African American men's and women's perceptions of clinical trials research: focusing on prostate cancer among a high-risk population in the South

J Health Care Poor Underserved. 2013 Nov;24(4):1784-800. doi: 10.1353/hpu.2013.0187.


While African Americans are at a significantly higher risk for developing certain cancers, they also have low rates of participation in cancer research, particularly clinical trials. This study assessed both African American men's and African American women's (1) knowledge of and participation in cancer-related clinical research and (2) barriers to and motivations for participating in clinical research. Data were collected from a total of 81 participants. Phase I of this research consisted of qualitative focus groups (all 81 participants). Phase II included quantitative pre/post survey data from an education program (56 participants). Findings from the study revealed that African American men and women had poor knowledge about clinical trials and the informed consent process, limited experience in participating in clinical trials, and they feared and mistrusted cancer research. Participants identified incentives, assurance of safety, knowledge and awareness, and benefiting others as motivators to participate in clinical trials research.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • African Continental Ancestry Group*
  • Clinical Trials as Topic*
  • Female
  • Focus Groups
  • Health Knowledge, Attitudes, Practice / ethnology*
  • Humans
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care / ethnology*
  • Prostatic Neoplasms*
  • South Carolina
  • Surveys and Questionnaires