Garza Mary A, Li Yan, Fryer Craig S, Assini-Meytin Luciana C, Ghebrendrias Segen, Puga Christina Celis, Butler Lll James, Quinn Sandra C, Thomas Stephen B
Department of Public Health, College of Health and Human Services, California State University, Fresno, United States.
Central Valley Health Policy Institute, College of Health and Human Services, California State University, Fresno, United States.
Contemp Clin Trials Commun. 2025 Feb 3;44:101440. doi: 10.1016/j.conctc.2025.101440. eCollection 2025 Apr.
The underrepresentation of racial and ethnic minoritized populations in public health and clinical trials research remains a persistent issue. Yet, despite the growing body of literature investigating Latino participation in research, studies examining differences Latino sub-groups remains limited. The purpose of this study was to investigate how knowledge, awareness and willingness to participate in research differs between US- born and immigrant Latinos.
We conducted a population-based household telephone survey with Latino adults (N = 1264), with 68 % Mexican/Mexican American, 11 % Central/South American, 8 % Puerto Rican and the remaining 13 % self-identified as "Other". The "Building Trust Survey," included valid standardized instruments designed to assess knowledge of research, human subjects' protections, previous participation in research, immigrant status (nativity), length of time in the US, and country of origin.
The study found that Latinos who immigrated to the US as teens or young adults were more willing to participate in medical research than those born in the US. Willingness to "take" something in a study varied by Latino subgroup, immigration age, gender, and age. Analysis highlighted that Mexican/Mexican Americans (76 %) and Central/South Americans (74 %) indicated a willingness to participate in research but also were less likely to have been "Asked" to participate in research (9 % and 6 % respectively) compared to the other subgroups (p < .05).
Insights from this study will inform the development of culturally tailored interventions aimed at successfully recruiting and retaining Latino populations in public health and clinical trials research, thereby contributing to more equitable and representative health outcomes.
少数族裔群体在公共卫生和临床试验研究中的代表性不足仍然是一个长期存在的问题。然而,尽管研究拉丁裔参与研究的文献越来越多,但对拉丁裔亚群体差异的研究仍然有限。本研究的目的是调查美国出生的拉丁裔和移民拉丁裔在参与研究的知识、意识和意愿方面有何不同。
我们对拉丁裔成年人(N = 1264)进行了一项基于人群的家庭电话调查,其中68%为墨西哥/墨西哥裔美国人,11%为中美洲/南美洲人,8%为波多黎各人,其余13%自认为是“其他”。“建立信任调查”包括有效的标准化工具,旨在评估研究知识、人体受试者保护、以前参与研究的情况、移民身份(出生地)、在美国的居住时间和原籍国。
研究发现,十几岁或年轻时移民到美国的拉丁裔比在美国出生的拉丁裔更愿意参与医学研究。在研究中“接受”某种东西的意愿因拉丁裔亚群体、移民年龄、性别和年龄而异。分析强调,墨西哥/墨西哥裔美国人(76%)和中美洲/南美洲人(74%)表示愿意参与研究,但与其他亚群体相比,被“邀请”参与研究的可能性较小(分别为9%和6%)(p <.05)。
本研究的见解将为制定文化上量身定制的干预措施提供信息,旨在成功招募和留住拉丁裔人群参与公共卫生和临床试验研究,从而促进更公平和更具代表性的健康结果。