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Factors which influence ethnic minority women’s participation in maternity research: A systematic review of quantitative and qualitative studies

Lovell, Holly, Silverio, Sergio A., Story, Lisa, Skelton, Emily, Matthew, Jacqueline·2023·PLOS ONE
DOI 10.1371/journal.pone.0282088PMC PMC9956875
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Abstract

Background: Women from Black, Asian and mixed ethnicity backgrounds in the UK experience higher rates of maternal and neonatal mortality and morbidity, and report poorer experiences of maternity care. Research is required to understand how to reduce these disparities, however, it is acknowledged these groups of women are under-represented in clinical research. Aim: To investigate factors which influence participation in maternity research for women from an ethnic minority background. Methods: A systematic review was conducted to examine influencing factors for research participation. MEDLINE/CINHAL/PsycInfo/EMBASE databases were systematically searched in March 2021 and updated in March 2022. Papers were eligible if they explored maternal research participation and identified a woman’s ethnicity in the results. No restrictions were placed on methodology. A convergent integrated approach was used to synthesise findings. Findings: A total of 14 papers met the inclusion criteria. Results were divided into eight overarching themes. A personalised approach to recruitment and incorporating culturally sensitive communication and considerations enhanced research participation. Distrust around sharing data, a perception of risk to research participation, and research lacking in personal relevance adversely affected the decision to participate. Large variation existed in the quality of the studies reviewed. Conclusions: Consideration of a woman’s culture and background in the design and the delivery of a maternity research study may facilitate participation, particularly when sampling from a specific population. Further research, informed by women from ethnic minority backgrounds is warranted to develop women-centred recommendations for conducting inclusive maternity research. Prospero registration: www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42021261686 .

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Fig 1 PRIMSA flowchart.CC BY · PubMed Central
Fig 2 Thematic maps of barriers and facilitators.
Fig 2 Thematic maps of barriers and facilitators.CC BY · PubMed Central

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Metadata

Authors
Lovell, H., Silverio, S. A., Story, L., Skelton, E., & Matthew, J.
ORCID
Venue
PLOS ONE
Publisher
Public Library of Science (PLoS)
Published
2023-02-24
Volume
18
Issue
2
Pages
e0282088
ISSN
1932-6203
DOI
10.1371/journal.pone.0282088
PMC
PMC9956875
Cited by
39
References
4
Language
en
Update notices
correction (2025-02-19)
Licence
creativecommons.org/licenses/by/4.0/ (vor)
Funders
  • NIHR Doctoral Fellowships (NIHR300555, NIHR-INF-2170)
  • College of Radiographers Research and Industrial Partners Award (ref:-CBRHvaCoRIPS197)
  • NIHR Applied Research Collaboration (ARC) South London

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