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Culture and Acculturation Influences on Palestinian Perceptions of Prenatal Genetic Counseling |
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| Authors: | Rawan Awwad Patricia McCarthy Veach Dianne M Bartels Bonnie S LeRoy |
| Institution: | (1) Prenatal Diagnosis Center, California Pacific Medical Center, San Francisco, CA, USA;(2) Department of Educational Psychology, University of Minnesota, Minneapolis, MN, USA;(3) Center for Bioethics, University of Minnesota, Minneapolis, MN, USA;(4) Department of Genetics, Cell Biology, and Development, Institute of Human Genetics, University of Minnesota, Minneapolis, MN, USA;(5) Department of Educational Psychology, University of Minnesota, 206 Burton Hall, 178 Pillsbury Dr., SE, Minneapolis, MN 55455, USA |
| Abstract: | Patient cultural backgrounds strongly influence decision-making processes and outcomes in genetic counseling. The present study investigated influences of culture and acculturation on prenatal decision making processes of native Palestinians and Palestinian Americans. Seventeen native Palestinians and 14 first-generation, Palestinian Americans were interviewed and asked to imagine themselves as patients in hypothetical premarital and prenatal situations. Five major issues were investigated: 1) Influence of family history of an inherited condition on pre-marital decisions; 2) Perceptions of non-directive genetic counselor statements regarding options; 3) Role of gender in prenatal decisions; 4) Gender differences in emotional expression; and 5) Role of family and society in prenatal decisions. Several similarities and differences in native Palestinian and Palestinian American responses were obtained. Similarities appear to be due to common cultural roots, while differences may be due to acculturation. Practice and research recommendations are provided. An erratum to this article can be found at |
| Keywords: | Prenatal genetic counseling Palestinian decision-making Arab culture Acculturation Culture and decision-making |
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