Funding sources: None
Low uptake of the combined test in the Netherlands – which factors contribute?
Article first published online: 8 NOV 2012
© 2012 John Wiley & Sons, Ltd.
Volume 32, Issue 13, pages 1305–1312, December 2012
How to Cite
Bakker, M., Birnie, E., Pajkrt, E., Bilardo, C. M. and Snijders, R. J. M. (2012), Low uptake of the combined test in the Netherlands – which factors contribute?. Prenat. Diagn., 32: 1305–1312. doi: 10.1002/pd.4001
Conflicts of interest: None declared
- Issue published online: 5 DEC 2012
- Article first published online: 8 NOV 2012
The aim of this study was to evaluate which of the following factors affect the uptake of the combined test (CT) in the Netherlands: women's socio-demographic background, attitude towards Down syndrome, attitude towards termination of pregnancy, counseling process, reimbursement policy, and knowledge on the aim of the CT.
Cross-sectional survey in the Northwest (NW) and the Northeast (NE) region of the Netherlands.
Analyses were based on 820 questionnaires (73% response rate). Women from the NW region opted more often for the CT than women from the NE region (52.1% and 16.5%, respectively, p < 0.001). Women of 36 years and older opted more often for the CT than younger women (59.4% and 28.2%, respectively, p < 0.001). Women's socio-demographic background and their attitude towards Down syndrome and termination of pregnancy (TOP) had contributed independently on CT choice.
The uptake of the CT in this study is low. The main reason for the low uptake is the relatively positive attitude towards Down syndrome and a negative attitude towards TOP. Moreover, the perception of maternal age as strong predictor of Down syndrome risk and the inequality of access to care, due to the financial threshold for younger women, are likely to affect participation in screening. © 2012 John Wiley & Sons, Ltd.