Parents' attitudes toward genetic testing of children for health conditions: A systematic review

Clin Genet. 2017 Dec;92(6):569-578. doi: 10.1111/cge.12989. Epub 2017 Mar 30.

Abstract

This review assessed parents' attitudes toward childhood genetic testing for health conditions, with a focus on perceived advantages and disadvantages. We also evaluated the factors that influence parents' attitudes toward childhood genetic testing. We searched Medline, Medline In-Process, EMBASE, PsycINFO, Social Work Abstracts and CINAHL. We screened 945 abstracts and identified 21 studies representing the views of 3934 parents. Parents reported largely positive attitudes toward childhood genetic testing across different genetic tests with varying medical utility. Parents perceived a range of advantages and disadvantages of childhood genetic testing. Childhood genetic testing was viewed by most as beneficial. Parents' education level, genetic status, sex and sociodemographic status were associated with reported attitudes. This yielded some conflicting findings, indicating the need for further research. Genetic counseling remains essential to support this population in making well-informed decisions. Targeted interventions tailored to specific families with different sociodemographic characteristics may be useful. Further research on the long-term impact of childhood genetic testing on families is warranted.

Keywords: attitude; genetic testing; parents; pediatrics.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Adult
  • Australia
  • Child
  • Clinical Decision-Making
  • Female
  • Genetic Counseling / psychology*
  • Genetic Diseases, Inborn / diagnosis
  • Genetic Diseases, Inborn / psychology*
  • Genetic Predisposition to Disease
  • Genetic Testing*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Middle Aged
  • Parents / psychology*
  • Sex Factors
  • Socioeconomic Factors