Evidence map›Paper›PMID 42555535›Full record

ArticlePublic health genomics2026

Hope Tempered by Caution: Public Beliefs in the USA about the Benefits and Drawbacks of Using Epigenetic Technologies in Clinical Care.

Erika A Waters, Caitlin Yuen, Clarissa Gaona Romero, Julia Maki, Bryce Puesta Takenaka, Aantaki Raisa, Erin Linnenbringer, Jada G Hamilton, Jessica Mozersky, George P Souroullas and 1 more

Abstract read
In one paragraph

Article in Public health genomics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Erika A WatersDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis, St. Louis, USA, waterse@wustl.edu.
Caitlin YuenDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis, St. Louis, USA.
Clarissa Gaona RomeroDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis, St. Louis, USA.
Julia MakiDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis, St. Louis, USA.
Bryce Puesta TakenakaDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, USA.
Aantaki RaisaDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis, St. Louis, USA.
Erin LinnenbringerDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis, St. Louis, USA.
Jada G HamiltonDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, USA.
Jessica MozerskyDivision of General Medicine and Geriatrics, Bioethics Research Center, Washington University in St. Louis, St. Louis, USA.
George P SouroullasDivision of Oncology, Department of Medicine, Washington University in St. Louis, St. Louis, USA.
Chelsey R CarterDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionClinical applications of epigenetic technologies could revolutionize precision medicine. However, successful uptake in clinical settings may be influenced by public opinion. We investigated public beliefs about possible benefits and drawbacks of epigenetic-based medical technologies.

methodsWe recruited 153 adults from across the USA to participate in 1 of 27 virtual focus groups, each lasting 45-75 min. Groups were stratified by education (less than bachelor's degree vs. bachelor's degree or more) and race and ethnicity (black or African American, Asian, Indigenous [Native Hawaiian, Pacific Islander, American Indian, Alaska Native], Hispanic, and white). Participants viewed an educational video about epigenetics prior to discussion. We used inductive and deductive qualitative content analysis.

resultsParticipants indicated that epigenetic technologies could be used to guide risk-stratified prevention (i.e., engage in behaviors to reduce the risk of developing a health condition; engage in screening and early-detection behaviors to enable early treatment; facilitate clinical history-taking; inform reproductive planning decisions) and to develop novel therapeutics and editing approaches (i.e., new medications; epigenetic editing). However, participants also mentioned concerns about the ethical, legal, and social implications (ELSIs) of epigenetics, including exacerbating health disparities; the high cost of treatment and health insurance; promoting eugenics; and epigenetic-based discrimination by healthcare providers. Each of the race, education, and ethnicity strata included content related to each of the three major subthemes of risk-stratified prevention, novel therapeutics, and ELSI considerations.

conclusionEfforts to translate basic epigenetics research to clinical practice hold promise, but it is also critical to create solutions that address people's concerns.

Indexed as

Epigenesis, GeneticEpigenomicsPublic OpinionAdultFemaleFocus GroupsHumansMaleMiddle AgedPrecision MedicineUnited StatesEpigeneticsEthical, legal, and social implicationsQualitative research

Identifiers

PMID42555535
PMCPMC13688360

What OpenQuestion holds

Textmetadata
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.