title: Inclusion of African Americans in genetic studies: what is the barrier?
abstract: To facilitate an increase in the amount of data on minority subjects collected for genetic databases, the authors attempted to clarify barriers to African-American participation in genetic studies. They randomly sampled 78,072 subjects from the community (Missouri Family Registry, 2002-2007). Of these, 28,658 participated in a telephone screening interview, 3,179 were eligible to participate in the genetic study, and 1,919 participated in the genetic study. Response rates were examined in relation to the proportion of subjects in the area who were African-American according to US Census 2000 zip code demographic data. Compared with zip codes with fewer than 5% African Americans (average = 2% African-American), zip codes with at least 60% African Americans (average = 87% African-American) had higher proportions of subjects with an incorrect address or telephone number but lower proportions of subjects who did not answer the telephone and subjects who refused the telephone interview (P < 0.0001). Based on reported race from the telephone screening, 71% of eligible African Americans and 57% of eligible European Americans participated in the genetic study (P < 0.0001). The results of this study suggest that increasing the number of African Americans in genetic databases may be achieved by increasing efforts to locate and contact them.
authors.affiliation: Department of Psychiatry, School of Medicine, Washington University, St. Louis, Missouri 63110, USA.
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Hartz
authors.forename: Eric O
authors.initials: EO
authors.lastname: Johnson
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Saccone
authors.forename: Dorothy
authors.initials: D
authors.lastname: Hatsukami
authors.forename: Naomi
authors.initials: N
authors.lastname: Breslau
authors.forename: Laura J
authors.initials: LJ
authors.lastname: Bierut
mesh_terms: D000328:Adult; D001741:Black or African American / Q000235:genetics* / Q000706:statistics & numerical data; D030541:Databases, Genetic / Q000592:standards / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008923:Missouri; D018579:Patient Selection; D012042:Registries; D044465:White People / Q000235:genetics / Q000706:statistics & numerical data