Document Detail


Ethics of health research in communities: perspectives from the southwestern United States.
MedLine Citation:
PMID:  20843885     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The increasing attention paid to community-based research highlights the question of whether human research protections focused on the individual are adequate to safeguard communities. We conducted a study to explore how community members perceive low-risk health research, the adequacy of human research protection processes, and the ethical conduct of community-based research.
METHODS: Eighteen focus groups were conducted among rural and urban Hispanic and Native American communities in New Mexico using a semistructured guide. Group transcriptions were analyzed using iterative readings and coding, with review of the analytic summary by group members.
RESULTS: Although participants recognized the value of health research, many also identified several adverse effects of research in their communities, including social (community and individual labeling, stigmatization, and discrimination) and economic (community job losses, increased insurance rates, and loss of community income). A lack of community beneficence was emphasized by participants who spoke of researchers who fail to communicate results adequately or assist with follow-through. Many group members did not believe current human research and data privacy processes were adequate to protect or assist communities.
CONCLUSIONS: Ethical review of community-based health research should apply the Belmont principles to communities. Researchers should adopt additional approaches to community-based research by engaging communities as active partners throughout the research process, focusing on community priorities, and taking extra precautions to assure individual and community privacy. Plans for meaningful dissemination of results to communities should be part of the research design.
Authors:
Robert L Williams; Cathleen E Willging; Gilbert Quintero; Summers Kalishman; Andrew L Sussman; William L Freeman;
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Annals of family medicine     Volume:  8     ISSN:  1544-1717     ISO Abbreviation:  Ann Fam Med     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-09-16     Completed Date:  2010-12-01     Revised Date:  2011-07-25    
Medline Journal Info:
Nlm Unique ID:  101167762     Medline TA:  Ann Fam Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  433-9     Citation Subset:  IM    
Affiliation:
Department of Family and Community Medicine, University of New Mexico, Albuquerque, New Mexico 87131, USA. rlwilliams@salud.unm.edu
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MeSH Terms
Descriptor/Qualifier:
Communication
Community-Based Participatory Research / ethics*
Confidentiality / ethics*
Female
Hispanic Americans
Human Experimentation / ethics*
Humans
Indians, North American
Male
New Mexico
Privacy
Qualitative Research
Grant Support
ID/Acronym/Agency:
1 R03 HS013208/HS/AHRQ HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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