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Western Journal of Nursing Research, Vol. 19, No. 1, 71-81 (1997)
DOI: 10.1177/019394599701900105

Benefits and Burdens of Genetic Carrier Identification

Janet K. Williams

Debra L. Schutte

College of Nursing, University of Iowa

This qualitative study examined experiences of adults requesting genetic-carrier testingforfour autosomal-recessive and X-linked-recessive disorders. The sample consisted of 34 adults with a positive family history or membership in an ethnic group at risk for the inherited disorder A semistructured interview guide was used to collect data during an interview I month after receipt of test results. Noncarriers experienced benefits of emotional relief andfreedom to move ahead with reproductive planning. Carriers experienced burdens of sadness and loss of reproductive expectations. Some subjects in both groups experienced difficulty disclosing results to selected family members and expressed concerns regarding disclosure of testing to insurance providers.


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