Abstract
Disparities in rates of sexually transmitted infections (STIs) and HIV between Black/African American and Hispanic/Latino adolescents and their white counterparts are well documented. Researchers may encounter notable challenges recruiting Black/African American and Hispanic/Latino adolescents for sexual risk reduction studies. In this article, we present information to assist with planning, implementing, and evaluating recruitment and retention strategies. We also provide practical examples of challenges and solutions from three STI/HIV epidemiologic or prevention intervention studies with different study purposes and populations. Researchers can use this information to aid proposal development, create or refine a recruitment/retention protocol before implementation, and troubleshoot challenges during implementation.
Similar content being viewed by others
References
Centers for Disease Control and Prevention. Sexually transmitted disease surveillance, 2016. https://www.cdc.gov/std/stats16/default.htm. Accessed 15 April 2019.
Centers for Disease Control and Prevention. Diagnoses of HIV infection in the United States and dependent areas, 2016, HIV Surveillance Report 28. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. Accessed 15 April 2019.
Centers for Disease Control and Prevention. Diagnoses of HIV infection among adolescents and young adults in the United States and 6 dependent areas, 2011–2016, HIV Surveillance Supplemental Report 23. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. Accessed 15 April 2019.
Centers for Disease Control and Prevention. (2013). Sexually transmitted infections among young Americans. https://www.cdc.gov/std/products/youth-sti-infographic.pdf. Accessed 15 April 2019.
Kar SK, Choudhury A, Singh P. Understanding normal development of adolescent sexuality: a bumpy ride. J Hum Reprod Sci. 2015;8(2):70–4.
Oh SS, Galanter J, Thakur N, Pino-Yanes M, Barcelo NE, White MJ, et al. Diversity in clinical and biomedical research: a promise yet to be fulfilled. PLoS Med. 2015;12(12):e1001918.
George S, Duran N, Norris K. A systematic review of barriers and facilitators to minority research participation among African Americans, Latinos, Asian Americans, and Pacific Islanders. Am J Public Health. 2014;104(2):e16–31.
Brawner BM, Abboud S, Reason J, Wingood G, Jemmott LS. The development of an innovative, theory-driven, psychoeducational HIV/STI prevention intervention for heterosexually active black adolescents with mental illnesses. Vulnerable Children and Youth Studies. 2019;14(2):151–65.
Brawner BM, Jemmott LS, Wingood G, Lozano AJ, Hanlon AL. Project GOLD: a pilot randomized controlled trial of a novel psychoeducational HIV/STI prevention intervention for heterosexually-active Black youth. Res Nurs Health. 2019;42(1):8–28.
Brawner BM, Jemmott LS, Wingood G, Reason J, Mack N. HIV/STI prevention among heterosexually active Black adolescents with mental illnesses: focus group findings for intervention development. J Assoc Nurses AIDS Care. 2018;29(1):30–44.
Brawner BM, Jemmott LS, Wingood G, Reason J, Daly B, Brooks K, et al. Feelings matter: depression severity and emotion regulation in HIV/STI risk-related sexual behaviors. J Child Fam Stud. 2017;26(6):1635–45.
Flicker S, Guta A. Ethical approaches to adolescent participation in sexual health research. J Adolesc Health. 2008;42:3–10.
DiClemente RJ, Sales JM, Borek N. Barriers to adolescents’ participation in HIV biomedical prevention research. J Acquir Immune Defic Syndr. 2010;54(Suppl 1):S12–7.
Gelinas L, Pierce R, Winkler S, Cohen IG, Lynch HF, Bierer BE. Using social media as a research recruitment tool: ethical issues and recommendations. Am J Bioeth. 2017;17(3):3–14.
Krzywinski M, Altman N. Power and sample size. Nat Methods. 2013;10(12):1139–40.
Guttmacher Institute. An overview of minors’ consent law as of August 1, 2019. https://www.guttmacher.org/state-policy/explore/overview-minors-consent-law. Accessed 9 August 2019.
Brawner BM, Sutton MY. Sexual health research among youth representing minority populations: to waive or not to waive parental consent. Ethics Behav. 2018;28(7):544–59.
Liu C, Cox RB Jr, Washburn IJ, Croff JM, Crethar HC. The effects of requiring parental consent for research on adolescents’ risk behaviors: a meta-analysis. J Adolesc Health. 2017;61(1):45–52.
Jeste DV, Palmer BW, Appelbaum PS, Golshan S, Glorioso D, Dunn LB, et al. A new brief instrument for assessing decisional capacity for clinical research. Arch Gen Psychiatry. 2007;64(8):966–74.
Johnsson L, Eriksson S, Helgesson G. Making researchers moral: why trustworthiness requires more than ethics guidelines and review. Res Ethics. 2014;10(1):29–46.
Rodriguez MA, García R. First, do no harm: the U.S. sexually transmitted disease experiments in Guatemala. Am J Public Health. 2013;103(12):2122–6.
Prather C, Fuller TR, Jeffries WL 4th, et al. Racism, African American women, and their sexual and reproductive health: a review of historical and contemporary evidence and implications for health equity. Health Equity. 2018;2(1):249–59.
Pendergrass DC, Raji MY. The bitter pill: Harvard and the dark history of birth control. The Crimson. https://www.thecrimson.com/article/2017/9/28/the-bitter-pill/. Accessed 15 April 2019.
Jacquez F, Vaughn LM, Wagner E. Youth as partners, participants or passive recipients: a review of children and adolescents in community-based participatory research (CBPR). Am J Community Psychol. 2013;51:176–89.
Merves ML, Rodgers CRR, Silver EJ, Scalfane JH, Bauman LJ. Engaging and sustaining adolescents in community-based participatory research: structuring a youth-friendly CBPR environment. Family and Community Health. 2015;38(1):22–32.
DeCamp LR, Polk S, Chrismer MC, Giusti F, Thompson DA, Sibinga E. Health care engagement of limited English proficient Latino families: lessons learned from advisory board development. Prog Community Health Partnersh. 2015;9(4):521–30.
Parrill R, Kennedy BR. Partnerships for health in the African American community: moving toward community-based participatory research. J Cult Divers. 2011;18(4):150–4.
Isler MR, Miles MS, Banks B, Perraras L, Muhammad M, Parker D, et al. Across the miles: process and impacts of collaboration with a rural community advisory board in HIV research. Prog Community Health Partnersh. 2015;9(1):41–8.
Newman SD, Andrews JO, Magwood GS, Jenkins C, Cox MJ, Williamson DC. Community advisory boards in community-based participatory research: a synthesis of best processes. Prev Chronic Dis. 2011. https://www.cdc.gov/pcd/issues/2011/may/10_0045.htm. Accessed 9 Aug 2019.
Yancey AK, Ortega AN, Kumanyika SK. Effective recruitment and retention of minority research participants. Annu Rev Public Health. 2006;27:1–28.
Acknowledgments
The authors would like to thank the participating organizations, community members, adolescents, and study staff members for their contributions to the success of the research studies.
Funding
Two authors were awarded CDC Minority AIDS Research Initiative grants to conduct studies described in this article (Y. Lanier, U01PS005121; B. Brawner, U01PS003304). E. Bradley was supported by an Oak Ridge Institute for Science and Education postdoctoral research fellowship.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Ethical Approval
All procedures were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent
Participants provided informed consent (or assent, if minors) prior to enrolling in the study.
Disclaimer
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention (CDC).
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Bradley, E.L.P., Lanier, Y., Ukuku Miller, A.M. et al. Successfully Recruiting Black and Hispanic/Latino Adolescents for Sexually Transmitted Infection and HIV Prevention Research. J. Racial and Ethnic Health Disparities 7, 36–44 (2020). https://doi.org/10.1007/s40615-019-00631-7
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40615-019-00631-7