Cancer Research Participation Beliefs and Behaviors of a Southern Black Population: A Quantitative Analysis of the Role of Structural Factors in Cancer Research Participation.

Cancer Research Participation Beliefs and Behaviors of a Southern Black Population: A Quantitative Analysis of the Role of Structural Factors in Cancer Research Participation.
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癌症研究参与的信念和南部黑人人口的行为:对结构因素在癌症研究参与中的作用的定量分析。

DOI:
10.1007/s13187-014-0749-0
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发表时间:
2015-09
期刊:
Journal of cancer education : the official journal of the American Association for Cancer Education
影响因子:
--
通讯作者:
Hébert JR
Hébert JR
中科院分区:
其他
文献类型:
--
作者:
Farr DE;Brandt HM;Comer KD;Jackson DD;Pandya K;Friedman DB;Ureda JR;Williams DG;Scott DB;Green W;Hébert JR

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增加黑人对癌症研究的参与是减少癌症负担中种族不平等的战略的重要组成部分。基于社区的参与性研究(CBPR)特别适合于促进我们对影响研究参与的因素的了解,从而最终解决与癌症相关的健康不平等问题。很少有文献关注限制参与癌症研究的结构性因素的作用。作为一个更大的CBPR项目的一部分,我们使用了来自全州癌症需求评估的调查数据,以检查结构性因素对研究态度的影响,以及结构性和态度因素对个人是否参与研究的贡献。对727名成人调查对象的数据进行了回归分析和非参数统计。结构性因素,如是否有医疗保险,在医疗保健过程中遭遇歧视,以及地点,预测了对参与研究的好处而不是风险的信念。对研究的积极态度预示着参与癌症研究的意愿。癌症研究参与者和非参与者在结构和态度因素上存在显著差异;然而,横断面调查设计混淆了方向性,无法确定因果关系。这项研究指出了结构和态度因素对研究参与的复杂相互作用,以及需要对影响黑人社区研究参与的各种因素进行额外的定量检查。
Increasing the participation of Blacks in cancer research is a vital component of a strategy to reduce racial inequities in cancer burden. Community-based participatory research (CBPR) is especially well-suited to advancing our knowledge of factors that influence research participation to ultimately address cancer-related health inequities. A paucity of literature focuses on the role of structural factors limiting participation in cancer research. As part of a larger CBPR project, we used survey data from a statewide cancer needs assessment of a Black faith community to examine the influence of structural factors on attitudes toward research and the contributions of both structural and attitudinal factors on whether individuals participate in research. Regression analyses and non-parametric statistics were conducted on data from 727 adult survey respondents. Structural factors, such as having health insurance coverage, experiencing discrimination during health care encounters, and locale, predicted belief in the benefits, but not the risks, of research participation. Positive attitudes towards research predicted intention to participate in cancer research. Significant differences in structural and attitudinal factors were found between cancer research participants and non-participants; however, directionality is confounded by the cross-sectional survey design and causality cannot be determined. This study points to complex interplay of structural and attitudinal factors on research participation as well as need for additional quantitative examinations of the various types of factors that influence research participation in Black communities.
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