Abstract

Assess Latina patient understanding of NIPT and identify what factors influence uptake/refusal of NIPT to adapt counseling to the needs and interests of this population.Mixed-methods survey in English and Spanish administered to pregnant Latina patients throughout pregnancy.Sixty-three women participated in our study (67% response rate). 34.9% chose to do NIPT and 65.1% declined. Approximately half of participants (44%) had an NIPT knowledge score of =3 out of 6 total questions. Two of the most significant factors influencing uptake of NIPT were a higher reported education level (p=0.015) and a higher NIPT knowledge score (p=0.014). 42.9% of participants knew that NIPT only screens for certain chromosomal conditions. 39% of women who declined NIPT would never consider NIPT in the future.One third of Latina women elected NIPT; a higher reported education level and language were most predictive of this choice. Overall knowledge was significantly lower for women who declined NIPT. Lower knowledge may suggest that not all women are making informed decisions due to varying degrees of informed consent. Providing culturally tailored information can help women navigate the complexities of prenatal testing in order to make decisions most aligned with their values. This article is protected by copyright. All rights reserved.

View details for DOI 10.1002/pd.4599

View details for Web of Science ID 000359024300004

View details for PubMedID 25846645