Omar Deega, Syder Nicole, Brown-Korsah Jessica B, McKenzie Shanice, Elbuluk Nada, Taylor Susan
George Washington University School of Medicine and Health Sciences, Washington, District of Columbia; Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, California.
J Am Acad Dermatol. 2023 Nov;89(5):895-902. doi: 10.1016/j.jaad.2022.03.052. Epub 2022 Apr 4.
Although racial and ethnic demographics are shifting in this country, it is not reflected in the diversity of clinical trial research participants; science, technology, engineering, and mathematics pipeline programs; or the workforce in the field of dermatology. Barriers to recruitment of minority patients for research studies also exist for numerous reasons including lack of education of prospective subjects, lack of awareness of ongoing trials, and mistrust within the health care system. Gaps in the science, technology, engineering, and mathematics pipeline for racial and ethnic minorities, particularly Black, Hispanic/Latinx, and American Indian or Alaska Native, are due in large part to structural racism. Lack of exposure as well as lack of educational, mentorship, and research opportunities contribute to gaps in the dermatology workforce. Having a representative population in the dermatology workforce and in clinical research trial patients is essential for optimum patient care, excellence in the specialty, and knowledge of appropriate treatments for minority populations. This article will discuss knowledge gaps for increasing minority subjects who participate in clinical research trials and discuss mechanisms to engage this community in trial recruitment. Additionally, this article addresses lack of racial and ethnic diversity of the dermatology workforce and performance gaps in the recruitment of racial/ethnic minorities into dermatology.
尽管这个国家的种族和族裔人口结构正在发生变化，但临床试验研究参与者的多样性、科学、技术、工程和数学人才培养项目，以及皮肤科领域的劳动力队伍中却并未体现这一点。招募少数族裔患者参与研究存在诸多障碍，原因包括潜在受试者教育程度低、对正在进行的试验缺乏了解，以及对医疗保健系统的不信任。种族和族裔少数群体，尤其是黑人、西班牙裔/拉丁裔以及美国印第安人或阿拉斯加原住民在科学、技术、工程和数学人才培养方面存在差距，这在很大程度上归因于结构性种族主义。缺乏接触机会以及教育、指导和研究机会的匮乏导致了皮肤科劳动力队伍的差距。在皮肤科劳动力队伍以及临床试验患者中拥有具有代表性的人群，对于提供最佳患者护理、该专业的卓越发展以及了解针对少数族裔人群的适当治疗方法至关重要。本文将讨论在增加参与临床研究试验的少数族裔受试者方面的知识差距，并探讨促使该群体参与试验招募的机制。此外，本文还将探讨皮肤科劳动力队伍中种族和族裔多样性的缺乏，以及在招募种族/族裔少数群体进入皮肤科方面的表现差距。
