Division of Public Health Sciences, Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC.
Department of Health Policy, Vanderbilt University Medical Center, Nashville, TN.
Genet Med. 2024 Aug;26(8):101163. doi: 10.1016/j.gim.2024.101163. Epub 2024 May 9.
To understand participant preferences for receiving specific types of research information, whether information preferences vary across sociodemographic groups, and the types of health providers participants could access to understand returned information.
All of Us Research Program participants completed a value of returning research information survey. Stratified sampling was implemented to enhance participant diversity and avoid noncoverage. We used weighted multivariable logistic regression to evaluate associations between the most valuable information types, access to providers, and sociodemographic variables.
Participants (N = 20,405) were diverse in their race/ethnicity (eg, 52% were White, 18% were Hispanic/Latino or Spanish, 3% were Asian, and 20% were Black or African American). Most participants (78.6%) valued information about their risk of serious genetic diseases with available treatment. Primary care physicians, specialists, and genetic counselors were the top providers that participants could access for help understanding returned information. Information preferences and provider access varied across sociodemographic groups. For example, as income levels increased, the odds of placing value on genetic results indicating risk of serious disease with available treatment increased when compared with the lowest income levels (P value < .001).
Although genetic information was most valuable to participants, preferences about specific information types varied across sociodemographic groups.
了解参与者对接收特定类型研究信息的偏好,这些信息偏好是否因社会人口统计学群体而异,以及参与者可以获得哪些类型的医疗服务提供者来理解返回的信息。
所有美国人研究计划的参与者都完成了一项关于返回研究信息价值的调查。实施分层抽样以增强参与者的多样性并避免覆盖不足。我们使用加权多变量逻辑回归来评估最有价值的信息类型、获得提供者的途径与社会人口统计学变量之间的关联。
参与者(N=20405)在种族/族裔方面具有多样性(例如,52%是白人,18%是西班牙裔/拉丁裔或西班牙语裔,3%是亚洲人,20%是黑人或非裔美国人)。大多数参与者(78.6%)重视有关其患有严重遗传疾病且有治疗方法的风险的信息。初级保健医生、专家和遗传咨询师是参与者可以获得帮助理解返回信息的首选提供者。信息偏好和提供者的获取因社会人口统计学群体而异。例如,与收入最低的群体相比,收入水平越高,对表明有治疗方法的严重疾病风险的遗传结果表示重视的可能性就越大(P 值<.001)。
尽管遗传信息对参与者最有价值,但对特定信息类型的偏好因社会人口统计学群体而异。