College of Public Health and Health Professions and College of Medicine, University of Florida, Gainesville, FL 32610, USA.
Am J Public Health. 2013 Sep;103(9):1685-92. doi: 10.2105/AJPH.2012.300941. Epub 2013 Feb 14.
We used results generated from the first study of the National Institutes of Health Sentinel Network to understand health concerns and perceptions of research among underrepresented groups such as women, the elderly, racial/ethnic groups, and rural populations.
Investigators at 5 Sentinel Network sites and 2 community-focused national organizations developed a common assessment tool used by community health workers to assess research perceptions, health concerns, and conditions.
Among 5979 individuals assessed, the top 5 health concerns were hypertension, diabetes, cancer, weight, and heart problems; hypertension was the most common self-reported condition. Levels of interest in research participation ranged from 70.1% among those in the "other" racial/ethnic category to 91.0% among African Americans. Overall, African Americans were more likely than members of other racial/ethnic groups to be interested in studies requiring blood samples (82.6%), genetic samples (76.9%), or medical records (77.2%); staying overnight in a hospital (70.5%); and use of medical equipment (75.4%).
Top health concerns were consistent across geographic areas. African Americans reported more willingness to participate in research even if it required blood samples or genetic testing.
我们利用美国国立卫生研究院哨兵网络(NHS)第一项研究的结果,了解女性、老年人、种族/族裔群体和农村人口等代表性不足群体对健康的关注和对研究的看法。
5 个哨兵网络站点和 2 个以社区为重点的全国性组织的研究人员开发了一种共同的评估工具,由社区卫生工作者用于评估研究看法、健康关注和状况。
在评估的 5979 人中,前 5 大健康关注点是高血压、糖尿病、癌症、体重和心脏问题;高血压是最常见的自我报告疾病。对研究参与的兴趣水平从“其他”种族/族裔类别的 70.1%到非裔美国人的 91.0%不等。总体而言,非裔美国人比其他种族/族裔群体更有可能对需要血液样本(82.6%)、遗传样本(76.9%)或医疗记录(77.2%)的研究、在医院过夜(70.5%)和使用医疗设备(75.4%)感兴趣。
不同地区的首要健康关注点一致。非裔美国人表示更愿意参与研究,即使这需要血液样本或基因测试。