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Preventive behavior after receiving risk evaluation by direct-to-consumer genetic tests: simulation study

Research Project

Project/Area Number 16K12335
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Community health nursing
Research InstitutionInternational University of Health and Welfare (2019)
Kyoto University (2016-2018)

Principal Investigator

Nishigaki Masakazu  国際医療福祉大学, 大学院, 教授 (20466741)

Co-Investigator(Kenkyū-buntansha) 櫻井 晃洋  札幌医科大学, 医学部, 教授 (70262706)
Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2017: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Keywords遺伝カウンセリング / ゲノムリテラシー / 遺伝子検査ビジネス / ゲノム / リテラシー / 健康行動 / 遺伝リテラシー / 遺伝子検査 / 一次予防
Outline of Final Research Achievements

We investigated influence of direct-to-consumer genetic testing of common disease risk to health behavioral intention. A total of 1,040 adults (age 20 to 69) participated this study. They provided virtual results showing high/moderate/low risk of common disease and obesity.
Participants tended to put emphasis on genotypic risk rather than actual phenotypic risk. For example, obese participants would withdraw their intention to take healthy behavior if they receive results of low genotypic risk. Such optimistic changes frequently occur in participant with low genomic literacy. These results show that direct-to-consumer genetic testing of common disease could be a harm in specific population. Healthcare professionals should be cautious about spread of direct-to-consumer genetic testing and try to improve genomic literacy in general population.

Academic Significance and Societal Importance of the Research Achievements

遺伝子検査ビジネスは、その分析や結果の信頼性について疑義が多く、法的に規制されている国もある。一方で、その信頼性はどうであれ、その結果を受けて受検者の行動が変容するきっかけとなれば、過剰に規制する必要はないという意見も存在する。そこで本研究では、遺伝子検査ビジネスが受検者の行動意図に与える影響を検討し、遺伝子検査ビジネスの結果が、受検者にとって害となりうることが示された。遺伝学的検査はエビデンスをもとに医療の枠組みの中で提供しなければ不利益をもたらしかねないことや、適切な利活用のためには一般市民のゲノムリテラシーを向上しなければならないことが明確に示された本研究の社会的意義は大きい。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (8 results)

All 2019 2018 2017

All Journal Article (3 results) Presentation (2 results) (of which Int'l Joint Research: 2 results,  Invited: 1 results) Book (3 results)

  • [Journal Article] 5.臨床における遺伝看護の普及と教育の在り方 看護学教育モデル・コア・カリキュラムに期待するもの2019

    • Author(s)
      西垣昌和
    • Journal Title

      日本遺伝看護学会誌

      Volume: 17 Pages: 14-19

    • Related Report
      2019 Annual Research Report
  • [Journal Article] 遺伝情報の利活用 Next Generation Sequencing時代の遺伝カウンセリングにもとめられること2019

    • Author(s)
      西垣昌和
    • Journal Title

      臨床病理レビュー

      Volume: 162 Pages: 15-21

    • Related Report
      2019 Annual Research Report
  • [Journal Article] 生活習慣病の易罹患性検査が受検者の行動に与える影響2018

    • Author(s)
      西垣昌和
    • Journal Title

      遺伝子医学

      Volume: 26 Pages: 179-184

    • NAID

      40021718189

    • Related Report
      2018 Research-status Report
  • [Presentation] 2.Assessing the genetic literacy of the general population: A literature review.2018

    • Author(s)
      Akiyama N, Nishigaki M.
    • Organizer
      American Society of Human Genetics 2018
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Genetic Nursing in Research, Education and Practice with the Focus on Precision Nursing: Japan2017

    • Author(s)
      Nishigaki M
    • Organizer
      International Society of Nurses in Genetics 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Book] 基礎から学ぶ遺伝看護学「継承性」と「多様性」の看護学2019

    • Author(s)
      中込 さと子 (監修), 西垣昌和, 渡邉 淳 (編集)
    • Total Pages
      178
    • Publisher
      羊土社
    • Related Report
      2019 Annual Research Report
  • [Book] 基礎から学ぶ遺伝看護学 「継承性」と「多様性」の看護学2019

    • Author(s)
      中込 さと子 (監修), 西垣 昌和 (編集), 渡邉 淳 (編集)
    • Total Pages
      178
    • Publisher
      羊土社
    • ISBN
      9784758109734
    • Related Report
      2018 Research-status Report
  • [Book] 最新多因子遺伝性疾患研究と遺伝カウンセリング2018

    • Author(s)
      櫻井 晃洋(編集). 西垣 昌和(分担執筆)
    • Total Pages
      300
    • Publisher
      メディカル・ドゥ
    • ISBN
      9784944157266
    • Related Report
      2018 Research-status Report

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Published: 2016-04-21   Modified: 2021-02-19  

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