Coughlin S S
Tulane University, USA.
J Health Care Poor Underserved. 1998 Feb;9(1):30-41. doi: 10.1353/hpu.2010.0437.
This paper provides an overview of the ethical and cultural issues that were taken into account in planning a cross-cultural study of barriers to breast and cervical cancer screening among Houma Indian women who reside in Terrebonne Parish, Louisiana. In such cross-cultural studies, the investigators and members of the target population are from different cultural backgrounds. In planning the study, ethical principles and cultural norms were carefully specified to ensure that the welfare of the participants would be protected and potential benefits maximized. This experience with the Houma Indian Nation illustrates the need for greater participation of research subjects in the planning and implementation of studies on their behalf. An ethical, culturally sensitive approach to cancer control research is needed to address the health concerns of Native American populations.
本文概述了在规划一项针对居住在路易斯安那州特雷伯恩教区的霍马印第安妇女乳腺癌和宫颈癌筛查障碍的跨文化研究时所考虑的伦理和文化问题。在这类跨文化研究中,研究人员和目标人群成员来自不同文化背景。在规划该研究时,仔细明确了伦理原则和文化规范,以确保参与者的福利得到保护,并使潜在利益最大化。与霍马印第安民族的这一经历表明,需要研究对象更多地参与代表他们的研究的规划和实施。需要一种符合伦理、对文化敏感的癌症控制研究方法来解决美国原住民的健康问题。