CYSTIC FIBROSIS

Who Is At Risk for Cystic Fibrosis?

Over 10 million people in the United States are CF carriers, and most do not know it. Having a family member with CF increases the chance of being a carrier, but most carriers don't have a known family history of CF. Because family history is not a very good way of figuring out who is a carrier on its own, medical professionals now recommend CF carrier screening based on where a person's ancestors came from (ethnic background).

Ethnicity

Some ethnic groups have higher CF carrier rates than others. To learn more about why some ethnic groups have increased risks for certain genetic mutations, read more about the Founder Effect and Beneficial Mutation Theory.

The table below shows the risks, based on broad ethnic groups in the United States, for carrying one CF mutation.

Ethnicity Carrier Risk
Caucasian (white, European ancestry)1 in 25
Ashkenazi Jewish1 in 25
Hispanic1 in 46
African American1 in 65
Asian1 in 90

Since many people are of mixed ancestry in the United States, it can be difficult to give exact risks based on race and ethnicity. In addition, some smaller groups have not had extensive studies, so the risks of being a carrier are not yet clear.

For this reason, the American College of Obstetrics and Gynecology and the American College of Medical Genetics recommend that CF carrier screening should be offered to all individuals who are pregnant or planning a pregnancy, and all those of Caucasian ancestry.

 

Reviewed By:

  • Katherine Malabed MS, CGC

Authored By:

  • Elissa Levin MS, CGC

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