Coughlin S S, Etheredge G D, Metayer C, Martin S A
Department of Biostatistics and Epidemiology, Tulane University School of Public Health, New Orleans, Louisiana, USA.
Am J Prev Med. 1996 Jul-Aug;12(4):242-6.
The ethical problems that surrounded the Tuskegee Syphilis Study prompted widespread public criticism when they first surfaced in 1972; the Tuskegee Study remains an important case in bioethics. We recently examined public health student knowledge of the ethical significance of the Tuskegee Study as part of an ethics curriculum needs assessment at Tulane University. A brief questionnaire was administered to 236 graduate students currently enrolled in seven epidemiology courses. Basic demographic information was obtained along with information about degree program. A series of questions was then asked to assess student knowledge of bioethics including the ethical significance of the Tuskegee Study. Only 19% (46 of 236) of the students demonstrated knowledge of the ethical significance of the Tuskegee Study. Knowledge of the Tuskegee Study's ethical significance was higher among students who were from the United States and those who were enrolled in the epidemiology program (P < .05). The ethical problems that surrounded the Tuskegee Study have rarely been encountered in public health. However, this important case stands as an exemplar of the potential for ethical abuses in human subjects research. Such cases ought to be highlighted in public health curricula. Medical Subject Headings (MeSH): blacks, African Americans, educational curriculum, epidemiology, ethics, public health, racism.
1972年首次曝光时,围绕塔斯基吉梅毒研究的伦理问题引发了公众的广泛批评;塔斯基吉研究仍是生物伦理学中的一个重要案例。最近,作为杜兰大学伦理学课程需求评估的一部分,我们调查了公共卫生专业学生对塔斯基吉研究伦理意义的了解情况。我们向目前选修七门流行病学课程的236名研究生发放了一份简短问卷。问卷获取了基本人口统计学信息以及学位课程相关信息。随后提出一系列问题,以评估学生对生物伦理学的了解,包括塔斯基吉研究的伦理意义。只有19%(236名学生中的46名)的学生表现出对塔斯基吉研究伦理意义的了解。来自美国的学生以及选修流行病学课程的学生对塔斯基吉研究伦理意义的了解程度更高(P < 0.05)。公共卫生领域很少遇到像塔斯基吉研究那样的伦理问题。然而,这个重要案例是人体研究中可能出现伦理滥用情况的一个典型例子。此类案例应在公共卫生课程中予以强调。医学主题词(MeSH):黑人、非裔美国人、教育课程、流行病学、伦理学、公共卫生、种族主义。