Evidence map›Paper›PMID 37169978›Full record

ArticleEuropean journal of human genetics : EJHG2024

Community concerns about genetic discrimination in life insurance persist in Australia: A survey of consumers offered genetic testing.

Jane Tiller, Andrew Bakshi, Grace Dowling, Louise Keogh, Aideen McInerney-Leo, Kristine Barlow-Stewart, Tiffany Boughtwood, Penny Gleeson, Martin B Delatycki, Ingrid Winship and 2 more

Erratum issuedAbstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
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  5. Article
  6. Article
  7. Review
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  9. Review
  10. Looking back at 2024 in the European Journal of Human Genetics.European journal of human genetics : EJHG · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Solving medical mysteries with genomics.European journal of human genetics : EJHG · 2024
    Article
  17. Review
  18. Article
  19. Article
  20. Genetic Testing of Movements Disorders: A Review of Clinical Utility.Tremor and other hyperkinetic movements (New York, N.Y.) · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Jane TillerPublic Health Genomics, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia. jane.tiller@monash.edu.ORCID 0000-0003-3906-6632
Andrew BakshiPublic Health Genomics, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Grace DowlingPublic Health Genomics, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Louise KeoghCentre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Aideen McInerney-LeoThe University of Queensland Diamantina Institute, University of Queensland, Dermatology Research Centre, Brisbane, Australia.ORCID 0000-0002-0059-5732
Kristine Barlow-StewartNorthern Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.ORCID 0000-0003-1831-9944
Tiffany BoughtwoodMurdoch Children's Research Institute, Parkville, Australia.ORCID 0000-0002-9634-3731
Penny GleesonDeakin Law School, Melbourne, Australia.
Martin B DelatyckiMurdoch Children's Research Institute, Parkville, Australia.
Ingrid WinshipDepartment of Medicine, the University of Melbourne, Melbourne, Australia.
Margaret OtlowskiFaculty of Law and Centre for Law and Genetics, University of Tasmania, Hobart, Australia.
Paul LacazePublic Health Genomics, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.ORCID 0000-0002-0902-6798

Funding

National Heart Foundation of Australia (Heart Foundation) 102604
6 · The paper itself

Abstract

Fears of genetic discrimination in life insurance continue to deter some Australians from genetic testing. In July 2019, the life insurance industry introduced a partial, self-regulated moratorium restricting the use of genetic results in underwriting, applicable to policies up to certain limits (eg AUD$500,000 for death cover).We administered an online survey to consumers who had taken, or been offered, clinical genetic testing for adult-onset conditions, to gather views and experiences about the moratorium and the use of genetic results in life insurance, including its regulation.Most respondents (n = 367) had undertaken a genetic test (89%), and had a positive test result (76%; n = 243/321). Almost 30% (n = 94/326) reported testing after 1 July 2019. Relatively few respondents reported knowing about the moratorium (16%; n = 54/340) or that use of genetic results in life insurance underwriting is legal (17%; n = 60/348). Only 4% (n = 14/350) consider this practice should be allowed. Some respondents reported ongoing difficulties accessing life insurance products, even after the moratorium. Further, discrimination concerns continue to affect some consumers' decision-making about having clinical testing and applying for life insurance products, despite the Moratorium being in place. Most respondents (88%; n = 298/340) support the introduction of legislation by the Australian government to regulate this issue.Despite the introduction of a partial moratorium in Australia, fears of genetic discrimination persist, and continue to deter people from genetic testing. Consumers overwhelmingly consider life insurers should not be allowed to use genetic results in underwriting, and that federal legislation is required to regulate this area.

Indexed as

Australasian PeopleInsurance, LifeInsurance Selection BiasAdultAustraliaGenetic TestingHumansSurveys and Questionnaires

Identifiers

PMID37169978
PMCPMC10923945

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.