title: The attitudes and intention to participate in hemoglobinopathy carrier screening in The Netherlands among individuals from Turkish, Moroccan, and Surinamese descent.
abstract: OBJECTIVE
  To explore factors that influence intention to participate in hemoglobinopathy (HbP) carrier screening under Dutch subjects at risk, since HbP became more common in The Netherlands.
  
  
  METHODS
  Structured interviews with 301 subjects from Turkish, Moroccan, or Surinamese ethnicity.
  
  
  RESULTS
  Half of the participants were familiar with HbP, 27% with carrier screening. Only 55% correctly answered basic knowledge items. After balanced information, 83% percent of subjects express intention to participate in HbP carrier screening. Intention to participate was correlated with (1) anticipated negative feelings, (2) valuing a physician's advice, and (3) beliefs on significance of carrier screening. Risk perception was a significant determinant, while respondents were unaware of HbP as endemic in their country of birth. Respondents preferred screening before pregnancy and at cost < 50€.
  
  
  CONCLUSIONS
  These findings show the importance of informing those at risk by tailored health education. We propose easy access at no costs for those willing to participate in HbP carrier screening.
authors.affiliation: Department of Child Health, Netherlands Organization for Applied Scientific Research (TNO), P.O. Box 2215, 2301 CE Leiden, The Netherlands.
authors.forename: Sylvia M
authors.initials: SM
authors.lastname: van der Pal
authors.affiliation: Department of Life Style, Netherlands Organization for Applied Scientific Research (TNO), P.O. Box 2215, 2301 CE Leiden, The Netherlands.
authors.forename: Nicole M C
authors.initials: NM
authors.lastname: van Kesteren
authors.affiliation: Department of Child Health, Netherlands Organization for Applied Scientific Research (TNO), P.O. Box 2215, 2301 CE Leiden, The Netherlands.
authors.forename: Jacobus P
authors.initials: JP
authors.lastname: van Wouwe
authors.affiliation: Department of Life Style, Netherlands Organization for Applied Scientific Research (TNO), P.O. Box 2215, 2301 CE Leiden, The Netherlands.
authors.forename: Paula
authors.initials: P
authors.lastname: van Dommelen
authors.affiliation: Department of Child Health, Netherlands Organization for Applied Scientific Research (TNO), P.O. Box 2215, 2301 CE Leiden, The Netherlands.
authors.forename: Symone B
authors.initials: SB
authors.lastname: Detmar
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006453:Hemoglobinopathies / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology*; D006579:Heterozygote; D006801:Humans; D033182:Intention; D008297:Male; D008403:Mass Screening / Q000191:economics / Q000523:psychology; D008875:Middle Aged; D009018:Morocco / Q000208:ethnology; D009426:Netherlands / Q000453:epidemiology; D011247:Pregnancy; D013532:Suriname / Q000208:ethnology; D014421:Turkey / Q000208:ethnology; D055815:Young Adult