Perspectives on Precision Health Among Racial/Ethnic Minority Communities and the Physicians That Serve Them.
Focus Groups
Genetic Testing
Health Disparities
Precision Heath
Precision Medicine
Journal
Ethnicity & disease
ISSN: 1945-0826
Titre abrégé: Ethn Dis
Pays: United States
ID NLM: 9109034
Informations de publication
Date de publication:
2020
2020
Historique:
entrez:
10
4
2020
pubmed:
10
4
2020
medline:
2
2
2021
Statut:
epublish
Résumé
In order for precision health to address health disparities, engagement of diverse racial/ethnic minority communities and the physicians that serve them is critical. A community-based participatory research approach with mixed methods was employed to gain a deeper understanding of precision health research and practice among American Indian, African American, Latino, Chinese, and Vietnamese groups and physicians that serve these communities. A survey assessed demographics and opinions of precision health, genetic testing, and precision health research. Focus groups (n=12) with each racial/ethnic minority group and physicians further explored attitudes about these topics. One hundred community members (American Indian [n=17], African American [n=13], Chinese [n=17], Latino [n=27], and Vietnamese [n=26]) and 14 physicians completed the survey and participated in the focus groups. Familiarity with precision health was low among community members and high among physicians. Most groups were enthusiastic about the approach, especially if it considered influences on health in addition to genes (eg, environmental, behavioral, social factors). Significant concerns were expressed by African American and American Indian participants about precision health practice and research based on past abuses in biomedical research. In addition, physician and community members shared concerns such as security and confidentiality of genetic information, cost and affordability of genetic tests and precision medicine, discrimination and disparities, distrust of medical and research and pharmaceutical institutions, language barriers, and physician's specialty. Engagement of racial/ethnic minority communities and the providers who serve them is important for advancing a precision health approach to addressing health disparities.
Sections du résumé
Background
In order for precision health to address health disparities, engagement of diverse racial/ethnic minority communities and the physicians that serve them is critical.
Methods
A community-based participatory research approach with mixed methods was employed to gain a deeper understanding of precision health research and practice among American Indian, African American, Latino, Chinese, and Vietnamese groups and physicians that serve these communities. A survey assessed demographics and opinions of precision health, genetic testing, and precision health research. Focus groups (n=12) with each racial/ethnic minority group and physicians further explored attitudes about these topics.
Results
One hundred community members (American Indian [n=17], African American [n=13], Chinese [n=17], Latino [n=27], and Vietnamese [n=26]) and 14 physicians completed the survey and participated in the focus groups. Familiarity with precision health was low among community members and high among physicians. Most groups were enthusiastic about the approach, especially if it considered influences on health in addition to genes (eg, environmental, behavioral, social factors). Significant concerns were expressed by African American and American Indian participants about precision health practice and research based on past abuses in biomedical research. In addition, physician and community members shared concerns such as security and confidentiality of genetic information, cost and affordability of genetic tests and precision medicine, discrimination and disparities, distrust of medical and research and pharmaceutical institutions, language barriers, and physician's specialty.
Conclusions
Engagement of racial/ethnic minority communities and the providers who serve them is important for advancing a precision health approach to addressing health disparities.
Identifiants
pubmed: 32269455
doi: 10.18865/ed.30.S1.137
pii: ed.30.S1.137
pmc: PMC7138446
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
137-148Informations de copyright
Copyright © 2020, Ethnicity & Disease, Inc.
Déclaration de conflit d'intérêts
Competing Interests: None declared.
Références
MMWR Suppl. 2013 Nov 22;62(3):1-2
pubmed: 24264482
N Engl J Med. 2008 Jun 19;358(25):2661-3
pubmed: 18565857
Annu Rev Public Health. 2016;37:375-94
pubmed: 26789384
J Clin Oncol. 2015 Nov 10;33(32):3817-25
pubmed: 26304871
Am J Prev Med. 2016 Mar;50(3):395-397
pubmed: 26651423
JAMA. 2015 Jun 2;313(21):2119-20
pubmed: 25928209
Am J Public Health. 2015 Jul;105 Suppl 3:S368
pubmed: 26039545
Int J Epidemiol. 2014 Aug;43(4):1294-313
pubmed: 24639440
Am J Public Health. 2011 Dec;101 Suppl 1:S149-55
pubmed: 21551385
N Engl J Med. 2015 Jan 29;372(5):397-9
pubmed: 25629736
Matern Child Health J. 2014 Feb;18(2):366-72
pubmed: 23397099
Genet Med. 2003 Jan-Feb;5(1):49-54
pubmed: 12544476
Public Health Rep. 2014 Jan-Feb;129 Suppl 2:19-31
pubmed: 24385661
Health Aff (Millwood). 2018 May;37(5):780-785
pubmed: 29733732
Nature. 2016 Oct 12;538(7624):161-164
pubmed: 27734877
J Community Genet. 2017 Oct;8(4):255-266
pubmed: 28770442
Soc Sci Med. 2012 Mar;74(5):665-7
pubmed: 22226603
Genet Med. 2018 Jun;20(6):574-582
pubmed: 29240076
Public Health Genomics. 2012;15(3-4):156-63
pubmed: 22488458
Health Aff (Millwood). 2018 May;37(5):793-800
pubmed: 29733703