title: Perceived genetic knowledge, attitudes towards genetic testing, and the relationship between these among patients with a chronic disease.
abstract: OBJECTIVE
  Genetics increasingly permeate everyday medicine. When patients want to make informed decisions about genetic testing, they require genetic knowledge. This study examined the genetic knowledge and attitudes of patients with chronic diseases, and the relationship between both. In addition, patients were asked about their preferred source of genetic information.
  
  
  METHODS
  Questionnaires were mailed to participants of a nationwide representative sample of patients with chronic diseases in the Netherlands (n = 1916).
  
  
  RESULTS
  The response rate was 82% (n = 1496). Perceived genetic knowledge was low, particularly among older and lower educated patients. Attitudes towards genetics were rather positive, especially among younger and higher educated patients. Some concerns were also documented, mainly about the consequences of genetic testing for employment and taking insurance. Patients who perceived to have little knowledge found it difficult to formulate an opinion about genetic testing. Higher levels of genetic knowledge were associated with a more favourable attitude towards genetics. Chronic patients prefer to receive genetic information from their GP.
  
  
  CONCLUSIONS
  Chronic patients are ill prepared when they require genetic knowledge to make decisions regarding the treatment of their disease. This seems to result from a knowledge deficiency rather than from disagreement with the genetic developments.
  
  
  CONCLUSIONS
  When chronic patients are in need of information about genetics or genetic testing, their general practitioner should provide this.
authors.affiliation: NIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands. M.Morren@nivel.nl
authors.forename: Mattijn
authors.initials: M
authors.lastname: Morren
authors.forename: Mieke
authors.initials: M
authors.lastname: Rijken
authors.forename: Arianne N
authors.initials: AN
authors.lastname: Baanders
authors.forename: Jozien
authors.initials: J
authors.lastname: Bensing
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001294:Attitude to Health; D002755:Choice Behavior; D002908:Chronic Disease / Q000523:psychology*; D004522:Educational Status; D005163:Factor Analysis, Statistical; D005260:Female; D005817:Genetic Counseling / Q000523:psychology; D030661:Genetic Privacy / Q000523:psychology; D005820:Genetic Testing / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D007258:Informed Consent / Q000523:psychology; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D010353:Patient Education as Topic; D010819:Physician's Role; D010821:Physicians, Family / Q000523:psychology; D011795:Surveys and Questionnaires