Sickle Cell Trait Screening of Collegiate Athletes: Ethical Reasons for Program Reform

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• 作者：Rosalie Ferrari ; Lisa S. Parker ; Robin E. Grubs…
• 关键词：Genetic screening ; National Collegiate Athletic Association ; Sickle cell trait ; Ethical issues ; Education ; Genetic counseling ; Universal precautions
• 刊名：Journal of Genetic Counseling
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：24
• 期：6
• 页码：873-877
• 全文大小：116 KB
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• 作者单位：Rosalie Ferrari (1)
  Lisa S. Parker (1)
  Robin E. Grubs (1)
  Lakshmanan Krishnamurti (2) (3)
  
  1. Department of Human Genetics, Graduate School of Public Health, University of Pittsburgh, 130 DeSoto St., Pittsburgh, PA, 15261, USA
  2. Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA
  3. Bone Marrow Treatment Program, Aflac Cancer and Blood Disorders Center, Children’s Healthcare of Atlanta, Atlanta, GA, USA
  
• 刊物类别：Biomedical and Life Sciences
• 刊物主题：Biomedicine
  Human Genetics
  Public Health
  Clinical Psychology
  Gynecology
  Ethics
  
• 出版者：Springer Netherlands
• ISSN：1573-3599

文摘

The National Collegiate Athletic Association (NCAA) requires all student-athletes have their sickle cell trait (SCT) status confirmed prior to athletic participation. The NCAA approved the screening program in 2010 for institutions participating in Division I athletics and extended it in subsequent years to institutions at Division II and III levels. Ethical concerns about the controversial policy focus on its mandatory nature and potential impact on student-athletes, particularly through stigmatization of and discrimination against those with SCT. Organizations, such as the American Society of Hematology (ASH), oppose the imposition of SCT testing and instead recommend universal precautions that would protect the entire student-athlete population without revealing student-athletes-SCT statuses. This paper discusses these issues and offers recommendations, including genetic counseling, which would improve the current SCT screening program. It argues that implementation of universal precautions would ensure that the most ethically sound practices are afforded to every student-athlete. Keywords Genetic screening National Collegiate Athletic Association Sickle cell trait Ethical issues Education Genetic counseling Universal precautions