Schwartz M D, Rothenberg K, Joseph L, Benkendorf J, Lerman C
Department of Oncology, Lombardi Cancer Center, Georgetown University Medical Center, 2233 Wisconsin Ave. NW, Suite 317, Washington, DC 20007, USA.
Am J Med Genet. 2001 Feb 1;98(4):336-42. doi: 10.1002/1096-8628(20010201)98:4<336::aid-ajmg1100>3.0.co;2-7.
The use of anonymized stored tissue is a routine practice in genetic research. Investigators who utilize stored samples are neither required nor able to obtain informed consent before each use. Many genetic studies, however, are conducted on specific ethnic populations (e.g., Ashkenazi Jews). The results in these cases, although individually anonymous, are not anonymous with respect to the ethnicity of the participants. This lack of group anonymity has led to concern about the possibility of stigmatization and discrimination based on the results of the genetic research. In the present study we surveyed Jewish individuals about their attitudes regarding the practice of using stored DNA samples for genetic research. Specifically, we were interested in whether attitudes about informed consent and willingness to participate in genetics research using stored DNA would depend on the circumstances in which the material was collected (i.e., clinical setting vs. research setting) and the characteristics of the disease or trait under investigation. Overall, most respondents reported that written informed consent should be required and that they would be willing to provide such consent. Participants were most willing to provide consent, however, when the sample had been collected in a research rather than clinical setting. Further, participants were more likely to endorse the need for obtaining consent when the sample was collected in a clinical setting. Finally, participants were significantly less willing to participate in research that examined stereotypical or potentially stigmatizing traits as opposed to research that examined medical or mental illnesses.
在基因研究中,使用匿名存储的组织是一种常规做法。使用存储样本的研究人员在每次使用前既不需要也无法获得知情同意。然而,许多基因研究是针对特定种族群体(如德系犹太人)进行的。在这些情况下,尽管个体结果是匿名的,但就参与者的种族而言并非匿名。这种群体匿名性的缺失引发了人们对基于基因研究结果而产生污名化和歧视可能性的担忧。在本研究中,我们调查了犹太个体对使用存储的DNA样本进行基因研究这一做法的态度。具体而言,我们感兴趣的是,对于知情同意的态度以及参与使用存储DNA进行基因研究的意愿是否会取决于样本收集的环境(即临床环境与研究环境)以及所研究疾病或特征的特点。总体而言,大多数受访者表示应该要求书面知情同意,并且他们愿意提供此类同意。然而,当样本是在研究而非临床环境中收集时,参与者最愿意提供同意。此外,当样本在临床环境中收集时,参与者更有可能认可获得同意的必要性。最后,与研究医学或精神疾病的研究相比,参与者明显不太愿意参与研究刻板印象或潜在污名化特征的研究。