Minority Health Archive

Ethics of Health Research in Communities: Perspectives From the Southwestern United States

Williams, R. L. and Willging, C. E. and Quintero, G. and Kalishman, S. and Sussman, A. L. and Freeman, W. L. (2010) Ethics of Health Research in Communities: Perspectives From the Southwestern United States. The Annals of Family Medicine, 8 (5). pp. 433-439. ISSN 1544-1709

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Abstract

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.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: Principle-based ethics • confidentiality • third-party consent • community-based participatory research • privacy
Subjects: Health > Health Equity > Bioethics
Research
Research > methodologies
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Depositing User: Users 141 not found.
Date Deposited: 16 Jul 2011 10:35
Last Modified: 16 Jul 2011 10:35
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/2753

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