Diaz Vanessa A, Mainous Arch G, McCall Ashleigh A, Geesey Mark E
Department of Family Medicine, Medical University of South Carolina, 295 Calhoun Street, Charleston, SC 29425, USA.
Fam Med. 2008 Jan;40(1):46-51.
African American participation in research trials must increase. This study evaluates factors affecting participation of African American college students in medical research.
A total of 200 students attending South Carolina State University (SCSU), a historically black college, completed surveys evaluating the likelihood of participation within 6 months in three types of noninvasive research studies (surveys with or without questions regarding sensitive information and collection of DNA with a buccal swab). Likelihood of participation by investigator's race (African American, white, Asian) or institution (SCSU, historically black college, predominantly white college, government) was compared with Wilcoxon signed-rank tests. Logistic regressions evaluating likelihood of participation included gender, Trust in Medical Researchers Scale score, prior participation, and family/friend participation.
Fewer respondents would participate in a survey asking about sensitive information than would provide DNA. Respondents were more likely to participate in a study if conducted by a historically black college or African American investigator. Respondents with more trust and without prior participation were more likely to participate. Just more than half of respondents (52.0%) stated that their physician's encouragement would increase their likelihood of participation.
Collaboration with African American investigators, historically black colleges, and community physicians may improve African American participation. Trust in researchers and participant's past research experience should also be considered.
非裔美国人参研率亟待提高。本研究旨在评估影响非裔美国大学生参与医学研究的因素。
共有200名就读于南卡罗来纳州立大学(一所历史悠久的黑人大学)的学生完成了调查问卷,评估他们在6个月内参与三种非侵入性研究的可能性(涉及敏感信息的调查、不涉及敏感信息的调查以及用口腔拭子采集DNA)。采用Wilcoxon符号秩检验比较不同种族(非裔美国人、白人、亚洲人)或机构(南卡罗来纳州立大学、历史悠久的黑人大学、白人为主的大学、政府机构)的研究者所开展研究的参与可能性。评估参与可能性的逻辑回归分析纳入了性别、对医学研究者的信任量表得分、既往参与情况以及家人/朋友的参与情况。
相比于提供DNA,愿意参与询问敏感信息调查的受访者更少。由历史悠久的黑人大学或非裔美国研究者开展的研究,受访者更有可能参与。信任度较高且未曾参与过研究的受访者更有可能参与。略超过半数的受访者(52.0%)表示医生的鼓励会增加他们参与的可能性。
与非裔美国研究者、历史悠久的黑人大学以及社区医生合作,可能会提高非裔美国人的参与度。还应考虑对研究者的信任以及参与者过去的研究经历。