在临床研究中,多元化的研究小组和代表性不足的群体
Ashank Bains1, Pawarissara Osathanugrah2, Nayan Sanjiv2
1Department of Ophthalmology, University of Washington, Seattle.
JAMA ophthalmology
|October 19, 2023
概括
少数民族患者和具有较低社会经济地位的患者不太可能参加眼科临床试验. 匹配患者和工作人员的种族/种族增加了入学率,突出了对多元化研究团队的需求.
科学领域:
- 眼科医生 眼科 眼科
- 临床研究 临床研究
- 健康 公平 卫生 公平
背景情况:
- 眼科疾病不成比例地影响少数群体.
- 由于招聘障碍,临床试验往往缺乏人口代表性.
- 历史上的不信任和文化差异影响参与.
研究的目的:
- 研究患者和研究人员的人口统计和眼科临床研究的同意率之间的关联.
- 确定影响参与眼病研究的因素.
主要方法:
- 对患者进行回顾性队列研究,这些患者被用于眼科临床试验 (2015-2021年).
- 使用多变量逻辑回归来分析基于人口统计数据的同意率.
- 包括1380名来自城市学术医院的患者.
主要成果:
- 与白人患者相比,黑人和西班牙裔/拉丁裔患者同意的可能性较低.
- 较低的社会经济地位与同意率的下降有关.
- 患者和研究人员之间的种族和种族一致性增加了同意的几率.
结论:
- 代表性不足的种族/民族群体和社会经济地位较低的个人不太可能参加眼科研究.
- 多元化的研究团队,具有共同的种族/种族一致性,可以提高参与者入学率.
- 增加临床研究的多样性对于公平的代表性至关重要.
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