The Benefits and Risks of Direct-to-Consumer Genetic Testing

Benefits

  • Direct-to-consumer genetic testing promotes awareness of genetic diseases.
  • It provides personalized information about your health, disease risk, and other traits.
  • It may help you be more proactive about your health.
  • It does not require approval from a healthcare provider or health insurance company.
  • As results are provided directly to the individual, they are not in your insurance or medical record (unless you share results with your healthcare professional).
  • It is often less expensive than genetic testing obtained through a healthcare provider, which can make testing more accessible to people with no or limited health insurance.
  • DNA sample collection is usually simple and noninvasive, and results are available quickly.
  • Your anonymous data is added to a large database that can be used to further medical research. Depending on the company, the database may represent up to several million participants.
  • Risks

  • Tests may not be available for the health conditions or traits that interest you.
  • This type of testing cannot tell definitively whether you will or will not get a particular disease. Results often need to be confirmed with genetic tests administered by a healthcare professional.
  • The tests look only at a subset of variants within genes, so disease-causing variants can be missed.
  • Unexpected information that you receive about your health, family relationships, or ancestry may be stressful or upsetting.
  • As testing is done outside of a healthcare clinic, individuals often are not provided with genetic counseling or thorough informed consent.
  • People may make important decisions about disease treatment or prevention based on inaccurate, incomplete, or misunderstood information from their test results.
  • There is currently little oversight or regulation of testing companies.
  • Unproven or invalid tests can be misleading. There may not be enough scientific evidence to link a particular genetic variation with a given disease or trait.
  • Genetic privacy may be compromised if testing companies use your genetic information in an unauthorized way or if your data is stolen.
  • The results of genetic testing may impact your ability to obtain life, disability, or long-term care insurance.