Public Health Genetics: An Emerging Interdisciplinary Field for the Post-Genomic Era

Omenn, Gilbert S.

doi:10.1146/annurev.publhealth.21.1.1

Cited by 24 publications

(17 citation statements)

References 25 publications

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“…However, questions remain about how to integrate genomic medicine into clinical practice, such that patients reap the greatest possible benefits from increased understanding about the role of genetics in the conditions they live with or for which they are at risk. Many commentators have suggested that perhaps the optimal strategy for effective integration of genomics into all aspects of healthcare is to develop interdisciplinary collaborations between genetic counselors and physicians, including those engaged in family practice as well as specialists (Omenn, 2000;Greendale and Pyeritz, 2001;Guttmacher et al, 2001;Erskine et al, 2013;Austin et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

How do Physicians Decide to Refer Their Patients for Psychiatric Genetic Counseling? A Qualitative Study of Physicians’ Practice

Leach

Morris

White

et al. 2016

Journal of Genetic Counseling

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Psychiatric genetic counseling (PGC) is an emerging specialty discipline within the genetic counseling profession. A specialist PGC service was founded in 2012 in Vancouver, Canada, and though patient benefits have been demonstrated, many physicians do not regularly refer patients to the service despite awareness of its availability. We conducted a qualitative study involving semistructured telephone interviews with Vancouver-based physicians who were aware of the PGC service to explore this phenomenon. Interviews were audio-recorded, transcribed verbatim, coded, and analysed for emergent themes. Consistent with a grounded theory approach, constant comparison was employed throughout data collection and analysis. Analyses of interviews conducted with 12 physicians revealed that referral practices were informed by perceptions about the purpose of PGC and interpretation of patient cues. Physicians perceived PGC as an information-focused intervention, and considered referral when patients explicitly expressed desire for information about recurrence risk or etiology that they feel unable to adequately address themselves. Even when physicians identified psychotherapeutic benefits of PGC, patient needs of this nature were not perceived as cues prompting referral to PGC. These data suggest that further work is necessary to position PGC in physicians' minds as a service that could potentially benefit most individuals with psychiatric disorders and their families, and that encompasses more than information provision. It is important to increase physicians' awareness of the complementary role that genetic counselors can play to that of the physician in providing psychotherapeutically oriented counselling about illness etiology.

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Section: Introductionmentioning

confidence: 99%

How do Physicians Decide to Refer Their Patients for Psychiatric Genetic Counseling? A Qualitative Study of Physicians’ Practice

Leach

Morris

White

et al. 2016

Journal of Genetic Counseling

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“…The introductory article described public health genetics as an emerging interdisciplinary field for the postgenomic era (15). Other articles in that symposium addressed host-pathogen interactions in emerging and re-emerging infectious diseases (11); nutrition, genetics, and risks of cancers (19); the scientific underpinnings for population screening for hereditary hemochromatosis (12); and research and educational challenges in the interface of genetics and public health (2).…”

Section: Introductionmentioning

confidence: 99%

“…Other articles in that symposium addressed host-pathogen interactions in emerging and re-emerging infectious diseases (11); nutrition, genetics, and risks of cancers (19); the scientific underpinnings for population screening for hereditary hemochromatosis (12); and research and educational challenges in the interface of genetics and public health (2). We also highlighted the genetics of unhealthful behaviors, especially smoking and alcoholism, and ethical issues and principles for community-based research (15).…”

Section: Introductionmentioning

confidence: 99%

Overview of the Symposium on Public Health Significance of Genomics and Eco-Genetics

Omenn

2010

Annu. Rev. Public Health

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Genomic and genetic information is rapidly becoming a major element in public health research and emerging public health practice. This symposium reviews the methods, findings, and significance of genomewide association studies from epidemiological and statistical points of view. We examine infectious and inflammatory components of geneenvironment interaction in the respiratory system. We note the need for nutrient and dietary data and many other kinds of environmental exposure data in population-based genomic studies. Then we explore the sufficiency of a well-informed family history for public health and family counseling purposes. Finally, in an era of direct-to-consumer genomic test promotion, we review the evidence on the critical question, will genetic risk profiles motivate individuals and families to choose more healthful behaviors? This symposium builds on the foundation of the symposium on

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“…3 The programs are now a prototype for population genetic screening programs. However, recent genetic research is making a substantial impact on health improvement and disease prevention, 4 and review of current practices in offering population genetic screening programs is appropriate.…”

mentioning

confidence: 99%

Tay Sachs disease carrier screening in schools: Educational alternatives and cheekbrush sampling

Gason

Metcalfe

Delatycki

et al. 2005

Genetics in Medicine

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computer-based resource versus an oral educational presentation and (2) blood sampling for enzyme and genetic testing versus cheekbrush testing for genetic sampling alone. Results: The education session was effective in significantly increasing students' knowledge (10.5% Ϯ 1.2%, P Ͻ .0001) and decreasing their anxiety about being a carrier (Ϫ12.2% Ϯ 1.6%, P Ͻ .0001). For the students, no significant differences were found between the computer-based resource and oral presentation. There were significantly more students accepting a carrier test and anxiety was lower when a cheekbrush test was offered compared with when a blood test was offered. Conclusions:Computer-based instruction is equally effective, in addition to offering advantages of self-paced learning and minimization of human resources as an oral presentation within a genetic carrier screening program.Cheekbrush sampling is preferred to blood sampling and should be implemented into current practices for offering genetic screening programs. These results present alternatives to practices for genetic screening reflecting the current developing technology. Genet Med 2005:7(9):626-632.

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Public Health Genetics: An Emerging Interdisciplinary Field for the Post-Genomic Era

Cited by 24 publications

References 25 publications

How do Physicians Decide to Refer Their Patients for Psychiatric Genetic Counseling? A Qualitative Study of Physicians’ Practice

How do Physicians Decide to Refer Their Patients for Psychiatric Genetic Counseling? A Qualitative Study of Physicians’ Practice

Overview of the Symposium on Public Health Significance of Genomics and Eco-Genetics

Tay Sachs disease carrier screening in schools: Educational alternatives and cheekbrush sampling

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