/基因组学文章。来自世界卫生组织(WHO)定义的五个地区的 16 个中低收入国家的 28 篇文章符合纳入标准,这些文章的发表量呈稳步增长趋势,但各地区的贡献各不相同。东地中海地区(EMR)发表的文章最多(n = 8),而西太平洋地区(WPR)发表的文章最少(n = 2)。巴西发表的文章最多(n = 6),而 10 个国家各撰写了一篇文章。15 篇文章涉及对遗传学的认识,19 篇文章涉及对遗传学的态度,8 篇文章涉及遗传学实践。研究结果表明,尽管低收入和中等收入国家的初级保健医生对遗传学服务持积极态度,但他们对遗传学及其应用缺乏了解。资源有限、经济拮据、文化或宗教信仰等障碍阻碍了遗传学服务的获取。加强保健医生的遗传学教育对于改善对遗传病患者的护理至关重要。低收入和中等收入国家的文献稀缺,这强调了对教育干预措施进行研究以改善患者预后和家庭支持的必要性。
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Knowledge, attitudes, and practices of primary healthcare practitioners in low- and middle-income countries: a scoping review on genetics.

Individualised treatment, including genetic services, calls for an increased role of primary healthcare practitioners (pHCPs) in diagnosing and caring for individuals with genetic conditions. PHCPs' genetics knowledge and practices must be current to ensure adequate care. A scoping review was conducted to explore peer-reviewed articles on the knowledge, attitudes, and practices (KAPs) of pHCPs concerning genetics, genetic testing, and genetic services. English-language human genetics/genomics articles published between January 1990 and April 2022 in low- and middle-income countries (LMICs) were included. Twenty-eight articles from 16 LMICs in five World Health Organisation (WHO)-defined regions met the inclusion criteria and showed a steady increase in publications, with varied contributions by region. The Eastern Mediterranean Region (EMR) contributed the most articles (n = 8), while the Western Pacific Region (WPR) had the least (n = 2). Brazil published the most articles (n = 6), while ten countries contributed one article each. Fifteen articles included knowledge, 19 included attitudes towards genetics, and eight included genetic practices. The findings indicate that pHCPs in LMICs lack knowledge of genetics and its applications despite their positive outlook towards genetic services. Barriers such as limited resources, financial constraints, and cultural or religious beliefs hinder access to genetic services. Enhancing pHCPs' genetics education is vital for improving care for those affected by genetic conditions. The scarcity of literature in LMICs emphasises the need for research on educational interventions to improve patient outcomes and family support.

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来源期刊
Journal of Community Genetics
Journal of Community Genetics GENETICS & HEREDITY-
CiteScore
3.30
自引率
5.30%
发文量
54
期刊介绍: The Journal of Community Genetics is an international forum for research in the ever-expanding field of community genetics, the art and science of applying medical genetics to human communities for the benefit of their individuals. Community genetics comprises all activities which identify persons at increased genetic risk and has an interest in assessing this risk, in order to enable those at risk to make informed decisions. Community genetics services thus encompass such activities as genetic screening, registration of genetic conditions in the population, routine preconceptional and prenatal genetic consultations, public education on genetic issues, and public debate on related ethical issues. The Journal of Community Genetics has a multidisciplinary scope. It covers medical genetics, epidemiology, genetics in primary care, public health aspects of genetics, and ethical, legal, social and economic issues. Its intention is to serve as a forum for community genetics worldwide, with a focus on low- and middle-income countries. The journal features original research papers, reviews, short communications, program reports, news, and correspondence. Program reports describe illustrative projects in the field of community genetics, e.g., design and progress of an educational program or the protocol and achievement of a gene bank. Case reports describing individual patients are not accepted.
期刊最新文献
Knowledge and attitudes towards genomic medicine and pharmacogenomics of medical undergraduate students in Sri Lanka: a cross-sectional study. Prevalence of HLA-B*58:01 allele among Malay, Chinese and Indian ethnic patients with gout attending primary care clinics in Malaysia. Engaging communities: A scoping literature review of community-based participatory research in genetics service delivery settings. Population molecular genetics in Brazil: From genomic databases and research to the implementation of precision medicine. Knowledge and perception of medical students on genetics in the genomic era.
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