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意识与可接受的做法:机构审查委员会和研究人员对哈瓦苏派诉讼的反思

Awareness and Acceptable Practices: IRB and Researcher Reflections on the Havasupai Lawsuit.

作者信息

Garrison Nanibaa' A, Cho Mildred K

机构信息

Stanford Center for Biomedical Ethics, Stanford University, 1215 Welch Road, Modular A, Stanford, CA, USA 94305-5417.

出版信息

AJOB Prim Res. 2013 Oct 1;4(4):55-63. doi: 10.1080/21507716.2013.770104.

Abstract

BACKGROUND

In 2003, Havasupai tribe members in Arizona discovered that their DNA samples, collected for genetic studies on Type II diabetes, had been used for studies on schizophrenia, migration, and inbreeding without their approval. The resulting lawsuit brought by the Havasupai reached a settlement in April 2010 in which tribe members received monetary compensation and the return of DNA samples. In this study, we examine the perceptions of Institutional Review Board (IRB) chairpersons and human genetic researchers about the case and its impact on the practice of research.

METHODS

Twenty-minute semi-structured interviews were conducted with 26 Institutional Review Board (IRB) chairs and researchers at six top NIH-funded institutions. Participants were questioned about their knowledge and perceived impact of the Havasupai case and their perceptions of informed consent in genetic research studies.

RESULTS

We found that most study participants did not perceive that the Havasupai case had a large impact. However, we identified key concerns and opinions of the case, in particular, increased awareness of culturally sensitive issues with informed consent and secondary uses of samples.

CONCLUSIONS

The results provide a deeper understanding of how informed consent issues are understood by IRB members and human genetic researchers and the implications for research ethics education.

摘要

背景

2003年,亚利桑那州的哈瓦苏派部落成员发现,他们为II型糖尿病基因研究而采集的DNA样本,未经他们同意就被用于精神分裂症、移民和近亲繁殖的研究。哈瓦苏派部落提起的诉讼于2010年4月达成和解,部落成员获得了金钱赔偿并收回了DNA样本。在本研究中,我们调查了机构审查委员会(IRB)主席和人类基因研究人员对该案件及其对研究实践影响的看法。

方法

对国立卫生研究院资助的六家顶尖机构的26名机构审查委员会(IRB)主席和研究人员进行了20分钟的半结构化访谈。参与者被问及他们对哈瓦苏派案件的了解和感知影响,以及他们对基因研究知情同意的看法。

结果

我们发现,大多数研究参与者认为哈瓦苏派案件没有产生重大影响。然而,我们确定了该案件的关键问题和观点,特别是对知情同意和样本二次使用中文化敏感问题的认识有所提高。

结论

研究结果使我们更深入地了解了IRB成员和人类基因研究人员对知情同意问题的理解,以及对研究伦理教育的影响。

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