Prenatal genetic testing and screening: constructing needs and reinforcing inequities.
This Article considers the influence and implications of the application of genetic technologies to definitions of disease and to the treatment of illness. The concept of "geneticization" is introduced to emphasize the dominant discourse in today's stories of health and disease and the social construction of biological phenomenon is described. The reassurance, choice and control supposedly provided by prenatal genetic testing and screening are critically examined, and their role in constructing the need for such technology is addressed. Using the stories told about prenatal diagnosis as a focus, the consequences of a genetic perspective for and on women and their health care needs are explored.
Lippman
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Dep't of Epidemiology & Biostatistics, McGill University.
D000028:Abortion, Induced; D001294:Attitude to Health; D005260:Female; D005820:Genetic Testing / Q000523:psychology; D006301:Health Services Needs and Demand; D006801:Humans; D008423:Maternal Age; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000523:psychology; D012945:Social Values