The willingness to participate in biomedical research involving human beings in low- and middle-income countries: a systematic review.

Journal: Tropical medicine & international health : TM & IH

Volume: 24

Issue: 3

Year of Publication: 2019

Affiliated Institutions:  Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands. Department of Medical Humanities, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands. Ghana Health Service, Research and Development Division, Accra, Ghana. Department of Psychological Medicine and Mental Health, School of Medicine, University of Health and Allied Sciences, Ho, Ghana.

Abstract summary 

To systematically review reasons for the willingness to participate in biomedical human subjects research in low- and middle-income countries (LMICs).Five databases were systematically searched for articles published between 2000 and 2017 containing the domain of 'human subjects research' in 'LMICs' and determinant 'reasons for (non)participation'. Reasons mentioned were extracted, ranked and results narratively described.Ninety-four articles were included, 44 qualitative and 50 mixed-methods studies. Altruism, personal health benefits, access to health care, monetary benefit, knowledge, social support and trust were the most important reasons for participation. Primary reasons for non-participation were safety concerns, inconvenience, stigmatisation, lack of social support, confidentiality concerns, physical pain, efficacy concerns and distrust. Stigmatisation was a major concern in relation to HIV research. Reasons were similar across different regions, gender, non-patient or patient participants and real or hypothetical study designs.Addressing factors that affect (non-)participation in the planning process and during the conduct of research may enhance voluntary consent to participation and reduce barriers for potential participants.

Authors & Co-authors:  Browne Joyce L JL Rees Connie O CO van Delden Johannes J M JJM Agyepong Irene I Grobbee Diederick E DE Edwin Ama A Klipstein-Grobusch Kerstin K van der Graaf Rieke R

Study Outcome 

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Statistics
Citations :  Khalil SS, Silverman HJ, Raafat M, El‐Kamary S, El‐Setouhy M. Attitudes, understanding, and concerns regarding medical research amongst Egyptians: a qualitative pilot study. BMC Med Ethics 2007: 8: 9.
Authors :  8
Identifiers
Doi : 10.1111/tmi.13195
SSN : 1365-3156
Study Population
Male,Female
Mesh Terms
Biomedical Research
Other Terms
barriers to participate;consentement éclairé;health;informed consent;low- and middle-income countries;obstacles à la participation;pays à revenu faible ou intermédiaire;raisons de la non-participation;raisons de la participation;reasons for non-participation;reasons for participation;santé;volonté de participer;willingness to participate
Study Design
Cross Sectional Study
Study Approach
Qualitative,Systemic Review
Country of Study
Publication Country
England