The under-representation of minority ethnic groups in UK medical research

The under-representation of minority ethnic groups in UK medical research
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DOI:
10.1080/13557858.2016.1182126
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发表时间:
2017-02-01
期刊:
影响因子:
3.1
通讯作者:
Harrison, Eric
Harrison, Eric
中科院分区:
医学3区
文献类型:
--
作者:
Smart, Andrew;Harrison, Eric

文献摘要

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目标.本文调查了英国白色英国人与黑人,亚洲人和少数民族(BAME)群体之间在医学研究方面的差异,使用来自Wellcome Trust Monitor(WTM)的数据。该研究使用了两波WTM(n=2575)来检查种族群体和参与医学研究之间的关联,以及参与医学研究的意愿(WP)。Logistic回归模型控制了社会经济和人口统计学因素,以及被认为是成就标志的相关观点和经历。与来自白色英国组的受访者相比,来自BAME组的受访者参与医学研究的可能性较小,但只有零星的证据表明WP中存在小的种族差异。白色英国人和BAME群体对医学研究参与的影响有所不同,特别是在职业、教育、健康、对医学科学的态度和信仰方面。这些研究结果巩固了先前特定背景下的证据,BAME组在英国的代表性不足,并突出了该组的异质性。虽然需要改进数据集,以充分了解参与医学研究的族裔差异,但有针对性的征聘和宣传战略可能有助于解决黑人、亚裔和少数族裔群体代表性不足的问题。
Objectives . The paper investigates differences in engagement with medical research between White British and Black, Asian and Minority Ethnic (BAME) groups in the UK, using data from the Wellcome Trust Monitor (WTM).Design. The study used two waves of the WTM (n=2575) to examine associations between ethnic group and participation in medical research, and willingness to participate (WP) in medical research. Logistic regression models controlled for socio-economic and demographic factors, and relevant outlooks and experiences that are assumed to be markers of engagement.Results. Respondents from the BAME group were less likely to have participated in medical research compared to those from the White British group, but there was only patchy evidence of small ethnic group differences in WP. Influences on engagement with medical research varied somewhat between the White British and BAME groups, in particular in relation to occupation, education, health, attitudes to medical science and belief.Conclusions. These findings consolidate previously context-specific evidence of BAME group under-representation in the UK, and highlight heterogeneity in that group. Efforts to address the under-representation of those from BAME groups might benefit from targeted strategies for recruitment and advocacy, although improved data sets are required to fully understand ethnic differences in engagement with medical research.