参与疫苗试验的推动因素和障碍:叙事综合
Nadia Daniel1, Christine Smith2, Nasima Miah2
1School of Medicine and Biomedical Sciences, University of Oxford, Oxford, UK.
Vaccine
|December 31, 2025
概括
参与疫苗临床试验的障碍,特别是服务不足的群体,包括安全问题和不信任. 通过社区参与,明确的沟通和后勤便利,提高了注册率,指导了更具包容性的疫苗试验.
科学领域:
- 临床试验 临床试验
- 疫苗学 疫苗学 疫苗学
- 公共卫生 公共卫生
背景情况:
- 疫苗临床试验对于公共卫生的进步至关重要.
- 从历史上看,服务不足的人群面临着参与的重大障碍.
- 确保公平的代表性对于疫苗有效性和安全性数据的普遍性至关重要.
研究的目的:
- 综合关于2010-2024年疫苗临床试验参与障碍和促进因素的证据.
- 专注于影响贫困人口参与的因素.
- 为设计更包容和公平的疫苗试验提供信息.
主要方法:
- 对145项同行评审研究 (2010-2024) 进行了快速叙述性审查.
- 数据提取的重点是研究设计,参与者人口统计和入学因素.
- 采用了主题分析,并针对特定的服务不足群体进行了子组综合.
主要成果:
- 确定了五个促进主题和四个障碍主题.
- 安全问题,机构不信任和错误信息是重要的障碍,COVID-19大流行加剧了这一问题.
- 利他主义,感知到的好处,透明的沟通,后勤便利和社区参与是关键的推动因素.
结论:
- 参与疫苗试验受到特定人群风险益处评估的影响.
- 解决不平等问题需要社区伙伴关系,具有文化能力的设计和清晰的沟通.
- 结果为提高疫苗研究的包容性提供了实际指导.
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