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Socioeconomic Barriers to Informed Decisionmaking Regarding Maternal Serum Screening for Down Syndrome: Results of the French National Perinatal Survey of 1998

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  • Khoshnood, B.
  • Blondel, B.
  • De Vigan, C.
  • Bréart, G.

Abstract

Objectives. We sought to evaluate socioeconomic disparities in serum screening for Down syndrome and assess whether such disparities are more likely to reflect limits in access or information or, rather, informed decisionmaking. Methods. A nationally representative sample of 12869 French women completed Interviews after giving birth. Results. We found substantial disparities in the likelihood of (1) women not being offered screening, (2) screening not being offered as a result of late prenatal care, and (3) women not knowing whether or not they had undergone screening. Except in the case of nationality, there was essentially no evidence of differences in refusal of testing. Conclusions. Rather than representing informed decisionmaking, socioeconomic disparities in screening for Down syndrome are mostly due to limits in access or to information.

Suggested Citation

  • Khoshnood, B. & Blondel, B. & De Vigan, C. & Bréart, G., 2004. "Socioeconomic Barriers to Informed Decisionmaking Regarding Maternal Serum Screening for Down Syndrome: Results of the French National Perinatal Survey of 1998," American Journal of Public Health, American Public Health Association, vol. 94(3), pages 484-491.
    • Handle: RePEc:aph:ajpbhl:2004:94:3:484-491_3
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    Cited by:

    1. Vassy, Carine & Rosman, Sophia & Rousseau, Bénédicte, 2014. "From policy making to service use. Down's syndrome antenatal screening in England, France and the Netherlands," Social Science & Medicine, Elsevier, vol. 106(C), pages 67-74.
    2. Carmen Dingemann & Martin Sonne & Benno Ure & Bettina Bohnhorst & Constantin von Kaisenberg & Sabine Pirr, 2019. "Impact of maternal education on the outcome of newborns requiring surgery for congenital malformations," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-15, April.

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