GENETIC LITERACY LEVELS AND GENETIC SCREENING ATTITUDES ON MEDICAL STUDENTS IN INDONESIA: A NATIONAL SURVEY
DOI:
https://doi.org/10.37268/mjphm/vol.20/no.3/art.407Keywords:
medical student, genetic screening, indonesia, Genetic literacy levelsAbstract
Genetic literacy is an adequate knowledge that personally involves someone to comprehend and actively participate in genetic issues. An individual’s genetic literacy level will influence their decisiveness and attitudes towards reoccurring genetic issues, including genetic screening. This research aimed to discover the relation between genetic literacy levels and genetic screening attitudes of medical students in Indonesia. The data were collected using a cluster sampling method composing of 492 students from 41 universities in Indonesia. Subjects filled the questionnaires, which have underwent validity and reliability test using online modality under local supervisors. Genetic literacy levels were divided into two categories: adequate (>50%) and inadequate (<50%) levels, whereas the genetic screening attitude was categorized into consent and dissent. Of 492 respondents, only 121 people (24.59%) have adequate genetic literacy levels. The study also reports that 262 respondents (60.16%) agreed to the use of genetic screening. Using regression logistic, study found there was no relationship between genetic literacy and attitudes (p>0.05). Disagreements about using genetic screening are more prevalent among female respondents rather than male respondents. The study showed no relationship between genetic literacy levels and genetic screening attitudes of medical students in Indonesia.
References
Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Viera A, Crotty K, et al. Health literacy interventions and outcomes: an updated systematic review. Evid Rep Technol Assess (Full Rep) [Internet]. 2011 Mar;(199):1–941. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23126607
Smith CD, Worsfold K, Davies L, Fisher R, McPhail R. Assessment literacy and student learning: the case for explicitly developing students ‘assessment literacy.’ Assess Eval High Educ [Internet]. 2013 Feb;38(1):44–60. Available from: http://www.tandfonline.com/doi/abs/10.1080/02602938.2011.598636
Goltz HH, Bergman M, Goodson P. Explanatory Models of Genetics and Genetic Risk among a Selected Group of Students. Front Public Heal [Internet]. 2016 Jun 6;4:111. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4893687/
Wieacker P, Steinhard J. The Prenatal Diagnosis of Genetic Diseases. Dtsch Aerzteblatt Online [Internet]. 2010 Dec 3; Available from: https://www.aerzteblatt.de/10.3238/arztebl.2010.0857
Jaques AM, Collins VR, Muggli EE, Amor DJ, Francis I, Sheffield LJ, et al. Uptake of prenatal diagnostic testing and the effectiveness of prenatal screening for Down syndrome. Prenat Diagn. 2010 Jun;30(6):522–30.
Pös O, Budiš J, Szemes T. Recent trends in prenatal genetic screening and testing. F1000Research [Internet]. 2019 May 31;8:F1000 Faculty Rev-764. Available from: https://pubmed.ncbi.nlm.nih.gov/31214330
Dodson CH, Lewallen LP. Nursing students’ perceived knowledge and attitude towards genetics. Nurse Educ Today [Internet]. 2011 May;31(4):333–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0260691710001267
Atif M, Arslan B, Quratulain S, Zainab A, Aminah N, Sonia A, et al. Knowledge, attitude, and practices of health care professionals regarding pharmacovigilance in Pakistan. Value Heal. 2016;19(3):A278.
Calsbeek H, Morren M, Bensing J, Rijken M. Knowledge and Attitudes Towards Genetic Testing: A Two Year Follow-Up Study in Patients with Asthma, Diabetes Mellitus and Cardiovascular Disease. J Genet Couns [Internet]. 2007 Aug 21;16(4):493–504. Available from: http://doi.wiley.com/10.1007/s10897-006-9085-9
Evans JP, Meslin EM, Marteau TM, Caulfield T. Deflating the Genomic Bubble. Science (80- ) [Internet]. 2011 Feb 18;331(6019):861–2. Available from: https://www.sciencemag.org/lookup/doi/10.1126/science.1198039
Houwink EJ, van Luijk SJ, Henneman L, van der Vleuten C, Jan Dinant G, Cornel MC. Genetic educational needs and the role of genetics in primary care: a focus group study with multiple perspectives. BMC Fam Pract [Internet]. 2011 Dec 17;12(1):5. Available from: https://bmcfampract.biomedcentral.com/articles/10.1186/1471-2296-12-5
Kementerian Pendidikan dan Kebudayaan Indonesia. Pangkalan data Pendidikan Tinggi [Internet]. Pangkalan data Pendidikan Tinggi. 2020. Available from: https://pddikti.kemdikbud.go.id
Abrams LR, McBride CM, Hooker GW, Cappella JN, Koehly LM. The Many Facets of Genetic Literacy: Assessing the Scalability of Multiple Measures for Broad Use in Survey Research. Zeeb H, editor. PLoS One [Internet]. 2015 Oct 28;10(10):e0141532. Available from: https://dx.plos.org/10.1371/journal.pone.0141532
Kaye C, Korf B. Genetic Literacy and Competency. Pediatrics [Internet]. 2013 Dec 1;132(Supplement):S224–30. Available from: http://pediatrics.aappublications.org/cgi/doi/10.1542/peds.2013-1032G
Indonesia KK. Standar Kompetensi Dokter Indonesia. 2nd ed. Jakarta: Konsil Kedokteran Indonesia.
Powell KP, Christianson CA, Cogswell WA, Dave G, Verma A, Eubanks S, et al. Educational Needs of Primary Care Physicians Regarding Direct-to-Consumer Genetic Testing. J Genet Couns [Internet]. 2012 Jun 30;21(3):469–78. Available from: http://doi.wiley.com/10.1007/s10897-011-9471-9
Guttmacher AE, Porteous ME, McInerney JD. Educating health-care professionals about genetics and genomics. Nat Rev Genet [Internet]. 2007 Feb;8(2):151–7. Available from: http://www.nature.com/articles/nrg2007
Mainous AG, Johnson SP, Chirina S, Baker R. Academic family physicians’ perception of genetic testing and integration into practice: a CERA study. Fam Med [Internet]. 2013 Apr;45(4):257–62. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23553089
Walgermo BR, Frijters JC, Solheim OJ. Literacy interest and reader self-concept when formal reading instruction begins. Early Child Res Q [Internet]. 2018;44:90–100. Available from: http://www.sciencedirect.com/science/article/pii/S088520061830022X
Etchegary H. Public attitudes toward genetic risk testing and its role in healthcare. Per Med [Internet]. 2014 Jul;11(5):509–22. Available from: https://www.futuremedicine.com/doi/10.2217/pme.14.35
Caskey CT, Gonzalez-Garay ML, Pereira S, McGuire AL. Adult Genetic Risk Screening. Annu Rev Med [Internet]. 2014 Jan 14;65(1):1–17. Available from: http://www.annualreviews.org/doi/10.1146/annurev-med-111212-144716
Cherkas LF, Harris JM, Levinson E, Spector TD, Prainsack B. A Survey of UK Public Interest in Internet-Based Personal Genome Testing. Ross JS, editor. PLoS One [Internet]. 2010 Oct 19;5(10):e13473. Available from: https://dx.plos.org/10.1371/journal.pone.0013473
Makeeva OA, Markova V V., Roses AD, Puzyrev VP. An epidemiologic-based survey of public attitudes towards predictive genetic testing in Russia. Per Med [Internet]. 2010 May;7(3):291–300. Available from: https://www.futuremedicine.com/doi/10.2217/pme.10.23
Shambaugh R. Different Brains, Different Behaviors: Why Women Lead Differently than Men [Internet]. 2016. Available from: https://www.huffingtonpost.com/rebecca-shambaugh/different-brains-differen_b_9480952.html
Molster C, Charles T, Samanek A, O’Leary P. Australian Study on Public Knowledge of Human Genetics and Health. Public Health Genomics [Internet]. 2009;12(2):84–91. Available from: https://www.karger.com/Article/FullText/164684
Altaany Z, Khabour OF, Al-Taani G. Knowledge, Beliefs, and Attitudes Concerning Genetic Testing Among Young Jordanians. J Multidiscip Healthc [Internet]. 2019 Dec 11;12:1043–8. Available from: https://pubmed.ncbi.nlm.nih.gov/31849479
Ajzen I. Attitudes, Personality and Behavior. 2nd ed. Berkshire, UK: Open University Press-McGraw Hill Education; 2005.
Morren M, Rijken M, Baanders AN, Bensing J. Perceived genetic knowledge, attitudes towards genetic testing, and the relationship between these among patients with a chronic disease. Patient Educ Couns [Internet]. 2007 Feb;65(2):197–204. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0738399106002308
Carver RB, Castéra J, Gericke N, Evangelista NAM, El-Hani CN. Young Adults’ Belief in Genetic Determinism, and Knowledge and Attitudes towards Modern Genetics and Genomics: The PUGGS Questionnaire. Li D, editor. PLoS One [Internet]. 2017 Jan 23;12(1):e0169808. Available from: https://dx.plos.org/10.1371/journal.pone.0169808