Presenter Status

Resident/Psychology Intern

Abstract Type

Research

Primary Mentor

Bridgette Jones, MD

Start Date

5-5-2022 12:45 PM

End Date

5-5-2022 1:00 PM

Presentation Type

Oral Presentation

Description

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Rationale: Black/African American and Hispanic people in the United States are disproportionately impacted by asthma with increased prevalence, morbidity, and mortality. However, these groups are often under-represented in asthma clinical and translational research studies which is a barrier to achieving health equity. We describe the racial/ethnic makeup of participants included in clinical trials which informed the recent 2020 National Heart, Lung, and Blood Institute(NHLBI) asthma management guidelines focused update.

Methods: We identified clinical trials included within the 2020 NHLBI asthma management guidelines focused update. We determined the frequency (%) of studies reporting study participant racial/ethnic demographics and the % of identified racial/ethnic groups among those studies.

Results: Racial demographics were reported in only 36% (16/45) of trials. Among trial conducted only in the United States (US) (n=6) all reported racial/ethnic demographics but two of the trials only reported the white racial group. Among all trials reporting race/ethnicity the majority of participants identified as White (n=31675) 70.8% followed by Black (n=4653) 10.4% and Hispanic (n=91) 0.2% (American Indian/Alaskan Native/ Native Hawaiian/Pacific Islander and Other were 2.6% and 6.1% of participants respectively). Demographic representation varied between US and non-US trials and between pediatric and non-pediatric studies.

Conclusions: Less than half of clinical trials reported race/ethnicity data. White participants were generally over-represented and Black and Hispanic populations were under-represented within trials. Intentional inclusion efforts are needed to increase the racial/ethnic diversity of trials informing national asthma guidelines and these factors should also be considered when developing such guidelines.

MeSH Keywords

racial makeup of asthma clinical trials

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May 5th, 12:45 PM May 5th, 1:00 PM

The Racial and Ethnic Makeup of the Asthma Clinical Trials informing the 2020 NHLBI asthma guidelines update

Watch recording of live presentation.

Rationale: Black/African American and Hispanic people in the United States are disproportionately impacted by asthma with increased prevalence, morbidity, and mortality. However, these groups are often under-represented in asthma clinical and translational research studies which is a barrier to achieving health equity. We describe the racial/ethnic makeup of participants included in clinical trials which informed the recent 2020 National Heart, Lung, and Blood Institute(NHLBI) asthma management guidelines focused update.

Methods: We identified clinical trials included within the 2020 NHLBI asthma management guidelines focused update. We determined the frequency (%) of studies reporting study participant racial/ethnic demographics and the % of identified racial/ethnic groups among those studies.

Results: Racial demographics were reported in only 36% (16/45) of trials. Among trial conducted only in the United States (US) (n=6) all reported racial/ethnic demographics but two of the trials only reported the white racial group. Among all trials reporting race/ethnicity the majority of participants identified as White (n=31675) 70.8% followed by Black (n=4653) 10.4% and Hispanic (n=91) 0.2% (American Indian/Alaskan Native/ Native Hawaiian/Pacific Islander and Other were 2.6% and 6.1% of participants respectively). Demographic representation varied between US and non-US trials and between pediatric and non-pediatric studies.

Conclusions: Less than half of clinical trials reported race/ethnicity data. White participants were generally over-represented and Black and Hispanic populations were under-represented within trials. Intentional inclusion efforts are needed to increase the racial/ethnic diversity of trials informing national asthma guidelines and these factors should also be considered when developing such guidelines.