Consumer Perspectives on Access to Direct-to-Consumer Genetic Testing: Role of Demographic Factors and the Testing Experience

Sarah E. Gollust, Stacy W. Gray, Deanna Alexis Carere, Barbara A. Koenig, Lisa Soleymani Lehmann, A. M.Y.L. McGuire, Richard R. Sharp, Kayte Spector-Bagdady, Na Wang, robert C. Green, J. Scott Roberts, for the PGen Study Group

Research output: Contribution to journalArticlepeer-review

21 Scopus citations
Original languageEnglish (US)
Pages (from-to)291-318
Number of pages28
JournalMilbank Quarterly
Issue number2
StatePublished - Jun 2017

Bibliographical note

Funding Information:
The PGen Study is supported by the National Institutes of Health (NIH) National Human Genome Research Institute (R01-HG005092). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Center for Research Resources, or the National Institutes of Health. Robert C. Green is also supported by U01-HG006500 and U41-HG006834. Amy L. McGuire is also supported by U01-HG006500. Deanna Alexis Carere is funded by a Canadian Institutes of Health Research Postdoctoral Fellowship Award and by the Michael G. DeGroote Postdoctoral Fellowship from McMaster University. Barbara Koenig is also supported by P20 HG007243. Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. The research team partnered with 23andMe and Pathway Genomics in order to gain access to consumers of their services for implementation of the surveys described in our manuscript. However, these companies did not provide funding for the project, and this manuscript was independently conceived and completed. Outside of the submitted work, Amy McGuire provided consulting services to Human Longevity Inc, and Richard Sharp was a noncompensated adviser to 23andMe, which supported his travel to attend an in-person meeting held near the company's headquarters. Acknowledgments: Nonauthor members of the PGen Study at the time of publication are as follows: Joel B. Krier, Margaret H. Helm, Sarah S. Kalia, Kurt D. Christensen, Harvard Medical School and Brigham and Women's Hospital; Mack T. Ruffin IV, Lan Q. Le, Jenny Ostergren, University of Michigan School of Public Health; Wendy R. Uhlmann, Mick P. Couper, University of Michigan; Joanna L. Mountain, Amy K. Kiefer, 23andMe; Glenn Braunstein, Pathway Genomics; Scott D. Crawford, SoundRocket; L. Adrienne Cupples, Clara A. Chen, Catharine Wang, Boston University; Kimberly Kaphingst, University of Utah. The authors acknowledge helpful discussion on some of the ideas in this article with Patricia J. Zettler, JD.


  • ethics
  • genetic testing
  • public opinion
  • regulation

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