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Journal article

Adoptees’ views and experiences of direct-to-consumer (DTC) genomic testing: an exploratory interview study from the UK

Abstract:

Direct-to-consumer (DTC) genomic testing for ancestry and health may appeal to adoptees looking to fill gaps in their family information. There are only a handful of published studies on adoptees’ views and experiences of DTC testing and none of these is from the UK. The recent UK House of Commons Science and Technology Committee report (GB Parliament, House of Commons 2021) did not address the gains or challenges for adopted people specifically, although the Committee did consider that robust evidence of opportunities or risks for any user of a DTC testing kit is limited. In this study presented here, semi-structured interviews were conducted with ten UK adult adoptees recruited via social media. Reflexive thematic analysis (Braun and Clarke 2006, 2019) of the interview transcripts identified three main themes: Decisional influencers of longing, uncertainty and normalisation of DNA kit use; Informational drivers to gain clarity but avoid new worrisome information; and talk around Negotiating Visibility to birth family and commercial third parties. A further theme of Meaning Making related to adoptees’ views of testing outcomes as bringing feelings of resolution or discordance. This study identified many challenging deliberations for adoptees in evaluating whether to take a DTC test and what to do when their results were returned. Additionally, adoptees’ consideration of data privacy issues appears hampered by already having shared identifying information about themselves in their wider adoptee search. Further research is encouraged.

Publication status:
Published
Peer review status:
Peer reviewed

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Files:
Publisher copy:
10.1007/s12687-022-00622-y

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
RDM
Sub department:
RDM Clinical Laboratory Sciences
Role:
Author
ORCID:
0000-0002-1432-2516
More by this author
Sub department:
RDM Clinical Laboratory Sciences
Role:
Author


Publisher:
Springer
Journal:
Journal of Community Genetics More from this journal
Volume:
14
Issue:
2
Pages:
149–162
Publication date:
2022-11-29
Acceptance date:
2022-11-15
DOI:
EISSN:
1868-6001
ISSN:
1868-310X


Language:
English
Keywords:
Pubs id:
1333054
Local pid:
pubs:1333054
Deposit date:
2023-03-16

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