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针对特殊人群的研究:拉丁裔男同性恋者、双性恋男性及跨性别者在纵向健康研究中的留存情况

Researching special populations: retention of Latino gay and bisexual men and transgender persons in longitudinal health research.

作者信息

Kuhns L M, Vazquez R, Ramirez-Valles J

机构信息

School of Public Health, University of Illinois at Chicago, 6th Floor (M/C 923), 1603 West Taylor Street, Chicago, IL 60612-4394, USA.

出版信息

Health Educ Res. 2008 Oct;23(5):814-25. doi: 10.1093/her/cym066. Epub 2007 Oct 31.

Abstract

Few studies have sought to assess predictors of retention of racial/ethnic or sexual minorities in longitudinal health research. The purpose of this study is to investigate predictors of retention of Latino gay and bisexual men and transgender (GBT) research participants after the baseline interview. Data come from a sample of 643 Latino GBT individuals in two cities (Chicago and San Francisco). We assessed potential predictors of retention (operationalized as successful re-contact) using binary logistic regression of retention on five factors (sociodemographic/health, residential stability, acculturation/attachment to the United States, gay community attachment/stigmatization and research process/design). Our overall follow-up rate was 83 and 80% at 3 and 6 months, respectively. We found that traditional factors (e.g. education, income) were not associated with retention among Latino GBT. The strongest predictors of successful retention were the number of pieces of contact information provided by participants and city of residence (San Francisco). Furthermore, successful methods of contact (i.e. telephone, email) varied by city. We conclude that a largely immigrant urban population of Latino GBT individuals can be successfully followed in longitudinal research. The strong relationship between study design variables and successful retention indicates that collection of thorough contact information is vital to successful follow-up with this population.

摘要

很少有研究试图评估种族/族裔或性少数群体在纵向健康研究中的留存预测因素。本研究的目的是调查拉丁裔男同性恋者、双性恋者和跨性别者(GBT)研究参与者在基线访谈后留存的预测因素。数据来自两个城市(芝加哥和旧金山)的643名拉丁裔GBT个体样本。我们使用留存情况对五个因素(社会人口统计学/健康状况、居住稳定性、文化适应/对美国的依恋、同性恋社区依恋/污名化以及研究过程/设计)进行二元逻辑回归,评估了留存的潜在预测因素。我们在3个月和6个月时的总体随访率分别为83%和80%。我们发现,传统因素(如教育程度、收入)与拉丁裔GBT群体的留存情况无关。成功留存的最强预测因素是参与者提供的联系信息数量和居住城市(旧金山)。此外,成功的联系方法(即电话、电子邮件)因城市而异。我们得出结论,在纵向研究中可以成功追踪以城市为主的拉丁裔GBT移民群体。研究设计变量与成功留存之间的紧密关系表明,收集全面的联系信息对于成功随访该群体至关重要。

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