Katrina A.B. Goddard ^1*, Debra Duquette ², Amy Zlot ³, Jenny Johnson ⁴, Ann Annis-Emeott ², Patrick W. Lee ⁴, Mary Pat Bland ³, Karen L. Edward ⁵, Kristin Oehlke ⁶, Rebecca T. Giles ⁴, Ann Rafferty ², Michelle L. Cook ², Muin J. Khoury ¹

¹ National Office of Public Health Genomics, Centers for Disease Control and Prevention, Atlanta, GA
² Michigan Department of Community Health, Lansing, MI
³ Oregon Genetics Program, Public Health Division, Oregon Department of Human Services, Portland, OR
⁴ Chronic Disease Genomics Program, Utah Department of Public Health, Salt Lake City, UT
⁵ Department of Epidemiology, University of Washington, Seattle
⁶ Health Promotion and Chronic Disease Division, Minnesota Department of Health, St. Paul, MN

^* To whom correspondence should be addressed. E-mail: katrina.ab.goddard{at}kpchr.org.

	Abstract

We conducted population-based surveys on direct-to-consumer nutrigenomic testing in Michigan, Oregon, and Utah as part of the 2006 Behavioral Risk Factor Surveillance System. Awareness of the tests was highest in Oregon (24.4%) and lowest in Michigan (7.6%). Predictors of awareness were more education, higher income, and increasing age, except among those 65 years or older. Less than 1% had used a health-related direct-to-consumer genetic test. Public health systems should increase consumer and provider education and continue surveillance on direct-to-consumer genetic tests.

Key Words: Genetics, Health Service Delivery, Public Health Practice, Surveillance