Drake Bettina F, Boyd Danielle, Carter Kimberly, Gehlert Sarah, Thompson Vetta Sanders
Division of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA.
Alvin J. Siteman Cancer Center, St. Louis, MO, 63110, USA.
J Cancer Educ. 2017 Mar;32(1):51-58. doi: 10.1007/s13187-015-0905-1.
Before the burgeoning field of biospecimen collection can advance prevention and treatment methods, researchers must access diverse molecular data samples. However, minorities, especially African-American men, remain reticent to join these studies. This study, using theory-based approaches, investigated African-American men's barriers to participating in biorepository research. Fourteen focus groups were conducted among 70 African-American men (ages 40 to 80). The groups were stratified by prostate cancer history and educational attainment background. Participants identified perceived factors that promoted or hindered study participation when questioned about their knowledge and attitudes about biospecimen research. Ninety-four percent of participants indicated never participating in a study that collected biological samples. Barriers to their participation included lack of knowledge and understanding regarding biospecimen research practices and uses. In addition, they extensively cited a prevalent mistrust of the medical community and discomfort with study recruitment practices. African-American males were more willing to participate in biorepository studies with physician endorsement or if they understood that participation could benefit future generations. Men also wanted more recruitment and advertising done in familiar places.
在生物样本采集这个新兴领域能够推动预防和治疗方法的发展之前,研究人员必须获取多样的分子数据样本。然而,少数群体,尤其是非裔美国男性,仍然不愿参与这些研究。本研究采用基于理论的方法,调查了非裔美国男性参与生物样本库研究的障碍。对70名年龄在40至80岁之间的非裔美国男性进行了14个焦点小组访谈。这些小组按前列腺癌病史和教育程度背景进行分层。当被问及他们对生物样本研究的了解和态度时,参与者指出了促进或阻碍研究参与的因素。94%的参与者表示从未参与过收集生物样本的研究。他们参与的障碍包括对生物样本研究实践和用途缺乏了解。此外,他们广泛提及对医学界普遍存在的不信任以及对研究招募做法的不适。非裔美国男性更愿意在医生认可的情况下参与生物样本库研究,或者如果他们明白参与研究可能造福后代。男性还希望在熟悉的地方进行更多的招募和宣传活动。