Clinical trials attitudes and practices of Latino physicians

被引:18
作者
Ramirez, Amelie G. [1 ]
Wildes, Kimberly [1 ]
Talavera, Greg [2 ]
Napoles-Springer, Anna [3 ]
Gallion, Kipling [1 ]
Perez-Stable, Eliseo J. [3 ]
机构
[1] Univ Texas Hlth Sci Ctr San Antonio, Inst Hlth Promot Res, Dept Epidemiol & Biostat, Sch Med, San Antonio, TX 78230 USA
[2] San Diego State Univ, Sch Publ Hlth, Div Hlth Promot, San Diego, CA 92182 USA
[3] Univ Calif San Francisco, Dept Med, Div Gen Internal Med, Med Effectiveness Res Ctr Diverse Populat, San Francisco, CA 94143 USA
关键词
recruitment; clinical trials participation; cancer; Latino; hispanic; physician race/ethnicity; disparities; minority populations;
D O I
10.1016/j.cct.2007.11.001
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Background: Ethnic differences in physicians' attitudes and behaviors related to clinical trials might partially account for disparities in clinical trial participation among Latino patients. Literature regarding Latino physicians' clinical trials attitudes and practices, in comparison to White physicians, was lacking. Methods: Cross-sectional data from randomly selected physicians (N=695), stratified by ethnicity, were analyzed to test associations of ethnicity with physicians' participation in and attitudes toward referral of patients to clinical trials. Results: Chi-square analyses showed significant (p < 0.05) associations of physician race/ethnicity and clinical trials involvement, type of trial for which the physician is Rely to recommend a patient, belief in scientific value, and factors that would influence recommendation for a patient to participate. Multivariate analyses resulted in several significant (p < 0.05) predictors of clinical trials outcomes, including physician race/ethnicity. Conclusions: Latino physicians were significantly less involved in clinical trials than White physicians and found less scientific value in them, highlighting areas for future education and intervention. (c) 2007 Elsevier Inc. All rights reserved.
引用
收藏
页码:482 / 492
页数:11
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