Factors related to indecisive attitudes toward non-invasive prenatal testing among women of reproductive age in Japan
Factors related to indecisive attitudes toward non-invasive prenatal testing among women of reproductive age in Japan
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日本育龄妇女对无创产前检测犹豫不决态度的相关因素
DOI：
10.1111/jog.15513
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Hideaki Sawai
中科院分区：
文献类型：
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作者：
Chihiro Katada;Kazutomo Ohashi;Kimie Okada;Hideaki Sawai
AimThis研究旨在探讨非侵入性产前检查（NIPT）的非怀孕妇女的生育年龄。MethodsWe进行了一项在线调查，涉及非怀孕的日本妇女年龄在20-49岁之间的犹豫不决的态度的相关因素。问卷调查包括一个假设性的问题，他们是否会决定接受NIPT，如果他们要怀孕，与“不确定”的反应被定义为优柔寡断的态度。ResultsOf 1250名参与者，412（33%）举行犹豫不决的态度是否接受NIPT。多变量Logistic回归分析表明，犹豫不决的态度与产前检查的知识水平低（调整后的优势比[AOR] 3.89）和偏好家庭驱动的决定（AOR 1.44），而不是provider-driven.ConclusionEven尽管NIPT是普遍的，许多非怀孕的育龄妇女无法决定是否要接受NIPT或不。因此，对NIPT犹豫不决的妇女需要在怀孕前在其家庭中获得有关未来NIPT的充分信息和沟通。因此，提供足够的信息，测试和促进沟通，对未来的NIPT妇女及其家庭成员之间的孕前支持可能有助于优柔寡断的妇女作出自主决定NIPT。
AimThis study aimed to investigate the factors related to indecisive attitudes toward noninvasive prenatal testing (NIPT) among nonpregnant women of reproductive age.MethodsWe conducted an online survey involving nonpregnant Japanese women aged 20–49 years. The questionnaires consisted of a hypothetical question about whether they would decide to undergo NIPT if they were to become pregnant, and responses with “unsure” were defined as indecisive attitudes.ResultsOf 1250 participants, 412 (33%) held indecisive attitudes on whether to undergo NIPT. Multivariable logistic regression analysis demonstrated indecisive attitudes were related to a low level of knowledge about prenatal testing (adjusted odds ratio [AOR] 3.89) and preferences for family‐driven decisions (AOR 1.44) instead of provider‐driven.ConclusionEven though the NIPT is widespread, many nonpregnant women of reproductive age are unable to decide whether to undergo the NIPT or not. Hence, indecisive women toward NIPT require adequate information and communication about future NIPT among their families prior to conception. Therefore, preconception support of providing adequate information about testing and facilitating communication regarding future NIPT among women and their family members may help indecisive women make autonomous decisions on NIPT.