黑人和白人在基因组测序研究中的基因检测和其他医疗保健使用
Katherine W Saylor1, William M P Klein2, Larissa Calancie3
1Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Public health genomics
|August 6, 2023
概括
在早期采用基因组医学时存在种族差异. 与白人相比,黑人对先前基因测试的几率较低,这表明基因组技术的潜在访问和知识差距.
科学领域:
- 基因组医学是基因组医学.
- 健康差异 在健康上的差异
- 医学创新 采用 医学创新 采用
背景情况:
- 早期采用者对于医疗创新传播至关重要.
- 了解早期采用的种族动态可以揭示基因组医学实施中的差异.
- 以前的研究还没有充分探讨种族在基因测试采用中的作用.
研究的目的:
- 调查自我认同的种族与先前的遗传测试经验之间的关联.
- 确定影响早期采用基因检测的因素.
- 了解在采用基因组技术方面的种族差异.
主要方法:
- 一项涉及674名白人和407名黑人个体进行基因组测序的研究.
- 评估与先前遗传检测相关的因素.
- 统计分析控制人口统计,人格,知识,态度和健康状况.
主要成果:
- 在对其他因素进行控制后,黑人对先前基因测试的几率明显较低 (OR=0.43,p<0.001).
- 种族与非遗传临床查测试的使用没有关联.
- 虽然个性特征相似,但黑人和白人个人在社会人口统计和资源促进者方面存在差异.
结论:
- 在早期采用中持续存在的种族差异表明,在获取和对基因组医学知识方面存在根深蒂固的不平等.
- 解决这些差异对于公平实施基因组技术至关重要.
- 需要进一步的研究来了解和减轻这些采用差距.
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