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精准医学研究中的残疾包容:首次全国调查。

Disability inclusion in precision medicine research: a first national survey.

机构信息

Center for Research on Ethical, Legal & Social Implications of Psychiatric, Neurologic & Behavioral Genetics, Department of Psychiatry, Columbia University, New York, NY, USA.

New York State Psychiatric Institute, New York, NY, USA.

出版信息

Genet Med. 2019 Oct;21(10):2319-2327. doi: 10.1038/s41436-019-0486-1. Epub 2019 Mar 22.

Abstract

PURPOSE

Including people with disabilities in precision medicine research (PMR) is key for increasing cohorts' diversity, improving understanding of population health, and attaining social justice for the United States' largest health disparities group. We conducted a national survey to explore the views of people with disabilities about PMR.

METHODS

An online survey was developed in disability-accessible formats. Key questions included views on PMR, willingness to participate and to provide data, perceived barriers to participation and potential remedies, and interest in engagement in the study. Analyses described results for all participants and compared results for key demographic characteristics.

RESULTS

In total, 1294 participants completed the survey. Participants expressed strong support for PMR, and willingness to participate in PMR; to provide lifestyle, biological, and medical information; and to engage with the study. However, 76% identified a total of 3 to 8 barriers to participation, and most would not provide environmental samples or information from their social media account(s) and activity trackers. Differences were observed across racial, ethnic, and gender groups and are discussed.

CONCLUSIONS

Barriers to disability inclusion need to be removed, and further research conducted to better understand concerns about PMR and to develop studies that resonate with the interests and needs of this population.

摘要

目的

将残疾人纳入精准医学研究(PMR)中对于增加队列的多样性、增进对人群健康的理解以及实现美国最大的健康差异群体的社会公正至关重要。我们进行了一项全国性调查,以探讨残疾人对 PMR 的看法。

方法

以残疾人可访问的格式开发了在线调查。关键问题包括对 PMR 的看法、参与和提供数据的意愿、参与的感知障碍和潜在的补救措施,以及参与研究的兴趣。分析描述了所有参与者的结果,并比较了关键人口统计学特征的结果。

结果

共有 1294 名参与者完成了调查。参与者对 PMR 表示强烈支持,并表示愿意参与 PMR;提供生活方式、生物和医疗信息;并参与研究。然而,76%的参与者总共确定了 3 到 8 个参与障碍,大多数人不会提供环境样本或他们的社交媒体账户和活动追踪器中的信息。观察到不同种族、民族和性别群体之间存在差异,并进行了讨论。

结论

需要消除残疾人参与的障碍,并进一步开展研究,以更好地了解对 PMR 的担忧,并制定与该人群的利益和需求产生共鸣的研究。

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