Female and male perspectives on male partner roles in expanded carrier screening

Sarah Jurgensmeyer*, Sarah Walterman, Andrew Wagner, Kenny Wong, Annie Bao, Sarah Stueber, Sara Spencer

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To explore facilitators and barriers for male partner follow through carrier screening (CS) after their female partners were identified as carriers, from both male and female perspectives. Methods: Participants were either females identified as a carrier through CS (512 participants) or males who had CS (125 participants). Participants were recruited via e-mails with survey links. The survey explored factors surrounding decisions to pursue CS or not. Results: Males who attended the females’ CS appointment were more likely to have CS (OR: 2.07). More male partners of females identified as carriers of severe or profound conditions pursued CS (82.0%) than male partners of females who were carriers for moderate conditions (50.0%). Logistic factors were more impactful for males who pursued CS. Females whose male partners did not test endorsed personal belief factors as most impactful, reporting the perceived low risk (75.0%) and his low concern for the specific condition (65.5%) were the top reasons their partners did not test. Conclusion: Many factors impact how male partners appraise reproductive risk from CS and make decisions regarding their own screening. Advising that male partners attend CS appointments may increase the likelihood of follow through CS. Thorough and repeated risk counseling is indicated.

Original languageEnglish (US)
Pages (from-to)375-385
Number of pages11
JournalJournal of Assisted Reproduction and Genetics
Volume38
Issue number2
DOIs
StatePublished - Feb 2021

Keywords

  • Carrier screening
  • Expanded carrier screening (ECS)
  • Genetic counseling
  • Genetic screening
  • Reproductive genetics

ASJC Scopus subject areas

  • Reproductive Medicine
  • Genetics
  • Obstetrics and Gynecology
  • Developmental Biology
  • Genetics(clinical)

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