Evaluating Minority Representation in the All of Us Research Program: Progress and Ongoing Challenges.

Objectives. To evaluate trends in racial and ethnic representation in the All of Us (AoU) Research Program from 2017 to 2023 and assess regional disparities relative to US Census benchmarks. Methods. Using the AoU data repository, we compared yearly and cumulative racial/ethnic representation with 2...

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Publicado en:American Journal of Public Health Vol. 116; no. 9; pp. 1339 - 1343
Autores principales: Qian, Zhiyu, Cho, Mansoo, Iyer, Hari S., Lipsitz, Stuart R., Cole, Alexander P., Kensler, Kevin, Trinh, Quoc-Dien
Formato: Artículo
Publicado: American Public Health Association Sep2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2026
      vid: 116
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      pub: American Public Health Association
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        10.2105/AJPH.2026.308441
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        atl: Evaluating Minority Representation in the All of Us Research Program: Progress and Ongoing Challenges.
      aug:
        au:
          Qian, Zhiyu
          Cho, Mansoo
          Iyer, Hari S.
          Lipsitz, Stuart R.
          Cole, Alexander P.
          Kensler, Kevin
          Trinh, Quoc-Dien
      su:
        United States
        National Institutes of Health (U.S.)
        Medical care research
        African Americans
        Asian Americans
        Human research subjects
        Census
        Sex distribution
        Hispanic Americans
        Population geography
        White people
        Race
        Multiracial people
        Minorities
        Assigned gender
        Patient selection
        Databases
        Medical information storage & retrieval systems
        Research funding
        Benchmarking (Management)
        Descriptive statistics
        Odds ratio
        Comparative studies
        Confidence intervals
        Individualized medicine
        Time
      sug:
        subj:
          Medical care research
          African Americans
          Asian Americans
          Human research subjects
          Census
          Sex distribution
          Hispanic Americans
          Population geography
          White people
          Race
          Multiracial people
          Minorities
          Assigned gender
          United States
          National Institutes of Health (U.S.)
          Patient selection
          Databases
          Medical information storage & retrieval systems
          Research funding
          Benchmarking (Management)
          Descriptive statistics
          Odds ratio
          Comparative studies
          Confidence intervals
          Individualized medicine
          Time
      ab: Objectives. To evaluate trends in racial and ethnic representation in the All of Us (AoU) Research Program from 2017 to 2023 and assess regional disparities relative to US Census benchmarks. Methods. Using the AoU data repository, we compared yearly and cumulative racial/ethnic representation with 2020 US Census data. Odds ratios (ORs) were calculated to quantify underrepresentation by group, year, region, and sex at birth. Results. Non-Hispanic White individuals accounted for the largest percentage of the 619 830 participants (56.3%), followed by non-Hispanic Blacks (15.9%), Hispanics (14.9%), Asians (3.5%), and individuals in the multiracial/other category (9.4%). Asians and Hispanics were consistently underrepresented. Regional disparities were notable: Asian representation was lowest in the West (OR = 0.48; 95% confidence interval [CI] = 0.47, 0.49), and Hispanic underrepresentation was most pronounced in the South (OR = 0.54; 95% CI = 0.53, 0.55). Conclusions. Persistent underrepresentation of Asian and Hispanic participants highlights ongoing gaps as AoU recruitment continues. Continued efforts toward equitable participation will be important for achieving the scientific and ethical goals of precision medicine. (Am J Public Health. 2026;116(9): 1339–1342. https://doi.org/10.2105/AJPH.2026.308441)
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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