了解拉丁裔女性参与独特乳腺癌临床试验的决定:一种定性构造主义基于理论的研究
Katherine E Ridley-Merriweather1, Katherine Vogel2, Oseme Precious Okoruwa3
1Biospecimen Collection and Banking Core, IU Simon Comprehensive Cancer Center.
Health communication
|January 6, 2026
概括
西班牙裔和拉丁裔女性.
科学领域:
- 参与医学研究 参与医学研究
- 健康差异 在健康方面的差异.
- 乳腺癌研究研究 乳腺癌研究
背景情况:
- 乳腺癌是美国西班牙裔/拉丁裔 (H/L) 女性癌症死亡的主要原因.
- 在临床试验中,H/L女性的代表性不足是一个持续的问题.
- 对于参与医学研究的H/L女性的动机,人们的理解有限.
研究的目的:
- 确定理论框架的构造,解释H/L女性为乳腺癌临床试验捐献健康乳腺组织的动机.
- 探索影响H/L妇女参与医学研究的决策因素.
主要方法:
- 构造主义的立足理论方法.
- 半结构面试与19名先前向生物银行捐赠健康乳腺组织的女性进行.
- 分析的重点是了解他们参与研究的决策过程.
主要成果:
- 参与者表现出强烈的自我效能和对自己参与研究决定的信心.
- 意识到医学研究中的历史代表性不足以及"遗留规范"对决策产生了重大影响.
- 家庭反并没有阻止参与;参与者作为关键的家庭医疗保健决策者.
结论:
- 招聘策略应承认H/L女性的自我效能和在家庭医疗保健决策中的作用.
- 信息应该告知H/L女性关于她们的代表性不足以及她们参与的重要性.
- 利用像集体主义和"遗留规范"这样的文化价值观,可以提高H/L女性在乳腺癌研究中的招聘率.
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