Although GJB2/GJB6 genetic testing for non-syndromic hearing loss is available, there is no information regarding sharing of test results with family members. A qualitative study was conducted to elucidate if, how, and why parents of a child with hearing loss share GJB2/GJB6 test results with relatives. Parents whose child had testing (n = 7 positive, n = 4 negative, n = 1 inconclusive results) participated in a semi-structured interview and responses were analyzed using qualitative methods. All participants shared the test result with at least one relative, but selective non-disclosure also was observed. Reasons for, and reactions to, sharing were diverse and differed as a function of test result. In comparing the results from this study to published literature, similarities and differences were identified with regards to disclosure of genetic test results for hearing loss versus other conditions. Differences suggest that hearing loss may have unique attributes that influence responses to genetic test information. Further research is needed to replicate these findings.
Similar content being viewed by others
Notes
We use the term “hearing loss” throughout this article. However, there are individual differences in preferred terminology to describe audiologic differences, including “deaf,” “hard of hearing,” and “hearing impaired.”
REFERENCES
Abe, S., Usami, S., Shinkawa, H., Kelley, P. M., & Kimberling, W. J. (2000). Prevalent connexin 26 gene (GJB2) mutations in Japanese. J Med Genet, 37, 41–43.
Anderlik, M. R., & Lisko, E. A. (2000). Medicolegal and ethical issues in genetic cancer syndromes. Semin Surg Oncol, 18, 339–346.
Arnos, K. S., Israel, J., & Cunningham, M. (1991). Genetic counseling of the deaf. Medical and cultural considerations. Ann NY Acad Sci, 630, 212–222.
Azaiez, H., Chamberlin, G. P., Fischer, S. M., Welp, C. L., Prasad, S., Taggart, R. R., et al. (2004). GJB2: The spectrum of deafness-causing allele variants and their phenotype. Human Mutation, 24, 305–311.
Billings, K. R., & Kenna, M. A. (1999). Causes of pediatric sensorineural hearing loss: Yesterday and today. Arch Otolaryngol, 125, 517–521.
Claes, E., Evers-Kiebooms, G., Boogaerts, A., Decruyenaere, M., Denayer, L., & Legius, E. (2003). Communication with close and distant relatives in the context of genetic testing for hereditary breast and ovarian cancer in cancer patients. Am J Med Genet A, 116, 11–19.
Cryns, K., Orzan, E., Murgia, A., Huygen, P. L. M., Moreno, F., del Castillo, I., et al. (2004). A genotype-phenotype correlation for GJB2 (connexin 26) deafness. J Med Genet, 41, 147–154.
del Castillo, I., Villamar, M., Moreno-Pelayo, M. A., del Castillo, F. J., Alvarez, A., Telleria, D., et al. (2002). A deletion involving the connexin 30 gene in nonsyndromic hearing impairment. New Engl J Med, 346, 243–249.
Denoyelle, F., Lina-Granade, G., Plauchu, H., Bruzzone, R., Chaib, H., Levi-Acobas, F., et al. (1998). Connexin 26 gene linked to a dominant deafness. Nature, 393, 319–320.
Denoyelle, F., Marlin, S., Weil, D., Moatti, L., Chauvin, P., Garabedian, E. N., et al. (1999). Clinical features of the prevalent form of childhood deafness, DFNB1, due to a connexin-26 gene defect: Implications for genetic counselling. Lancet, 353, 1298–1303.
Estivill, X., Fortina, P., Surrey, S., Rabionet, R., Melchionda, S., D’Agruma, L., et al. (1998). Connexin-26 mutations in sporadic and inherited sensorineural deafness. Lancet, 351, 394–398.
Flick, U. (1998). An introduction to qualitative research. London: Sage.
Gorlin, R. J., Toriello, H. V., & Cohen Jr., M. M. (1995). Hereditary hearing loss and its syndromes. New York: Oxford University Press, Inc.
Green, G. E., Scott, D. A., McDonald, J. M., Woodworth, G. G., Sheffield, V. C., & Smith, R. J. (1999). Carrier rates in the midwestern United States for GJB2 mutations causing inherited deafness. JAMA, 281, 2211–2216.
Henneman, L., Kooij, L., Bouman, K., & ten Kate, L. P. (2002). Personal experiences of cystic fibrosis (CF) carrier couples prospectively identified in CF families. Am J Med Genet, 110, 324–331.
Hone, S. W., & Smith, R. J. H. (2002). Medical evaluation of pediatric hearing loss: Laboratory, radiographic, and genetic testing. Otolaryng Clin N Am, 35, 751–764.
Jacobs, L. M. (1989). A deaf adult speaks out. Washington, D.C.: Gallaudet University.
Kenna, M. A., Wu, B. L., Cotanche, D. A., Korf, B. R., & Rehm, H. L. (2001). Connexin 26 studies in patients with sensorineural hearing loss. Arch Otolaryngol Head & Neck Surgery, 127, 1037–1042.
Kenneson, A., Van Naarden Braun, K., & Boyle, C. (2002). GJB2 (connexin 26) variants and non-syndromic sensorineural hearing loss: A huge review. Genet Med, 4, 258–274.
Marlin, S., Garabedian, E. N., Roger, G., Moatti, L., Matha, N., Lewin, P., et al. (2001). Connexin 26 gene mutations in congenitally deaf children: Pitfalls for genetic counseling. Arch Otolaryngol Head Neck Surg, 127, 927–933.
McGivern, B., Everett, J., Yager, G. G., Baumiller, R. C., Hafertepen, A., & Saal, H. M. (2004). Family communication about positive BRCA1 and BRCA2 genetic test results. Genet Med, 6, 503–509.
Mesters, I., Ausems, M., Eichhorn, S., & Vasen, H. (2005). Informing one’s family about genetic testing for hereditary non-polyposis colorectal cancer (HNPCC): A retrospective exploratory study. Fam Cancer, 4, 163–167.
Morell, R. J., Kim, H. J., Hood, L. J., Goforth, L., Friderici, K., Fisher, R., et al. (1998). Mutations in the connexin 26 gene (GJB2) among Ashkenazi Jews with nonsyndromic recessive deafness. N Engl J Med, 339, 1500–1505.
Morton, N. E. (1991). Genetic epidemiology of hearing impairment. Ann NY Acad Sci, 630, 16–31.
Nance, W. E. (2003). The genetics of deafness. Ment Retard Dev Disabil Res Rev, 9, 109–119.
Ormond, K. E., Mills, P. L., Lester, L. A., & Ross, L. F. (2003). Effect of family history on disclosure patterns of cystic fibrosis carrier status. Am J Med Genet, 119C, 70–77.
Pallares-Ruiz, N., Blanchet, P., Mondain, M., Claustres, M., & Roux, A.-F. (2002). A large deletion including most of GJB6 in recessive non syndromic deafness: A digenic effect? European J Hum Genet, 10, 72–76.
Palmer, C. G. S., Martinez, A., Fox, M., Crandall, B., Shapiro, N., Telatar, M., et al. (2003). Genetic testing and the early hearing detection and intervention process. Volta Rev, 103, 371–390.
Pandya, A., Arnos, K. S., Xia, X. J., Welch, K. O., Blanton, S. H., Friedman, T. B., et al. (2003). Frequency and distribution of GJB2 (connexin 26) and GJB6 (connexin 30) mutations in a large North American repository of deaf probands. Genet Med, 5, 295–303.
Peterson, S. K., Watts, B. G., Koehly, L. M., Vernon, S. W., Baile, W. F., Kohlmann, W. K., et al. (2003). How families communicate about HNPCC genetic testing: findings from a qualitative study. Am J Med Genet, 119C, 78–86.
Schimmenti, L. A., Martinez, A., Fox, M., Crandall, B., Shapiro, N., Telatar, M., et al. (2004). Genetic testing as part of the Early Hearing Detection and Intervention (EHDI) process. Genet Med, 6, 521–525.
Smith, K., Zick, C. D., Mayer, R. N., & Botkin, J. R. (2002). Voluntary disclosure of BRCA1 mutation test results. Genet Test, 6, 89–92.
Smith, R. (2001). Mutation screening for deafness: More than simply another diagnostic test. Arch Otolaryngol, 127, 941–942.
Smith, S. (1991). Recurrence risks. Ann NY Acad Sci, 630, 203–211.
Sorenson, J. R., Jennings-Grant, T., & Newman, J. (2003). Communication about carrier testing within hemophilia A families. Am J Med Genet C, 119, 3–10.
Wagner Costalas, J., Itzen, M., Malick, J., Babb, J. S., Bove, B., Godwin, A. K., et al. (2003). Communication of BRCA1 and BRCA2 results to at-risk relatives: A cancer risk assessment program’s experience. Am J Med Genet C, 119, 11–18.
Williams, J. K., & Schutte, D. L. (1997). Benefits and burdens of genetic carrier identification. Western J Nurs Res, 19, 71–81.
Zelante, L., Gasparini, P., Estivill, X., Melchionda, S., D’Agruma, L., Govea, N., et al. (1997). Connexin26 mutations associated with the most common form of non-syndromic neurosensory autosomal recessive deafness (DFNB1) in Mediterraneans. Hum Mol Genet, 6, 1605–1609.
ACKNOWLEDGMENTS
This research was supported by National Institute on Deafness and Other Communication Disorders (NIDCD) Grant DC005663 and California State University Northridge Thesis Support Program (2004–2005). The authors are grateful to the participating families who generously gave their time and support to allow performance of this study and to two anonymous reviewers who provided constructive criticism on an earlier version of this manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Blase, T., Martinez, A., Grody, W.W. et al. Sharing GJB2/GJB6 Genetic Test Information with Family Members. J Genet Counsel 16, 313–324 (2007). https://doi.org/10.1007/s10897-006-9066-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10897-006-9066-z