Australian Public Perspectives on Genomic Newborn Screening: Risks, Benefits, and Preferences for Implementation.

bioethics genomic sequencing newborn screening public views qualitative

Journal

International journal of neonatal screening
ISSN: 2409-515X
Titre abrégé: Int J Neonatal Screen
Pays: Switzerland
ID NLM: 101665400

Informations de publication

Date de publication:
17 Jan 2024
Historique:
received: 14 11 2023
revised: 14 12 2023
accepted: 02 01 2024
medline: 22 1 2024
pubmed: 22 1 2024
entrez: 22 1 2024
Statut: epublish

Résumé

Recent dramatic reductions in the timeframe in which genomic sequencing can deliver results means its application in time-sensitive screening programs such as newborn screening (NBS) is becoming a reality. As genomic NBS (gNBS) programs are developed around the world, there is an increasing need to address the ethical and social issues that such initiatives raise. This study therefore aimed to explore the Australian public's perspectives and values regarding key gNBS characteristics and preferences for service delivery. We recruited English-speaking members of the Australian public over 18 years of age via social media; 75 people aged 23-72 participated in 1 of 15 focus groups. Participants were generally supportive of introducing genomic sequencing into newborn screening, with several stating that the adoption of such revolutionary and beneficial technology was a moral obligation. Participants consistently highlighted receiving an early diagnosis as the leading benefit, which was frequently linked to the potential for early treatment and intervention, or access to other forms of assistance, such as peer support. Informing parents about the test during pregnancy was considered important. This study provides insights into the Australian public's views and preferences to inform the delivery of a gNBS program in the Australian context.

Identifiants

pubmed: 38248635
pii: ijns10010006
doi: 10.3390/ijns10010006
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Australian Government
ID : GHFM2015937

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Auteurs

Fiona Lynch (F)

Biomedical Ethics Research Group, Murdoch Children's Research Institute, Parkville, VIC 3052, Australia.
Melbourne Law School, The University of Melbourne, Melbourne, VIC 3052, Australia.

Stephanie Best (S)

Sir Peter MacCallum Cancer Centre Department of Oncology, University of Melbourne, Melbourne, VIC 3052, Australia.
Australian Genomics, Melbourne, VIC 3052, Australia.
Department of Health Services Research, Peter MacCallum Cancer Centre, Melbourne, VIC 3052, Australia.

Clara Gaff (C)

Murdoch Children's Research Institute, Parkville, VIC 3052, Australia.
Melbourne Genomics, Melbourne, VIC 3052, Australia.
Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC 3052, Australia.

Lilian Downie (L)

Murdoch Children's Research Institute, Parkville, VIC 3052, Australia.
Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC 3052, Australia.
Victorian Clinical Genetics Services, Murdoch Children's Research Institute, Parkville, VIC 3052, Australia.

Alison D Archibald (AD)

Murdoch Children's Research Institute, Parkville, VIC 3052, Australia.
Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC 3052, Australia.
Victorian Clinical Genetics Services, Murdoch Children's Research Institute, Parkville, VIC 3052, Australia.

Christopher Gyngell (C)

Biomedical Ethics Research Group, Murdoch Children's Research Institute, Parkville, VIC 3052, Australia.
Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC 3052, Australia.

Ilias Goranitis (I)

Australian Genomics, Melbourne, VIC 3052, Australia.
Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3052, Australia.

Riccarda Peters (R)

Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3052, Australia.

Julian Savulescu (J)

Biomedical Ethics Research Group, Murdoch Children's Research Institute, Parkville, VIC 3052, Australia.
Melbourne Law School, The University of Melbourne, Melbourne, VIC 3052, Australia.
Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore.

Sebastian Lunke (S)

Victorian Clinical Genetics Services, Murdoch Children's Research Institute, Parkville, VIC 3052, Australia.
Department of Pathology, The University of Melbourne, Melbourne, VIC 3052, Australia.

Zornitza Stark (Z)

Australian Genomics, Melbourne, VIC 3052, Australia.
Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC 3052, Australia.
Victorian Clinical Genetics Services, Murdoch Children's Research Institute, Parkville, VIC 3052, Australia.

Danya F Vears (DF)

Biomedical Ethics Research Group, Murdoch Children's Research Institute, Parkville, VIC 3052, Australia.
Melbourne Law School, The University of Melbourne, Melbourne, VIC 3052, Australia.
Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC 3052, Australia.
Centre for Biomedical Ethics and Law, Department of Public Health and Primary Care, KU Leuven, 3000 Leuven, Belgium.

Classifications MeSH