The ‘empty choice’: A sociological examination of choosing medical research participation in resource-limited Sub-Saharan Africa.

This article explores the views of frontline research staff in different Sub-Saharan African contexts on the notion of choice in biomedical research. It argues that the current emphasis on individual choice, in the conduct of biomedical research, ignores significant structural and contextual factors...

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Publicado en:Current Sociology Vol. 63; no. 5; pp. 763 - 779
Autor principal: Kingori, Patricia
Formato: Artículo
Publicado: Sage Publications Inc. Sep2015
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The ‘empty choice’: A sociological examination of choosing medical research participation in resource-limited Sub-Saharan Africa.
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        au: Kingori, Patricia
        affil: University of Oxford, UK
      su:
        Sub-Saharan Africa
        Informed consent (Medical law)
        Medical research
        Medical care
        Health policy
        Biological research
      sug:
        subj:
          Informed consent (Medical law)
          Medical research
          Medical care
          Health policy
          Sub-Saharan Africa
          Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology)
          Research and development in the physical, engineering and life sciences
          Administration of Public Health Programs
          Biological research
      keyword:
        África subsahariana
        Afrique sub-saharienne
        Choice
        choix
        consentement éclairé
        consentimiento informado
        elección
        frontline workers
        informed consent
        participación de investigación
        participation à une recherche
        research participation
        trabajadores de primera línea
        travailleurs de première ligne
        África subsahariana
        consentimiento informado
        elección
        participación de investigación
        trabajadores de primera línea
        Afrique sub-saharienne
        choix
        consentement éclairé
        participation à une recherche
        travailleurs de première ligne
        África subsahariana
        Afrique sub-saharienne
        Choice
        choix
        consentement éclairé
        consentimiento informado
        elección
        frontline workers
        informed consent
        participación de investigación
        participation à une recherche
        research participation
        trabajadores de primera línea
        travailleurs de première ligne
        África subsahariana
        consentimiento informado
        elección
        participación de investigación
        trabajadores de primera línea
        Afrique sub-saharienne
        choix
        consentement éclairé
        participation à une recherche
        travailleurs de première ligne
      ab: This article explores the views of frontline research staff in different Sub-Saharan African contexts on the notion of choice in biomedical research. It argues that the current emphasis on individual choice, in the conduct of biomedical research, ignores significant structural and contextual factors in resource-limited settings. These factors severely constrain individual options and often make biomedical research enrolment the most amenable route to healthcare for the world’s poorest. From the position of frontline research staff, local contextual factors and structural issues narrowly frame the parameters within which many prospective participants are asked to choose, to such an extent that individuals are effectively presented with an ‘empty choice’. The article draws on ethnographic and interview data and insights gained through graphic elucidation techniques. It demonstrates that for frontline research staff, macro-level structural factors and their bearing on everyday realities shape what choice in biomedical research participation means in practice.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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