Enhancing African American Participation in Biospecimens: A Case in Point for Pancreatic Cancer.

Linda Behar-Horenstein, Rueben C Warren, V Wendy Setiawan, Corey Perkins, Thomas D Schmittgen
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Abstract

Diseases of the pancreas (i.e. chronic pancreatitis, diabetes, and pancreatic cancer) disproportionally affect the African American community. Challenges associated with engaging the African American community in biospecimen research are longstanding. We surveyed a number of pancreas-related biobanks, and data repositories for African American representation. While some of the biobanks and databases surveyed contain biospecimens and data from African American donors at levels that reflect minority representation among the general population, others do not. A number of factors have historically contributed to reduced participation of the African Americans community in biospecimen donation including medical mistrust, lack of transparency, fear, and a poor knowledge and understanding about the use of biospecimens for research. Suggestions for increasing African American participation in organ and biospecimen donation include educational interventions, particularly in community groups, and providing printed and online recruitment materials to patients, patient advocates, and care partners. Increasing awareness of the many benefits of biospecimen donation among African Americans will positively affect health disparities research into pancreatic cancer and other diseases.

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加强非洲裔美国人对生物样本的参与:胰腺癌案例。
胰腺疾病(即慢性胰腺炎、糖尿病和胰腺癌)对非裔美国人群体的影响尤为严重。让非裔美国人社区参与生物样本研究的挑战由来已久。我们调查了一些与胰腺相关的生物库和数据储存库,以了解非裔美国人的代表性。虽然所调查的一些生物库和数据库含有非裔美国人捐献者的生物样本和数据,其水平反映了少数族裔在总人口中的代表性,但其他生物库和数据库并不含有非裔美国人的生物样本和数据。非裔美国人社区参与生物样本捐赠的人数历来较少,这其中有许多因素,包括医疗不信任、缺乏透明度、恐惧以及对生物样本用于研究的认识和理解不足。提高非裔美国人参与器官和生物样本捐赠的建议包括教育干预,特别是在社区团体中,以及向患者、患者权益倡导者和护理伙伴提供印刷和在线招募材料。提高非裔美国人对生物样本捐赠诸多益处的认识,将对胰腺癌和其他疾病的健康差异研究产生积极影响。
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