Webb Fern J, Striley Catherine W, Cottler Linda B
a University of Florida , Gainesville & Jacksonville , Florida.
J Ethn Subst Abuse. 2015 Oct-Dec;14(4):325-39. doi: 10.1080/15332640.2014.986355. Epub 2015 Jul 25.
This analysis examined the association between marijuana (Mj) use, willingness to participate, navigation and enrollment in health research among African Americans. Data from HealthStreet, a community-engagement model implemented in North Central Florida that reduces health disparities by engaging and linking community members to medical and social services and health research opportunities, were analyzed to determine willingness of African American Mj users to participate, be navigated to and enroll in health research studies. Among 1,496 African American community members, 8.0% were current Mj users, 30.3% were past Mj users and 61.7% reported never using Mj. Current and past Mj users were more willing to volunteer for a research study that only involved the use of medical records, required an overnight stay in a hospital or clinic, or might require use of medical equipment compared to those who never used Mj. Current Mj users were significantly less likely to be navigated (95% CI: 0.21-0.58) to health research studies while past Mj users (95% CI: 1.05-2.64) were significantly more likely to be enrolled in health research studies. Navigating and enrolling Mj users into health research studies could help decrease health disparities and increase health equity for the entire community since study findings would undoubtedly be more representative of the entire community rather than a select few.
本分析研究了非裔美国人使用大麻(Mj)、参与意愿、在健康研究中的引导及入组情况之间的关联。对“健康街道”(HealthStreet)的数据进行了分析,“健康街道”是佛罗里达州中北部实施的一种社区参与模式,通过让社区成员参与并将其与医疗和社会服务以及健康研究机会相联系来减少健康差距,以确定非裔美国大麻使用者参与、被引导至并纳入健康研究的意愿。在1496名非裔美国社区成员中,8.0%为当前大麻使用者,30.3%为既往大麻使用者,61.7%报告从未使用过大麻。与从未使用过大麻的人相比,当前和既往大麻使用者更愿意自愿参与仅涉及使用病历、需要在医院或诊所过夜或可能需要使用医疗设备的研究。当前大麻使用者被引导至健康研究的可能性显著降低(95%CI:0.21 - 0.58),而既往大麻使用者(95%CI:1.05 - 2.64)被纳入健康研究的可能性显著增加。将大麻使用者引导并纳入健康研究有助于减少整个社区的健康差距并提高健康公平性,因为研究结果无疑将更能代表整个社区而非少数人。