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患者的性别和种族/民族差异与研究兴趣:北德克萨斯州初级保健实践研究网络(NorTex)研究。

Patient Research Interest Differences by Gender and Race/Ethnicity: A North Texas Primary Care Practice-Based Research Network (NorTex) Study.

机构信息

Health Services Advisory Group, Phoenix, AZ (TS); North Texas Primary Care Practice-Based Research Network (NorTex), Department of Family Medicine and Osteopathic Manipulative Medicine, Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX (AE, KGF); Department of Pharmacotherapy, System College of Pharmacy, University of North Texas Health Science Center, Fort Worth, TX (SM); and Department of Family and Community Medicine, University of Kentucky College of Medicine, Lexington, KY (RC).

出版信息

J Am Board Fam Med. 2022 Mar-Apr;35(2):225-234. doi: 10.3122/jabfm.2022.02.210340.

Abstract

BACKGROUND

Recruiting and increasing participation of women and racial/ethnic groups remains an ongoing struggle despite the National Institutes of Health Revitalization Act mandating the inclusion of these populations. This study examined gender and racial/ethnic differences in research interest in participating in Practice-Based Research Network studies focused on cardiovascular disease (CVD), diabetes, cancer, and mental health research.

METHODS

A total of 1348 participants and 18 NorTex clinics from the North Texas Primary Care Registry Project (NRP) database were included in this cross-sectional study. Participants who signed up through the registry to participate in future research projects and self-reported as non-Hispanic White, Hispanic, or non-Hispanic Black were included. Research interest in heart disease, high cholesterol, high blood pressure and heart failure were categorized as CVD; depression and anxiety were categorized as mental health; diabetes and cancer research were coded as single item dependent variables.

RESULTS

Of registry participants, 72% were female, 34.5% were Black, and 24.4% were Hispanic. Of participants, 70% (n = 942) were interested in CVD research, the leading area of interest. Mental health research (56.3%, n = 755) was the second highest area of interest, while cancer had the least interest (38.4%, n = 515). After controlling for age, smoking, and having a diagnosis of the medical condition, gender did not predict interest in CVD, diabetes, cancer, or mental health research. However, race/ethnicity significantly predicted interest in diabetes and cancer research.

CONCLUSION

Results indicate there are racial/ethnic differences in interest in specific research topics among our registry participants. This information may be helpful to develop successful recruitment strategies.

摘要

背景

尽管美国国立卫生研究院(NIH)复兴法案要求纳入这些人群,但招募和增加女性和种族/族裔群体的参与仍然是一个持续的挑战。本研究考察了参与以心血管疾病(CVD)、糖尿病、癌症和心理健康研究为重点的实践为基础的研究网络研究的研究兴趣中的性别和种族/族裔差异。

方法

共有 1348 名参与者和 18 家北德克萨斯初级保健注册项目(NRP)数据库中的 NorTex 诊所参与了这项横断面研究。参与者通过注册系统报名参加未来的研究项目,并自我报告为非西班牙裔白人、西班牙裔或非西班牙裔黑人,即可被纳入研究。对心脏病、高胆固醇、高血压和心力衰竭的研究兴趣被归类为 CVD;抑郁和焦虑被归类为心理健康;糖尿病和癌症研究被编码为单一项目的因变量。

结果

在注册参与者中,72%为女性,34.5%为黑人,24.4%为西班牙裔。在参与者中,70%(n=942)对 CVD 研究感兴趣,这是最感兴趣的领域。心理健康研究(56.3%,n=755)是第二大感兴趣的领域,而癌症的兴趣最低(38.4%,n=515)。在控制年龄、吸烟和医疗条件诊断后,性别并不能预测对 CVD、糖尿病、癌症或心理健康研究的兴趣。然而,种族/族裔显著预测了对糖尿病和癌症研究的兴趣。

结论

结果表明,在我们的注册参与者中,对特定研究主题的兴趣存在种族/族裔差异。这些信息可能有助于制定成功的招募策略。

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