Recruitment and Enrollment of Low-income, Minority Residents of Urban Public Housing into Research.

Research participation among vulnerable populations is often limited by the same socioeconomic factors that contribute to poor health. Identifying best practices for inclusion is critical to addressing health disparities. Urban public housing communities bear a disproportionate burden of chronic dis...

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Publicado en:Journal of Community Health Vol. 48; no. 5; pp. 741 - 752
Autores principales: Heaton, Brenda, Muzzi, Alicia, Gebel, Christina, Bernstein, Judith, Garcia, Raul I.
Formato: Artículo
Publicado: Springer Nature Oct2023
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2023
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      pub: Springer Nature
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        10.1007/s10900-023-01212-w
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        atl: Recruitment and Enrollment of Low-income, Minority Residents of Urban Public Housing into Research.
      aug:
        au:
          Heaton, Brenda
          Muzzi, Alicia
          Gebel, Christina
          Bernstein, Judith
          Garcia, Raul I.
        affil:
          Department of Health Policy & Health Services Research, Boston University Henry M. Goldman School of Dental Medicine, 560 Harrison Avenue, 3rd Floor, Rm 329, Boston, MA, USA
          Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA
          Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA
      su:
        Human research subjects
        Minorities
        Social networks
        Public housing
        Income
        Qualitative research
        Metropolitan areas
        Medical research
        Oral health
        Patient selection
        Research funding
        Descriptive statistics
        Data analysis software
      sug:
        subj:
          Human research subjects
          Minorities
          Social networks
          Public housing
          Income
          Qualitative research
          Metropolitan areas
          Medical research
          Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology)
          Lessors of social housing projects
          Other Individual and Family Services
          Oral health
          Patient selection
          Research funding
          Descriptive statistics
          Data analysis software
      keyword:
        Health disparities
        Minority health
        Subject recruitment
        Urban health
        Health disparities
        Minority health
        Subject recruitment
        Urban health
      ab: Research participation among vulnerable populations is often limited by the same socioeconomic factors that contribute to poor health. Identifying best practices for inclusion is critical to addressing health disparities. Urban public housing communities bear a disproportionate burden of chronic disease and may represent an opportunity to directly engage historically vulnerable populations in research designed to ultimately reduce that burden. We used mixed-method data to analyze recruitment effectiveness among a random sample of households (N = 380) across two public housing developments in Boston, MA who were approached for participation in a pre-COVID oral health study. Quantitative data from detailed recruitment tracking methods was analyzed to assess the relative efficiency of the methods employed. Field journals of study staff were qualitatively analyzed to identify community-specific recruitment barriers and facilitators. The participation rate among randomly sampled households was 28.6% (N = 131), with participation from primarily Hispanic (59.5%) or Black (26%) residents. Door-to-door knocking with response yielded the highest participation (44.8%), followed by responses to informational study flyers (31%). Primary barriers to enrollment included references to unemployment and employment variations, shift work, childcare responsibilities, time demands, and managing multiple appointments and social services. This study finds active, door-to-door knocking and return visits resolved barriers to participation, and reduced safety concerns and historic distrust. It's time to consider how best to adapt effective pre-COVID recruitment practices for utilization under current and future exposure conditions as effective recruitment of populations such as urban public housing residents into research is only becoming more important.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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