Motives for and Barriers to Research Participation Among Racially and Ethnically Diverse Veterans.
Motives for and Barriers to Research Participation Among Racially and Ethnically Diverse Veterans.
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不同种族和民族的退伍军人参与研究的动机和障碍。
DOI：
10.1093/milmed/usac127
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发表时间：
2022
影响因子：
1.2
通讯作者：
Borsari,Brian
中科院分区：
文献类型：
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作者：
Miller,MaryBeth;Flores,LisaY;Dorimé-Williams,MarjorieL;Williams,MichaelS;Martinez,LeticiaD;Freeman,LindseyK;Everson,AdamT;Hall,NicoleA;Monk,JKale;McCrae,ChristinaS;Borsari,Brian
简介总体而言，退伍军人，尤其是那些被认为是有色人种退伍军人的人，在健康相关治疗研究中的代表性不足。这阻碍了针对有色人种的循证治疗建议的制定，从而加剧了健康不平等。该项目利用以文化为中心的研究程序来确定与健康相关的研究重点，并检查不同退伍军人样本参与研究的动机和障碍。材料和方法退伍军人（N = 330，32% 女性；36% 黑人，28% 白人，15% 拉丁裔，12% 亚洲人，4% 多种族）从偏远地区报告了他们对健康相关在线研究的经验和观点。线性回归用于测试歧视与研究动机/障碍之间的关联。所有程序均得到机构审查委员会的批准 (#2033562)。 结果参与者将心理问题（特别是创伤后应激障碍）作为其社区退伍军人的研究重点，但也优先考虑了身体问题（例如脑损伤）和社会问题（例如无家可归、获得护理）。不同种族/族裔群体对研究的看法、动机和障碍是相似的。最常见的动机是为看似重要的研究做出贡献，最常见的障碍是不了解研究机会。日常的歧视经历（例如，人们表现得好像因为你的种族/民族而害怕你）与黑人参与者的更多研究障碍有关。结论种族/民族歧视的经历与不同种族/民族群体的不同研究相关结果有关。吸引不同人群的努力应优先考虑获得（而不是愿意参与）与健康相关的研究。
IntroductionVeterans in general—and especially those who identify as Veterans of color—are underrepresented in health-related treatment research. This contributes to health inequity by hindering the development of evidence-based treatment recommendations for people of color. This project utilized culturally centered research procedures to identify health-related research priorities and examine motives for and barriers to research participation in a diverse sample of Veterans.Materials and MethodsVeterans (N= 330, 32% female; 36% Black, 28% White, 15% Latinx, 12% Asian, 4% Multiracial) reported their experiences with and perspectives on health-related research online from remote locations. Linear regression was used to test associations between discrimination and motives/barriers for research. All procedures were approved by the Institutional Review Board (#2033562).ResultsParticipants identified psychological concerns, particularly PTSD, as research priorities for Veterans in their communities, but also prioritized physical problems (e.g., brain injury) and social concerns (e.g., homelessness, access to care). Perceptions of, motives for, and barriers to research were similar across racial/ethnic groups. The most common motive was contributing to research that seems important, and the most common barrier was not knowing about research opportunities. Every-day experiences with discrimination (e.g., people acting as if they are afraid of you because of your race/ethnicity) were associated with more barriers to research among Black participants.ConclusionsExperiences of racial/ethnic discrimination are associated with different research-related outcomes across racial/ethnic groups. Efforts to engage diverse populations should prioritize access to (not willingness to participate in) health-related research.