4.7 Article

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

Journal

AMERICAN JOURNAL OF HUMAN GENETICS
Volume 109, Issue 3, Pages 486-497

Publisher

CELL PRESS
DOI: 10.1016/j.ajhg.2022.01.013

Keywords

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Funding

  1. National Human Genome Research Institute of the National Institutes of Health [R01HG011268]

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Genetic genealogy and relative-finder services are increasingly popular, with many participants joining for non-specific reasons. This study found that most participants learned the identity of at least one genetic relative and discovered new information about themselves and their relatives. While some made life changes as a result, most had no regrets about participating in the services.
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.

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