Genomics knowledge and attitudes among European public health professionals: Results of a cross-sectional survey.

Adult Aged Attitude of Health Personnel Cross-Sectional Studies Education, Public Health Professional / statistics & numerical data Female Genetic Testing / methods Genomics / methods Health Knowledge, Attitudes, Practice Health Personnel / psychology Humans Male Middle Aged Practice Patterns, Physicians' / standards Professional Competence Public Health / standards Surveys and Questionnaires

Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2020
Historique:
received: 18 09 2019
accepted: 07 03 2020
entrez: 3 4 2020
pubmed: 3 4 2020
medline: 8 7 2020
Statut: epublish

Résumé

The international public health (PH) community is debating the opportunity to incorporate genomic technologies into PH practice. A survey was conducted to assess attitudes of the European Public Health Association (EUPHA) members towards their role in the implementation of public health genomics (PHG), and their knowledge and attitudes towards genetic testing and the delivery of genetic services. EUPHA members were invited via monthly newsletter and e-mail to take part in an online survey from February 2017 to January 2018. A descriptive analysis of knowledge and attitudes was conducted, along with a univariate and multivariate analysis of their determinants. Five hundred and two people completed the questionnaire, 17.9% were involved in PHG activities. Only 28.9% correctly identified all medical conditions for which there is (or not) evidence for implementing genetic testing; over 60% thought that investing in genomics may divert economic resources from social and environmental determinants of health. The majority agreed that PH professionals may play different roles in incorporating genomics into their activities. Better knowledge was associated with positive attitudes towards the use of genetic testing and the delivery of genetic services in PH (OR = 1.48; 95% CI 1.01-2.18). Our study revealed quite positive attitudes, but also a need to increase awareness on genomics among European PH professionals. Those directly involved in PHG activities tend to have a more positive attitude and better knowledge; however, gaps are also evident in this group, suggesting the need to harmonize practice and encourage greater exchange of knowledge among professionals.

Sections du résumé

BACKGROUND
The international public health (PH) community is debating the opportunity to incorporate genomic technologies into PH practice. A survey was conducted to assess attitudes of the European Public Health Association (EUPHA) members towards their role in the implementation of public health genomics (PHG), and their knowledge and attitudes towards genetic testing and the delivery of genetic services.
METHODS
EUPHA members were invited via monthly newsletter and e-mail to take part in an online survey from February 2017 to January 2018. A descriptive analysis of knowledge and attitudes was conducted, along with a univariate and multivariate analysis of their determinants.
RESULTS
Five hundred and two people completed the questionnaire, 17.9% were involved in PHG activities. Only 28.9% correctly identified all medical conditions for which there is (or not) evidence for implementing genetic testing; over 60% thought that investing in genomics may divert economic resources from social and environmental determinants of health. The majority agreed that PH professionals may play different roles in incorporating genomics into their activities. Better knowledge was associated with positive attitudes towards the use of genetic testing and the delivery of genetic services in PH (OR = 1.48; 95% CI 1.01-2.18).
CONCLUSIONS
Our study revealed quite positive attitudes, but also a need to increase awareness on genomics among European PH professionals. Those directly involved in PHG activities tend to have a more positive attitude and better knowledge; however, gaps are also evident in this group, suggesting the need to harmonize practice and encourage greater exchange of knowledge among professionals.

Identifiants

DOI: 10.1371/journal.pone.0230749 PMID: 32240206 PMC: PMC7117699
pubmed: 32240206
doi: 10.1371/journal.pone.0230749
pii: PONE-D-19-26230
pmc: PMC7117699
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0230749

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Annalisa Rosso (A)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Local Health Unit-Azienda Sanitaria Locale Roma 2, Rome, Italy.
ORCID: 0000-0002-0537-5130

Erica Pitini (E)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.

Elvira D'Andrea (E)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States of America.

Marco Di Marco (M)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Local Health Unit Azienda Sanitaria Locale Roma 1, Rome, Italy.

Brigid Unim (B)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
ORCID: 0000-0002-6522-9098

Valentina Baccolini (V)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.

Corrado De Vito (C)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.

Carolina Marzuillo (C)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.

Floris Barnhoorn (F)

European Public Health Association (EUPHA), Utrecht, the Netherlands.

Dineke Zeegers Paget (D)

European Public Health Association (EUPHA), Utrecht, the Netherlands.

Paolo Villari (P)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.

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