Family secrets: Experiences and outcomes of participating in direct-to-consumer genetic relative-finder services.

adoption ancestry direct-to-consumer genetic testing donor conception family secrets misattributed parentage non-paternity event relative matching

Journal

American journal of human genetics
ISSN: 1537-6605
Titre abrégé: Am J Hum Genet
Pays: United States
ID NLM: 0370475

Informations de publication

Date de publication:
03 03 2022
Historique:
received: 12 11 2021
accepted: 24 01 2022
pubmed: 27 2 2022
medline: 3 5 2022
entrez: 26 2 2022
Statut: ppublish

Résumé

In recent decades, genetic genealogy has become popular as a result of direct-to-consumer (DTC) genetic testing. Some DTC genetic testing companies offer genetic relative-finder (GRF) services that compare the DNA of consenting participants to identify genetic relatives among them and provide each participant a list of their relative matches. We surveyed a convenience sample of GRF service participants to understand the prevalence of discoveries and associated experiences. Almost half (46%) of the 23,196 respondents had participated in GRF services only for non-specific reasons that included interest in building family trees and general curiosity. However, most (82%) also learned the identity of at least one genetic relative. Separately, most respondents (61%) reported learning something new about themselves or their relatives, including potentially disruptive information such as that a person they believed to be their biological parent is in fact not or that they have a sibling they had not known about. Respondents generally reported that discovering this new information had a neutral or positive impact on their lives, and most had low regret regarding their decision to participate in GRF services. Yet some reported making life changes as a result of their discoveries. Compared to respondents making other types of discoveries, those who learned that they were donor conceived reported the highest decisional regret and represented the largest proportion reporting net-negative consequences for themselves. Our findings indicate that discoveries from GRF services may be common and that the consequences for individuals, while generally positive, can be far-reaching and complex.

Identifiants

pubmed: 35216680
pii: S0002-9297(22)00013-1
doi: 10.1016/j.ajhg.2022.01.013
pmc: PMC8948156
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

486-497

Subventions

Organisme : NHGRI NIH HHS
ID : R01 HG011268
Pays : United States

Informations de copyright

Copyright © 2022 American Society of Human Genetics. Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of interests C.J.G. and S.M.F. are members of the Investigative Genetic Genealogy Working Group of the Scientific Working Group on DNA Analysis Methods. A.L.M. was a founding member of the FamilyTreeDNA Citizen’s Panel. B.K. is founder and owner of Watershed DNA, LLC. All other authors declare no competing interests.

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Auteurs

Christi J Guerrini (CJ)

Center for Medical Ethics and Health Policy, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA. Electronic address: guerrini@bcm.edu.

Jill O Robinson (JO)

Center for Medical Ethics and Health Policy, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA.

Cinnamon C Bloss (CC)

University of California San Diego, La Jolla, CA, 92093, USA.

Whitney Bash Brooks (W)

Center for Medical Ethics and Health Policy, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA.

Stephanie M Fullerton (SM)

Department of Bioethics and Humanities, University of Washington School of Medicine, 1959 NE Pacific St, Seattle, WA 98195, USA.

Brianne Kirkpatrick (B)

Watershed DNA, PO Box 126, Crozet, VA 22932, USA.

Sandra Soo-Jin Lee (SS)

Division of Ethics, Department of Medical Humanities and Ethics, Columbia University, 630 West 168(th) Street, PH 1525, New York, NY 10032, USA.

Mary Majumder (M)

Center for Medical Ethics and Health Policy, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA.

Stacey Pereira (S)

Center for Medical Ethics and Health Policy, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA.

Olivia Schuman (O)

Center for Medical Ethics and Health Policy, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA.

Amy L McGuire (AL)

Center for Medical Ethics and Health Policy, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA.

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