title: Attitudes towards genetic diagnosis in Pakistan: a survey of medical and legal communities and parents of thalassemic children.
abstract: OBJECTIVE
  It was the aim of this study to assess the attitudes of doctors, medical students, lawyers, parliament members and parents of thalassemic children towards genetic diagnosis in Pakistan.
  
  
  METHODS
  A cross-sectional descriptive survey was conducted among representative samples.
  
  
  RESULTS
  Five hundred and seventy doctors, 49 lawyers, 178 medical students, 89 parents of thalassemic children and 16 members of parliament (MPs) were included in the survey. The groups showed considerable difference in their attitudes towards different aspects of the issue. A large proportion (88.5%) agreed to the idea of genetic diagnostic screening, especially the parents of thalassemic patients. Premarital carrier screening was favored by 77% of the respondents. Prenatal screening was most favored by the parents of thalassemic children (94.4%). Likewise, a majority of parents of thalassemic children were in favor of abortion in case of an affected fetus. Genetic self-screening was also favored most by the parents of thalassemic patients (78.2%). Only 24% of the doctors favored making genetic screening mandatory, whereas 63% of the parents agreed to the idea.
  
  
  CONCLUSIONS
  Attitudes regarding genetic diagnosis are markedly different among various societal groups in Pakistan. The parents of the affected children strongly favor genetic screening as does the medical community, though not as strongly as the parents. The legislative groups, particularly the MPs, are reserved in their support. Genetic diagnosis can help decrease the disease burden in the future. However, it raises a number of ethical issues, which need to be addressed. It is important to educate the population about potential benefits as well as ethical dilemmas involved so that the general public is able to make the right decisions for themselves and their families.
authors.affiliation: Department of Anatomy, Shifa College of Medicine, Islamabad, Pakistan.
authors.forename: Ahmed I
authors.initials: AI
authors.lastname: Gilani
authors.forename: Atif S
authors.initials: AS
authors.lastname: Jadoon
authors.forename: Rabia
authors.initials: R
authors.lastname: Qaiser
authors.forename: Sana
authors.initials: S
authors.lastname: Nasim
authors.forename: Riffat
authors.initials: R
authors.lastname: Meraj
authors.forename: Nosheen
authors.initials: N
authors.lastname: Nasir
authors.forename: Fizza F
authors.initials: FF
authors.lastname: Naqvi
authors.forename: Zafar
authors.initials: Z
authors.lastname: Latif
authors.forename: Muhammad A
authors.initials: MA
authors.lastname: Memon
authors.forename: Esme V
authors.initials: EV
authors.lastname: Menezes
authors.forename: Imran
authors.initials: I
authors.lastname: Malik
authors.forename: Muhammad Z
authors.initials: MZ
authors.lastname: Memon
authors.forename: Syed F
authors.initials: SF
authors.lastname: Kazim
authors.forename: Usman
authors.initials: U
authors.lastname: Ahmad
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D004992:Ethics, Medical; D005260:Female; D005820:Genetic Testing / Q000941:ethics*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010154:Pakistan; D018579:Patient Selection; D010820:Physicians; D018401:Sample Size; D013337:Students, Medical; D011795:Surveys and Questionnaires; D013789:Thalassemia / Q000235:genetics*