Ethical, Legal and Social Issues in the Genetic Testing of Minors

Ethical, Legal and Social Issues in the Genetic Testing of Minors
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DOI:
10.1007/978-1-4419-5800-6_20
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发表时间:
2010-01-01
期刊:
HANDBOOK OF GENOMICS AND THE FAMILY: PSYCHOSOCIAL CONTEXT FOR CHILDREN AND ADOLESCENTS
影响因子:
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通讯作者:
Elger, Bernice S.
Elger, Bernice S.
中科院分区:
其他
文献类型:
--
作者:
Elger, Bernice S.

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自从可进行遗传性疾病检测以来,对未成年人进行基因检测就引发了有关检测的伦理影响的争议。人们担心对儿童进行基因检测可能会对社会、情感产生不利影响。童年或以后生活中的心理社会和教育后果促使人们采取谨慎的态度。总之,指南一致认为,在两种情况下对儿童进行基因检测是合适的。第一个是对有症状的儿童进行测试,如果这些测试可能有助于确定诊断和/或预后,并避免进一步的侵入性诊断测试。第二个是对健康儿童进行预测性基因检测,这种情况经常发生在儿童时期,并且可以提供有用的医疗干预措施。
Since the availability of testing for hereditary diseases, genetic testing of minors has stirred controversy as regards the ethical implications of the tests. The fear that genetic testing of children could have adverse social, emotional. psychosocial and educational consequences in childhood or later life has motivated a cautious approach. In summary, guidelines agree that genetic testing of children is appropriate in two situations. The first is the testing of a symptomatic child if the tests are likely to help establish a diagnosis and/or a prognosis and to avoid further invasive diagnostic tests. The second is predictive genetic testing in healthy children where onset of the condition regularly occurs in childhood and useful medical interventions can be offered.