Skip to main content
Top
Published in: Journal of Genetic Counseling 5/2011

01-10-2011 | Original Research

Media Coverage of Direct-to-Consumer Genetic Testing

Authors: John Lynch, Ashley Parrott, Robert J. Hopkin, Melanie Myers

Published in: Journal of Genetic Counseling | Issue 5/2011

Login to get access

Abstract

Media coverage of Direct-to-Consumer (DTC) genetic testing shapes public perception of such testing. The purpose of this study was to determine and assess the themes presented by U.S. news media regarding DTC genetic testing. We performed a Lexis-Nexis search with the keywords “Direct-to-Consumer” and “genetic test” for news stories published from 2006–2009. The sample was coded on themes of genetic determinism, privacy, discrimination, validity, regulation, the Genetic Information Nondiscrimination Act (GINA), utility, and cost. Ninety-two news stories were included. Stories displayed moderate genetic determinism and were neutral about validity and utility. Stories indicated that insurance and employers were the most likely sources of discrimination, yet identified the physicians and DTC companies as groups most likely to violate privacy. Stories claimed lack of regulation would harm consumers, but most post-GINA stories did not discuss the law. The costs of tests were frequently included. The results of this study show a broad range of views toward DTC genetic testing and its potential impacts. The genetics community should be aware that the public has been exposed to multiple views of DTC genetic testing when discussing these tests.
Literature
go back to reference American Society of Human Genetics. (2007). ASHG statement on direct-to-consumer genetic testing in the united states. American Journal of Human Genetics, 81, 635–637.CrossRef American Society of Human Genetics. (2007). ASHG statement on direct-to-consumer genetic testing in the united states. American Journal of Human Genetics, 81, 635–637.CrossRef
go back to reference Bevan, J. L., Lynch, J. A., Dubriwny, T. N., Harris, T. M., Achter, P. J., Reeder, A. L., et al. (2003). Informed lay preferences for delivery of racially varied pharmacogenomics. Genetics in Medicine, 5, 393–399.PubMedCrossRef Bevan, J. L., Lynch, J. A., Dubriwny, T. N., Harris, T. M., Achter, P. J., Reeder, A. L., et al. (2003). Informed lay preferences for delivery of racially varied pharmacogenomics. Genetics in Medicine, 5, 393–399.PubMedCrossRef
go back to reference Bloss, C. S., Schork, N. J., & Topol, E. J. (2011). Effect of direct-to-consumer genomewide profiling to assess disease risk. The New England Journal of Medicine, 364, 524–534.PubMedCrossRef Bloss, C. S., Schork, N. J., & Topol, E. J. (2011). Effect of direct-to-consumer genomewide profiling to assess disease risk. The New England Journal of Medicine, 364, 524–534.PubMedCrossRef
go back to reference Caulfield, T., & Bubela, T. (2004). Media representation of genetic discoveries: hype in the headlines? Health Law Review, 12, 53–61. Caulfield, T., & Bubela, T. (2004). Media representation of genetic discoveries: hype in the headlines? Health Law Review, 12, 53–61.
go back to reference Centers for Disease Control and Prevention. (2003). Genetic testing for breast and ovarian cancer susceptibility: Evaluating direct-to-consumer marketing—Atlanta, Denver, Raleigh-Durham, and Seattle. MMWR, 53, 603–606. Centers for Disease Control and Prevention. (2003). Genetic testing for breast and ovarian cancer susceptibility: Evaluating direct-to-consumer marketing—Atlanta, Denver, Raleigh-Durham, and Seattle. MMWR, 53, 603–606.
go back to reference Clayton, E. W. (2002). The complex relationship of genetics, groups, and health: what it means for public health. The Journal of Law, Medicine & Ethics, 30, 290–297.CrossRef Clayton, E. W. (2002). The complex relationship of genetics, groups, and health: what it means for public health. The Journal of Law, Medicine & Ethics, 30, 290–297.CrossRef
go back to reference Clayton, E. W. (2003). Ethical, legal, and social implications of genomic medicine. The New England Journal of Medicine, 349, 562–269.PubMedCrossRef Clayton, E. W. (2003). Ethical, legal, and social implications of genomic medicine. The New England Journal of Medicine, 349, 562–269.PubMedCrossRef
go back to reference Goddard, K. A., Moore, C., Ottman, D., Szegda, K. L., Bradley, L., & Khoury, M. J. (2006). Awareness and use of direct-to-consumer nutrigenomic tests, United States. Genetics in Medicine, 9, 510–517.CrossRef Goddard, K. A., Moore, C., Ottman, D., Szegda, K. L., Bradley, L., & Khoury, M. J. (2006). Awareness and use of direct-to-consumer nutrigenomic tests, United States. Genetics in Medicine, 9, 510–517.CrossRef
go back to reference Gollust, S. E., Hull, S. C., & Wilfond, B. S. (2002). Limitations of direct-to-consumer advertising for clinical genetic testing. Journal of the American Medical Association, 288, 1762–1767.PubMedCrossRef Gollust, S. E., Hull, S. C., & Wilfond, B. S. (2002). Limitations of direct-to-consumer advertising for clinical genetic testing. Journal of the American Medical Association, 288, 1762–1767.PubMedCrossRef
go back to reference Gollust, S., Wilfond, B. S., & Hull, S. C. (2003). Direct-to-consumer sales of genetic services on the Internet. Genetics in Medicine, 5, 332–337.PubMedCrossRef Gollust, S., Wilfond, B. S., & Hull, S. C. (2003). Direct-to-consumer sales of genetic services on the Internet. Genetics in Medicine, 5, 332–337.PubMedCrossRef
go back to reference Haga, S. B., Kjoury, M. J., & Burke, W. (2003). Genomic profiling to promote a healthy lifestyle: not ready for prime time. Nature Genetics, 34, 347–350.PubMedCrossRef Haga, S. B., Kjoury, M. J., & Burke, W. (2003). Genomic profiling to promote a healthy lifestyle: not ready for prime time. Nature Genetics, 34, 347–350.PubMedCrossRef
go back to reference Hagreaves, I., Lewis, J., & Spears, T. (2003). Towards a better map: Science, the public and the media. United Kingdom: Economic and Social Research Council. Hagreaves, I., Lewis, J., & Spears, T. (2003). Towards a better map: Science, the public and the media. United Kingdom: Economic and Social Research Council.
go back to reference Hall, M. A., & Rich, S. S. (2000). Patients’ fear of genetic discrimination by health insurers: the impact of legal protections. Genetics in Medicine, 2, 214–221.PubMedCrossRef Hall, M. A., & Rich, S. S. (2000). Patients’ fear of genetic discrimination by health insurers: the impact of legal protections. Genetics in Medicine, 2, 214–221.PubMedCrossRef
go back to reference Hubbard, R., & Wald, E. (1993). Exploding the gene myth. Boston: Beacon. Hubbard, R., & Wald, E. (1993). Exploding the gene myth. Boston: Beacon.
go back to reference Hunter, D. J., Kjoury, M. J., & Drazen, J. M. (2008). Letting the genome out of the bottle—will we get our wish? The New England Journal of Medicine, 358, 105–107.PubMedCrossRef Hunter, D. J., Kjoury, M. J., & Drazen, J. M. (2008). Letting the genome out of the bottle—will we get our wish? The New England Journal of Medicine, 358, 105–107.PubMedCrossRef
go back to reference Kuehn, B. M. (2008). Risks and benefits of direct-to-consumer genetic testing remain unclear. Journal of the American Medical Association, 300, 1503–1505.PubMedCrossRef Kuehn, B. M. (2008). Risks and benefits of direct-to-consumer genetic testing remain unclear. Journal of the American Medical Association, 300, 1503–1505.PubMedCrossRef
go back to reference Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.PubMedCrossRef Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.PubMedCrossRef
go back to reference Lowery, J. T., Byers, T., Axell, L., Ku, L., & Jacobellis, J. (2008). The impact of direct-to-consumer marketing of cancer genetic testing on women according to their genetic risk. Genetics in Medicine, 10, 888–894.PubMedCrossRef Lowery, J. T., Byers, T., Axell, L., Ku, L., & Jacobellis, J. (2008). The impact of direct-to-consumer marketing of cancer genetic testing on women according to their genetic risk. Genetics in Medicine, 10, 888–894.PubMedCrossRef
go back to reference Lynch, J., & Condit, C. M. (2006). Genes and race in the news: a test of competing theories of news coverage. American Journal of Health Behavior, 30, 125–35.PubMed Lynch, J., & Condit, C. M. (2006). Genes and race in the news: a test of competing theories of news coverage. American Journal of Health Behavior, 30, 125–35.PubMed
go back to reference McCabe, L. L., & McCabe, R. B. (2004). Direct-to-consumer genetic testing: access and marketing. Genetics in Medicine, 6, 58–59.PubMedCrossRef McCabe, L. L., & McCabe, R. B. (2004). Direct-to-consumer genetic testing: access and marketing. Genetics in Medicine, 6, 58–59.PubMedCrossRef
go back to reference McCabe, L. L., & McCabe, R. B. (2008). DNA: Promise and peril. Berkeley: University of California Press. McCabe, L. L., & McCabe, R. B. (2008). DNA: Promise and peril. Berkeley: University of California Press.
go back to reference Mouchawar, J., Laurion, S., Ritzwoller, D. P., Ellis, J., Kulchak-Rahm, A., & Hensley-Alford, S. (2005). Assessing controversial direct-to-consumer advertising for hereditary breast cancer testing: reactions from women and their physicians in a managed care organization. The American Journal of Managed Care, 11, 601–608.PubMed Mouchawar, J., Laurion, S., Ritzwoller, D. P., Ellis, J., Kulchak-Rahm, A., & Hensley-Alford, S. (2005). Assessing controversial direct-to-consumer advertising for hereditary breast cancer testing: reactions from women and their physicians in a managed care organization. The American Journal of Managed Care, 11, 601–608.PubMed
go back to reference Myers, M. F., Chang, M., Jorgensen, C., Whitworth, W., Kassim, S., Litch, J. A., et al. (2006). Genetic testing for susceptibility to breast and ovarian cancer: evaluating the impact of a direct-to-consumer marketing campaign on physicians’ knowledge and practices. Genetics in Medicine, 8, 361–370.PubMedCrossRef Myers, M. F., Chang, M., Jorgensen, C., Whitworth, W., Kassim, S., Litch, J. A., et al. (2006). Genetic testing for susceptibility to breast and ovarian cancer: evaluating the impact of a direct-to-consumer marketing campaign on physicians’ knowledge and practices. Genetics in Medicine, 8, 361–370.PubMedCrossRef
go back to reference Nelkin, D., & Lindee, S. (1995). The DNA mystique: The gene as cultural icon. New York: W.H. Freeman. Nelkin, D., & Lindee, S. (1995). The DNA mystique: The gene as cultural icon. New York: W.H. Freeman.
go back to reference Penziner, E., Williams, J. K., Erwin, C., Bombard, Y., Wallis, A., Beglinger, L. J., et al. (2008). Perceptions of discrimination among persons who have undergone predictive testing for Huntington’s disease. American Journal of Medical Genetics. Part B, Neuropsychiatric Genetic, 147, 320–325.CrossRef Penziner, E., Williams, J. K., Erwin, C., Bombard, Y., Wallis, A., Beglinger, L. J., et al. (2008). Perceptions of discrimination among persons who have undergone predictive testing for Huntington’s disease. American Journal of Medical Genetics. Part B, Neuropsychiatric Genetic, 147, 320–325.CrossRef
go back to reference Pirzadeh, S., & Pritzlaff, M. (2010). Direct-to-consumer genetic testing and advertising: past, present and future. Community Oncology, 7, 315–320. Pirzadeh, S., & Pritzlaff, M. (2010). Direct-to-consumer genetic testing and advertising: past, present and future. Community Oncology, 7, 315–320.
go back to reference Pollack, A. (2008, Aug. 20). California licenses 2 companies to offer gene services. The New York Times, p. C3. Pollack, A. (2008, Aug. 20). California licenses 2 companies to offer gene services. The New York Times, p. C3.
go back to reference Ries, N. M., & Castle, D. (2008). Nutrigenomics and ethics interface: direct-to-consumer services and commercial aspects. A Journal of Integrative Biology, 12, 245–250.CrossRef Ries, N. M., & Castle, D. (2008). Nutrigenomics and ethics interface: direct-to-consumer services and commercial aspects. A Journal of Integrative Biology, 12, 245–250.CrossRef
go back to reference Silva, V. T. (2005). In the beginning was the gene: the hegemony of genetic thinking in contemporary culture. Communication Theory, 15, 100–123.CrossRef Silva, V. T. (2005). In the beginning was the gene: the hegemony of genetic thinking in contemporary culture. Communication Theory, 15, 100–123.CrossRef
go back to reference United States Government Accountability Office. (2006). Nutrigenetic Testing: Tests Purchased From Four Web Sites Mislead Consumers. U.S. Government Accountability Office. Retrieved from http://www.gao.gov/ United States Government Accountability Office. (2006). Nutrigenetic Testing: Tests Purchased From Four Web Sites Mislead Consumers. U.S. Government Accountability Office. Retrieved from http://​www.​gao.​gov/​
go back to reference Wade, C. H., & Wilfond, B. S. (2006). Ethical and clinical practice considerations for genetic counselors related to direct-to-consumer marketing of genetic tests. American Journal of Medical Genetics, 142C, 284–292.PubMedCrossRef Wade, C. H., & Wilfond, B. S. (2006). Ethical and clinical practice considerations for genetic counselors related to direct-to-consumer marketing of genetic tests. American Journal of Medical Genetics, 142C, 284–292.PubMedCrossRef
go back to reference Wilcox, S. (2003). Cultural context and the conventions of science journalism: drama and the contradiction in media coverage of biological ideas about sexuality. Critical Studies in Media Communication, 20, 225–247.CrossRef Wilcox, S. (2003). Cultural context and the conventions of science journalism: drama and the contradiction in media coverage of biological ideas about sexuality. Critical Studies in Media Communication, 20, 225–247.CrossRef
go back to reference Williams-Jones, B. (2006). ‘Be ready against cancer, now’: direct-to-consumer advertising for genetic testing. New Genetics and Society, 25, 89–107.CrossRef Williams-Jones, B. (2006). ‘Be ready against cancer, now’: direct-to-consumer advertising for genetic testing. New Genetics and Society, 25, 89–107.CrossRef
Metadata
Title
Media Coverage of Direct-to-Consumer Genetic Testing
Authors
John Lynch
Ashley Parrott
Robert J. Hopkin
Melanie Myers
Publication date
01-10-2011
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 5/2011
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-011-9374-9

Other articles of this Issue 5/2011

Journal of Genetic Counseling 5/2011 Go to the issue