Rural-urban and racial-ethnic differences in awareness of direct-to-consumer genetic testing

BMC Public Health

Thomas J. George¹  Yi Guo¹  Jiang Bian¹  Jaclyn M. Hall¹  Ramzi G. Salloum¹  Elizabeth A. Shenkman¹  Merry-Jennifer Markham²  Natalie Silver³ 

[1] Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida;Department of Medicine Division of Hematology/Oncology, University of Florida;Department of Otolaryngology, University of Florida;

关键词: Genetic testing;    Health disparities;    Rural health;   

DOI  :  10.1186/s12889-018-5190-6

来源: DOAJ

【 摘 要 】

Abstract Background Access to direct-to-consumer genetic testing services has increased in recent years. However, disparities in knowledge and awareness of these services are not well documented. We examined awareness of genetic testing services by rural/urban and racial/ethnic status. Methods Analyses were conducted using pooled cross-sectional data from 4 waves (2011–2014) of the Health Information National Trends Survey (HINTS). Descriptive statistics compared sample characteristics and information sources by rural/urban residence. Logistic regression was used to examine the relationship between geography, racial/ethnic status, and awareness of genetic testing, controlling for sociodemographic characteristics. Results Of 13,749 respondents, 16.7% resided in rural areas, 13.8% were Hispanic, and 10.1% were non-Hispanic black. Rural residents were less likely than urban residents to report awareness of genetic testing (OR = 0.74, 95% CI = 0.63–0.87). Compared with non-Hispanic whites, racial/ethnic minorities were less likely to be aware of genetic testing: Hispanic (OR = 0.68, 95% CI = 0.56–0.82); and non-Hispanic black (OR = 0.74, 95% CI = 0.61–0.90). Conclusions Rural-urban and racial-ethnic differences exist in awareness of direct-to-consumer genetic testing. These differences may translate into disparities in the uptake of genetic testing, health behavior change, and disease prevention through precision and personalized medicine.

【 授权许可】

Unknown