Abstract
Research is critical for developing HIV and tuberculosis (TB) programming for U.S. African-born communities, and depends on successful recruitment of African-born people. From January 2014 to June 2016, we recruited African-born people for HIV and TB research in King County, Washington. We compared the characteristics of study participants and the underlying populations of interest, and assessed recruitment strategies. Target enrollment for the HIV study was 167 participants; 51 participants (31%) were enrolled. Target enrollment for the TB study was 218 participants; 38 (17%) were successfully recruited. Of 249 prior TB patients we attempted to contact by phone, we reached 72 (33%). Multiple recruitment strategies were employed with variable impact. Study participants differed from the underlying populations in terms of gender, country of origin and language. Inequities in research participation and in meaningful opportunities for such participation may exacerbate existing health disparities.
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References
U.S. Census Bureau. Profile of selected social characteristics: 2000. American Fact Finder, Census 2000 Summary File 2003 (SF 2003)—sample data. https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=CF. Accessed 20 July 2017.
U.S. Census Bureau. United States Quick Facts. 2016. http://www.census.gov/quickfacts/table/PST045215/00. Accessed 29 June 2016.
Gambino CP, Trevelyan EN, Fitzwater JT. The foreign-born population from Africa: 2008-2012. Washington, DC, U.S. Census Bureau; 2014.
Kent JB. Impact of foreign-born persons on HIV diagnosis rates among Blacks in King County, Washington. AIDS Educ Prev. 2005;17(6 Suppl B):60–7.
Kerani R, Bennett AB, Golden M, Castillo J, Buskin SE. Foreign-Born Individuals with HIV in King County, WA: a glimpse of the future of HIV? AIDS Behav. 2017. https://doi.org/10.1007/s10461-017-1914-3.
Kerani RP, Herbeck JT, Buskin SE, et al. Evidence of Local HIV Transmission in the African Community of King County, Washington. J Immigr Minor Health. 2017;19(4):891–6.
Public Health—Seattle & King County. Tuberculosis, Seattle & King County, Washington, 2016. March, 2017.
Kerani RP, Herbeck JT, Buskin SE, et al. Evidence of Local HIV Transmission in the African Community of King County, Washington. J Immigr Minor Health. 2016. https://doi.org/10.1007/s10903-016-0458-3
Blanchet R, Sanou D, Nana CP, Pauze E, Batal M, Giroux I. Strategies and Challenges in recruiting Black immigrant mothers for a community-based study on child nutritional health in Ottawa, Canada. J Immig Minor Health. 2017;19(2):367–72.
Davidow AL, Katz D, Reves R, Bethel J, Ngong L, Tuberculosis Epidemiologic Studies C. The challenge of multisite epidemiologic studies in diverse populations: design and implementation of a 22-site study of tuberculosis in foreign-born people. Public Health Rep. 2009;124(3):391–9.
Rao D, Choi SW, Victorson D, et al. Measuring stigma across neurological conditions: the development of the stigma scale for chronic illness (SSCI). Qual Life Res. 2009;18(5):585–95.
Rao D, Molina Y, Lambert N, Cohn SE. Assessing stigma among African Americans living with HIV. Stigma Health. 2016;1(3):146–55.
Burns FM, Arthur G, Johnson AM, Nazroo J, Fenton KA. United Kingdom acquisition of HIV infection in African residents in London: more than previously thought. AIDS. 2009;23(2):262–6.
Sowell RL, Lowenstein A, Moneyham L, Demi A, Mizuno Y, Seals BF. Resources, stigma, and patterns of disclosure in rural women with HIV infection. Public Health Nurs. 1997;14(5):302–12.
Tjaden P, Thoennes N. Extent, nature and consequences of intimate partner violence: findings from the National Violence Against Women Survey. Washington, DC: Department of Justice, National Institute of Justice; 2000. (NCJ 181867).
Oster NV, Jackson SL, Dhanireddy S, et al. Patient access to online visit notes: perceptions of doctors and patients at an urban HIV/AIDS clinic. J Int Assoc Provid AIDS Care. 2015;14(4):306–12.
Loutfy MR, Logan Kennedy V, Mohammed S, et al. Recruitment of HIV-positive women in research: discussing barriers, facilitators, and research personnel’s knowledge. Open AIDS J. 2014;8:58–65.
Othieno J. Understanding how contextual realities affect African born immigrants and refugees living with HIV in accessing care in the Twin Cities. J Health Care Poor Underserved. 2007;18(3 Suppl):170–88.
Shedlin MG, Decena CU, Mangadu T, Martinez A. Research participant recruitment in Hispanic communities: lessons learned. J Immigr Minor Health. 2011;13(2):352–60.
Craig SR, Lahey T, Dixit A, von Reyn CF, Altruism, scepticism, and collective decision-making in foreign-born U.S. residents in a tuberculosis vaccine trial. BMC Public Health. 2018;18(1):535.
Lu Y, Gatua MW. Methodological considerations for qualitative research with immigrant populations: lessons from two studies. Qual Rep. 2014;19:1–16.
Barata PC, Gucciardi E, Ahmad F, Stewart DE. Cross-cultural perspectives on research participation and informed consent. Soc Sci Med. 2006;62(2):479–90.
Salman A, Nguyen C, Lee YH, Cooksey-James T. A review of barriers to minorities’ participation in cancer clinical trials: implications for future cancer research. J Immigr Minor Health. 2016;18(2):447–53.
Deren S, Shedlin M, Decena CU, Mino M. Research challenges to the study of HIV/AIDS among migrant and immigrant Hispanic populations in the United States. J Urban Health. 2005;82(2 Suppl 3):iii13–25.
Asch S, Leake B, Anderson R, Gelberg L. Why do symptomatic patients delay obtaining care for tuberculosis? Am J Respir Crit Care Med. 1998;157(4 Pt 1):1244–8.
Berk ML, Schur CL. The effect of fear on access to care among undocumented Latino immigrants. J Immigr Health. 2001;3(3):151–6.
Gilbert PA, Barrington C, Rhodes SD, Eng E. Saliendo adelante: stressors and coping strategies among immigrant latino men who have sex with men in a nontraditional settlement state. Am J Mens Health. 2016;10(6):515–25.
Corbie-Smith G, Thomas SB, Williams MV, Moody-Ayers S. Attitudes and beliefs of African Americans toward participation in medical research. J Gen Intern Med. 1999;14(9):537–46.
Rugkasa J, Canvin K. Researching mental health in minority ethnic communities: reflections on recruitment. Qual Health Res. 2011;21(1):132–43.
Mays VM, Coles CN, Cochran SD. Is there a legacy of the U.S. Public Health Syphilis Study at Tuskegee in HIV/AIDS-related beliefs among heterosexual African-Americans and Latinos? Ethics Behav. 2012;22(6):461–71.
Carina K, Meghan F, Lauren R, Katherine HM. Experiences and lessons learned in using community-based participatory research to recruit Asian American immigrant research participants. J Nurs Scholarsh. 2016;48(2):210–8.
Hanza MM, Goodson M, Osman A, et al. Lessons learned from community-led recruitment of immigrants and refugee participants for a randomized, community-based participatory research study. J Immigr Minor Health. 2016;18(5):1241–5.
McLean CA, Campbell CM. Locating research informants in a multi-ethnic community: ethnic identities, social networks and recruitment methods. Ethn Health. 2003;8(1):41–61.
Shaghaghi A, Bhopal RS, Sheikh A. Approaches to recruiting ‘hard-to-reach’ populations into re-search: a review of the literature. Health Promot Perspect. 2011;1(2):86–94.
Kwakwa HA, Wahome R, Goines DS, et al. Engaging African and Caribbean immigrants in HIV testing and care in a large US city: lessons learned from the African diaspora health initiative. J Immigr Minor Health. 2017;19(4):818–24.
Bova C, Nnaji C, Woyah A, Duah A. HIV stigma, testing attitudes and health care access among African-born men living in the United States. J Immigr Minor Health. 2014. https://doi.org/10.1007/s10903-014-0136-2.
Koku EF. HIV-related stigma among African immigrants living with HIV/AIDS in the USA. Sociol Res Online. 2010;15(3):1–4.
Nnoaham KE, Pool R, Bothamley G, Grant AD. Perceptions and experiences of tuberculosis among African patients attending a tuberculosis clinic in London. Int J Tuberc Lung Dis. 2006;10(9):1013–7.
Chinouya MJ, Adeyanju O. A disease called stigma: the experience of stigma among African men with TB diagnosis in London. Public Health. 2017;145:45–50.
Acknowledgements
RK was supported by NAID K01 AI095060. This research was further supported by the UW Center for AIDS Research (NIH AI027757), NCATS/NIH for REDCap (UL1 TR002319), and the Firland Foundation (201108). The study authors wish to thank the community partners who provided support for this project.
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Kerani, R., Narita, M., Lipira, L. et al. Challenges in Recruiting African-Born, US-Based Participants for HIV and Tuberculosis Research. J Immigrant Minority Health 21, 533–539 (2019). https://doi.org/10.1007/s10903-018-0776-8
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DOI: https://doi.org/10.1007/s10903-018-0776-8