Storr Carla L, Or Flora, Eaton William W, Ialongo Nicholas
Department of Family and Community Health, School of Nursing, University of Maryland, Baltimore, 655 West Lombard Street Rm 645C, Baltimore, MD, 21201, USA,
J Community Genet. 2014 Oct;5(4):363-75. doi: 10.1007/s12687-014-0191-3. Epub 2014 Jun 20.
Opposed to large nationally sponsored health initiatives or biobanks, little is known about gathering genetic samples from young adults participating in academic community-based epidemiologic studies of mental health and substance use, especially samples with a large number of minority participants. This study describes our experience of establishing a genetic arm within a longitudinal study of a cohort of young adults (mean age 29, 75 % African American, 58 % female). In total, 75 % of those interviewed in the most recent wave donated a DNA sample (31.6 % blood and 68.4 % saliva) and over 90 % provided consent for storage and sharing. Current smokers were more likely to donate a sample than nonsmokers (adjusted odds ratio (aOR) = 1.59, 95 % confidence interval (CI) = 1.14, 2.22). The odds of obtaining a saliva sample were increased for those who were former cannabis smokers and who drank more regularly, but decreased among participants with less education and a history with drug use. Fewer minorities (aOR = 0.37, 95 % CI = 0.18, 0.75; p = 0.006) and cannabis users (aOR = 0.46, 95 % CI = 0.27, 0.77) consented to sharing their sample with other investigators. Findings also illustrate there are many study parameters that are important in planning biologic collection efforts. Building strong rapport and trust with subjects, minimizing the burden involved by the respondent to obtain a biological sample, offering a choice to provide blood or saliva, and offering an incentive will increase the likelihood of obtaining a sample and, importantly, increase the opportunity to store and share the sample for the future.
与大型国家资助的健康倡议或生物样本库不同,对于从参与基于学术社区的心理健康和物质使用流行病学研究的年轻人中收集基因样本,尤其是从大量少数族裔参与者中收集样本,我们了解甚少。本研究描述了我们在一项针对一群年轻人(平均年龄29岁,75%为非裔美国人,58%为女性)的纵向研究中建立基因研究分支的经验。在最近一轮访谈中,总共75%的受访者捐赠了DNA样本(31.6%为血液样本,68.4%为唾液样本),超过90%的受访者同意存储和共享样本。当前吸烟者比不吸烟者更有可能捐赠样本(调整后的优势比(aOR)=1.59,95%置信区间(CI)=1.14,2.22)。曾经吸食大麻者和饮酒更频繁者获得唾液样本的几率增加,但在受教育程度较低和有吸毒史的参与者中几率降低。同意与其他研究者共享样本的少数族裔(aOR = 0.37,95% CI = 0.18,0.75;p = 0.006)和大麻使用者(aOR = 0.46,95% CI = 0.27,0.77)较少。研究结果还表明,在规划生物样本收集工作时,有许多研究参数很重要。与受试者建立牢固的融洽关系和信任,尽量减轻受访者获取生物样本的负担,提供血液或唾液的选择,并提供激励措施,将增加获得样本的可能性,重要的是,增加未来存储和共享样本 的机会。