Literature DB >> 18511627

Genes, race and research ethics: who's minding the store?

L M Hunt1, M S Megyesi.   

Abstract

BACKGROUND: The search for genetic variants between racial/ethnic groups to explain differential disease susceptibility and drug response has provoked sharp criticisms, challenging the appropriateness of using race/ethnicity as a variable in genetics research, because such categories are social constructs and not biological classifications.
OBJECTIVES: To gain insight into how a group of genetic scientists conceptualise and use racial/ethnic variables in their work and their strategies for managing the ethical issues and consequences of this practice.
METHODS: In-depth semi-structured interviews were conducted with a purposive sample of 30 genetic researchers who use racial/ethnic variables in their research. Standard qualitative methods of content analysis were used.
RESULTS: Most of the genetic researchers viewed racial/ethnic variables as arbitrary and very poorly defined, and in turn as scientifically inadequate. However, most defended their use, describing them as useful proxy variables on a road to "imminent medical progress". None had developed overt strategies for addressing these inadequacies, with many instead asserting that science will inevitably correct itself and saying that meanwhile researchers should "be careful" in the language chosen for reporting findings.
CONCLUSIONS: While the legitimacy and consequences of using racial/ethnic variables in genetics research has been widely criticised, ethical oversight is left to genetic researchers themselves. Given the general vagueness and imprecision we found amongst these researchers regarding their use of these variables, they do not seem well equipped for such an undertaking. It would seem imperative that research ethicist move forward to develop specific policies and practices to assure the scientific integrity of genetic research on biological differences between population groups.

Mesh:

Year:  2008        PMID: 18511627      PMCID: PMC4362790          DOI: 10.1136/jme.2007.021295

Source DB:  PubMed          Journal:  J Med Ethics        ISSN: 0306-6800            Impact factor:   2.903


  42 in total

Review 1.  Why genes don't count (for racial differences in health).

Authors:  A H Goodman
Journal:  Am J Public Health       Date:  2000-11       Impact factor: 9.308

2.  The meanings of "race" in the new genomics: implications for health disparities research.

Authors:  S S Lee; J Mountain; B A Koenig
Journal:  Yale J Health Policy Law Ethics       Date:  2001

Review 3.  Ethical, legal, and social implications of genomic medicine.

Authors:  Ellen Wright Clayton
Journal:  N Engl J Med       Date:  2003-08-07       Impact factor: 91.245

4.  A vision for the future of genomics research.

Authors:  Francis S Collins; Eric D Green; Alan E Guttmacher; Mark S Guyer
Journal:  Nature       Date:  2003-04-14       Impact factor: 49.962

Review 5.  How a drug becomes "ethnic": law, commerce, and the production of racial categories in medicine.

Authors:  Jonathan Kahn
Journal:  Yale J Health Policy Law Ethics       Date:  2004

6.  A haplotype map of the human genome.

Authors: 
Journal:  Nature       Date:  2005-10-27       Impact factor: 49.962

7.  The role of race and genetics in health disparities research.

Authors:  Michael J Fine; Said A Ibrahim; Stephen B Thomas
Journal:  Am J Public Health       Date:  2005-10-27       Impact factor: 9.308

8.  What we do and don't know about 'race', 'ethnicity', genetics and health at the dawn of the genome era.

Authors:  Francis S Collins
Journal:  Nat Genet       Date:  2004-11       Impact factor: 38.330

9.  Race as biology is fiction, racism as a social problem is real: Anthropological and historical perspectives on the social construction of race.

Authors:  Audrey Smedley; Brian D Smedley
Journal:  Am Psychol       Date:  2005-01

Review 10.  The use of racial, ethnic, and ancestral categories in human genetics research.

Authors: 
Journal:  Am J Hum Genet       Date:  2005-08-29       Impact factor: 11.025

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  12 in total

Review 1.  A critical review of racial/ethnic variables in osteoporosis and bone density research.

Authors:  M S Megyesi; L M Hunt; H Brody
Journal:  Osteoporos Int       Date:  2011-01-05       Impact factor: 4.507

Review 2.  Variability in the efficacy of psychopharmaceuticals: contributions from pharmacogenomics, ethnopsychopharmacology, and psychological and psychiatric anthropologies.

Authors:  Kristi M Ninnemann
Journal:  Cult Med Psychiatry       Date:  2012-03

3.  Ethnic differences in composite indices of femoral neck strength.

Authors:  S Ishii; J A Cauley; G A Greendale; M E Danielson; N Safaei Nili; A Karlamangla
Journal:  Osteoporos Int       Date:  2011-09-17       Impact factor: 4.507

4.  Inclusion of racial and ethnic minorities in genetic research: advance the spirit by changing the rules?

Authors:  Sarah Knerr; Dawn Wayman; Vence L Bonham
Journal:  J Law Med Ethics       Date:  2011       Impact factor: 1.718

Review 5.  Population description and its role in the interpretation of genetic association.

Authors:  Stephanie M Fullerton; Joon-Ho Yu; Julia Crouch; Kelly Fryer-Edwards; Wylie Burke
Journal:  Hum Genet       Date:  2010-02-16       Impact factor: 4.132

6.  Including diverse and admixed populations in genetic epidemiology research.

Authors:  Amke Caliebe; Fasil Tekola-Ayele; Burcu F Darst; Xuexia Wang; Yeunjoo E Song; Jiang Gui; Ronnie A Sebro; David J Balding; Mohamad Saad; Marie-Pierre Dubé
Journal:  Genet Epidemiol       Date:  2022-07-16       Impact factor: 2.344

Review 7.  Looking for race in all the wrong places: analyzing the lack of productivity in the ongoing debate about race and genetics.

Authors:  Morris W Foster
Journal:  Hum Genet       Date:  2009-04-25       Impact factor: 4.132

8.  Pharmacogenetics in primary care: the promise of personalized medicine and the reality of racial profiling.

Authors:  Linda M Hunt; Meta J Kreiner
Journal:  Cult Med Psychiatry       Date:  2013-03

9.  Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications.

Authors:  Todd H Wagner; Thomas Taylor; Elizabeth Cowgill; Steven M Asch; Pon Su; Barbara Bokhour; Janet Durfee; Richard A Martinello; Elizabeth Maguire; A Rani Elwy
Journal:  BMJ Qual Saf       Date:  2015-05       Impact factor: 7.035

10.  Race and ancestry in biomedical research: exploring the challenges.

Authors:  Timothy Caulfield; Stephanie M Fullerton; Sarah E Ali-Khan; Laura Arbour; Esteban G Burchard; Richard S Cooper; Billie-Jo Hardy; Simrat Harry; Robyn Hyde-Lay; Jonathan Kahn; Rick Kittles; Barbara A Koenig; Sandra Sj Lee; Michael Malinowski; Vardit Ravitsky; Pamela Sankar; Stephen W Scherer; Béatrice Séguin; Darren Shickle; Guilherme Suarez-Kurtz; Abdallah S Daar
Journal:  Genome Med       Date:  2009-01-21       Impact factor: 11.117

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