Cited by 35Ethics in Clinical ResearchRace, Genetics, and SocietyHealth disparities and outcomes

Participation in biomedical research studies and cancer screenings: perceptions of risks to minorities compared with whites

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Katz, Ralph V., Wang, Min Qi, Green, B. Lee, Kressin, Nancy R., Claudio, Cristina, Russell, Stefanie Luise, Sommervil, Christelle·2008·Cancer Control

Abstract

BACKGROUND: This analysis was conducted to determine whether there is a difference among blacks, Hispanics, and whites in their perception of risks associated with participating in either a biomedical study or a cancer screening. METHODS: The Tuskegee Legacy Project Questionnaire, which focused on research subject participation, was administered in two different surveys (1999-2000 and 2003) in seven cities. The Cancer Screening Questionnaire was administered in 2003 in three cities. RESULTS: The study sample across the three surveys consisted of 1,064 blacks, 781 Hispanics, and 1,598 non-Hispanic whites. Response rates ranged from 44% to 70% by city. Logistic regression analyses, adjusted for age, sex, education, income, and city, revealed that blacks and Hispanics each self-reported that minorities, compared with whites, are more likely to be "taken advantage of" in biomedical studies and much less likely to get a "thorough and careful examination" in a cancer screening (odds ratios ranged from 3.6 to 14.2). CONCLUSIONS: Blacks and Hispanics perceive equally high levels of risk for participating in cancer screening examinations and for volunteering to become research subjects in biomedical studies. This perception provides a strong message about the need to overtly address this critical health disparities issue.

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  • The low response rate may be explained by cultural issues such as low awareness of the importance of research, which may explain poor participation rates in biomedical research previously reported in Hispanic minorities.

    “Finally, the low response rate observed may be explained by cultural issues such as the low awareness of the importance of research, which may explain the poor participation rates in biomedical research studies that have been previously reported in Hispanic minorities (44).”

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Authors
Katz, R. V., Wang, M. Q., Green, B. L., Kressin, N. R., Claudio, C., Russell, S. L., & Sommervil, C.
Affiliations
  • New York University (US)
  • University of Maryland, College Park (US)
  • Moffitt Cancer Center (US)
  • VA Boston Healthcare System (US)
  • University of Puerto Rico System (PR)
Venue
Cancer Control
Published
2008-10
Volume
15
Issue
4
Pages
344-351
ISSN
1073-2748 (ISSN-L)
OpenAlex
W2164061808
Cited by
35
References
58
Citations by year
2024: 1 · 2023: 2 · 2022: 2 · 2021: 2 · 2019: 4 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 3 · 2014: 2 · 2013: 3 · 2012: 6
FWCI
2.29
Type
journal article
Language
en
Open access
Locations
  • Cancer Control (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Dental and Craniofacial Research (P50DE010592, U54DE014257)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Race, Genetics, and Society
  • Social Sciences › Health › Health disparities and outcomes
Keywords
research participation, cancer screening, risk perception, racial and ethnic minorities, African Americans, Hispanic Americans, health disparities, research ethics, trust in healthcare
MeSH terms
Adult, Aged, Female, Hispanic or Latino, Humans, Male, Mass Screening, Middle Aged, Neoplasms, Patient Participation, Logistic Models, Research Subjects, Biomedical Research, Black People, White People

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