在产妇试验中招募,保留和报告种族代表性:一个范围审查
Holly Lovell1,2, Emilie Wicks2, Hilary Thompson2
1Population Health Sciences, King's College London, London, UK holly.lovell@kcl.ac.uk.
BMJ open
|November 26, 2025
概括
产妇试验很少报告招募和留住少数民族妇女的策略,这可能会加剧健康不平等. 需要更多的工作来确保研究反映了多样化的人口.
科学领域:
- 孕产妇健康研究研究
- 临床试验方法论 临床试验方法论
- 健康 公平 卫生 公平
背景情况:
- 黑人和亚洲女性面临更高的围产死亡率和发病率.
- 少数民族群体在临床研究中代表性不足,这限制了概括性.
- 当前的孕产妇试验可能在招聘和保留中没有充分考虑种族多样性.
研究的目的:
- 评估在英国产妇试验中如何考虑和报告种族多样性招聘.
- 确定用于在孕产妇健康研究中纳入少数民族的战略.
主要方法:
- 基于英国的产妇试验协议和结果论文 (2004-2024) 的范围审查.
- 数据提取的重点是少数民族群体的参与者代表性,招聘和保留策略.
- 在协议中概述的策略与结果论文中报告的策略的比较.
主要成果:
- 少数议定书 (8/96) 详细说明了少数民族的招聘策略,少数议定书 (5/96) 详细说明了少数民族的留守策略.
- 共同的策略包括语言支持和文化适应,但没有得到评估.
- 种族报告不一致 (57/67篇论文),只有32/67篇结果论文讨论了参与者的代表性.
结论:
- 英国的孕产妇试验报告不足以确保具有民族代表性的参与者招聘和保留.
- 需要更好地实施和评估包容性研究指导.
- 如果未能将少数民族纳入研究,可能会加剧现有的健康不平等.
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