Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
CHOP, Philadelphia, Pennsylvania, USA.
Cancer. 2023 Nov 1;129(21):3439-3447. doi: 10.1002/cncr.34960. Epub 2023 Jul 25.
Black sexual minority women (BSMW) face significant breast cancer health inequities and are underrepresented in health research because of historical and present-day exclusion. However, there exists no peer-reviewed literature on best practices for the inclusion of BSMW in cancer research. "Our Breast Health: The Access Project" was a national primary data collection study in June 2018 through October 2019 that aimed to identify facilitators and barriers to breast cancer care among BSMW, and that successfully recruited the highest number of BSMW for any national breast cancer screening study at the time of its publication.
The present analysis highlights best practices for reaching BSMW by examining by how effective various recruitment sources were at recruiting BSMW. Recruitment partners were grouped into several categories: (1) cancer focused, (2) Black women or sexual minority women focused, (3) BSMW focused, (4) social media, and (5) other. Then logistic regression was used to estimate the odds that a particular recruitment source category could recruit BSMW compared with other categories.
Partnerships with community-based organizations led by and intended for BSMW were the most successful at recruiting BSMW, demonstrating the importance of an intersectional approach to recruitment. Community-based organizations focused on BSMW specifically were 26 times more successful in recruiting BSMW to the study compared with recruiting Black women who were not sexual minorities (odds ratio, 26.43 [95% CI, 7.50-93.10]).
Successful recruitment enables breast cancer research grounded in the perspectives of BSMW, which can generate key findings that have the potential to remedy longstanding health inequities for this population.
黑人性少数群体女性（BSMW）面临着显著的乳腺癌健康不平等问题，并且由于历史和当前的排斥，她们在健康研究中代表性不足。然而，目前还没有关于将 BSMW 纳入癌症研究的最佳实践的同行评审文献。“我们的乳房健康：获取项目”是 2018 年 6 月至 2019 年 10 月进行的一项全国性原发性数据收集研究，旨在确定 BSMW 中乳腺癌护理的促进因素和障碍，并且在其发表时成功招募了当时任何全国性乳腺癌筛查研究中最多的 BSMW。
本分析通过检查各种招募来源在招募 BSMW 方面的有效性，突出了针对 BSMW 的最佳实践。招募伙伴被分为几类：（1）癌症为重点，（2）黑人女性或性少数群体女性为重点，（3）BSMW 为重点，（4）社交媒体，和（5）其他。然后，使用逻辑回归来估计特定招募来源类别与其他类别相比招募 BSMW 的可能性。
与 BSMW 相关的社区组织的合作是最成功的招募 BSMW 的方法，这表明了招募的交叉方法的重要性。专门针对 BSMW 的社区组织招募 BSMW 参加研究的成功率比招募不是性少数群体的黑人女性高 26 倍（优势比，26.43 [95%CI，7.50-93.10]）。
成功的招募使基于 BSMW 观点的乳腺癌研究成为可能，这可以产生关键的发现，有可能纠正该人群长期存在的健康不平等问题。
