Obtaining written parent permission for school-based health surveys of urban young adolescents

OʼDonnell, Lydia; Durán, Richard; Doval, Alexi San; Breslin, Michael J.; Juhn, Gregory M.; Stueve, Ann

doi:10.1016/s1054-139x(97)00108-0

Cited by 50 publications

(50 citation statements)

References 8 publications

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“…[5] A second study was fairly successful (89%) in obtaining parental consent for an adolescent school-based health survey, but estimated spending $20,000 to do so. [6] In our study, enrollees were more likely to be age ≥18 years than non-enrollees. This effect was highly significant for white females.…”

Section: Discussionmentioning

confidence: 59%

STI Research: Recruiting an Unbiased Sample

Reed¹,

Thistlethwaite²,

Huppert³

2007

Journal of Adolescent Health

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Purpose-Although minors may legally consent for clinical care of sexually transmitted infections (STI) in all states, research participation often requires parental consent. We examined whether age, race, and parental barriers differed between those adolescents who accepted versus refused enrollment in a minimal risk STI research study.Methods-A cross sectional sample (age 13-21 years, sexually active females, presenting to an Emergency Department) was approached to participate in an STI study. Participation required an interview regarding symptoms and sexual history, a vaginal swab and urine sample for STI testing, and parental consent for those under age 18. Demographics, enrollment, and reasons for ineligibility or refusal were recorded.Results-Of 466 females approached, 240 (52%) met eligibility criteria, and 139 (58%) of those eligible refused enrollment. Reasons for refusal included: 32 (23%) lack of parental confidentiality or consent, 65 (47%) no reason, 23 (17%) time constraints and 19 (13%) other reasons. Parental barriers were only cited by those under age 18. Reasons for refusal did not differ by race. In unadjusted and adjusted analyses, enrollees were more likely to be Black and age ≥18 than non-enrollees. An interaction between age and race is shown in stratified logistic regression analyses: The association of age ≥18 with enrollment was highly significant for White/Other females (Odds Ratio 12.5, 95% confidence interval: 3.0-52.7) but not for Black females (Odds Ratio 1.5, 95% confidence interval: 0.77-3.0). Conclusions-Requiring parental consent appears to preclude participation in minimal risk STI research especially for younger non-black females.

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Section: Discussionmentioning

confidence: 59%

STI Research: Recruiting an Unbiased Sample

Reed¹,

Thistlethwaite²,

Huppert³

2007

Journal of Adolescent Health

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“…Most recently, respondents participated in the young adult assessment. Recruitment and study procedures are described more fully elsewhere (O'Donnell, O'Donnell, & Stueve, 2001;O'Donnell et al, 1997). Thus, the study contains three waves of data, with data collected in middle school (1994)(1995)(1996), high school (4% of sample completed survey in 1998; 50% in 1999; and 46% in 2000), and young adulthood (96% of sample in 2002; 4% in 2003).…”

Section: Methodsmentioning

confidence: 99%

New York City young adults' psychological reactions to 9/11: findings from the Reach for Health longitudinal study

Agronick

Stueve

Vargo

et al. 2007

American J of Comm Psychol

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This research examines psychological distress among 955 economically disadvantaged New York City residents surveyed during high school and again after the September 11th terrorist attacks (9/11), when they were young adults. As part of the longitudinal Reach for Health study, young adult surveys were conducted from 6-19 months post-9/11 (average 8 months), providing opportunity to assess types of exposures and psychological distress, including symptoms of post-traumatic stress disorder (PTSD), depression, hopelessness, and anger. Regressions of psychological distress on 9/11 exposure were performed, controlling for high school distress, prior exposure to violence victimization, and socio-demographic characteristics. Exposure to 9/11 was positively associated with anger, hopelessness, and PTSD symptoms and a measure of global distress. The relationship was greater among women for PTSD symptoms. Although those who reported high school distress also reported more distress in young adulthood, prior psychological distress did not moderate the relationship between exposure and psychological outcomes. Greater exposure is related to distress among those who, during high school, reported lower distress, as well as among those who reported prior greater distress.

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“…Disadvantages of opt-in consent are the higher resource-intensiveness and the potentially lower response rate. While there is evidence that these challenges can be manageable for some projects (O'Donnell et al, 1997), researchers frequently report concerns, especially about sample bias effects in opt-in consent (Moolchan and Mermelstein, 2002). In australia, the national guidelines include provision for the possibility of 'standing parental consent', whereby parents delegate decision-making authority to the school for participation of children in certain low-risk observational or questionnaire studies (NhMRC, 2007).…”

Section: Ethical Issues In Relation To Methodology and Settings For Cmentioning

confidence: 99%