Researchers' Perspectives Regarding Ethical Issues of Biobank Research in the Arab Region.

Maha E Ibrahim, Latifa Adarmouch, Alya Elgamri, Samar Abd ElHafeez, Zeinab Mohammed, Fatma Abdelgawad, Eman H Elsebaie, Ahmed Samir Abdelhafiz, Ehsan Gamel, Karima El Rhazi, Asmaa Abdelnaby, Mamoun Ahram, Henry Silverman
Author Information
  1. Maha E Ibrahim: Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. ORCID
  2. Latifa Adarmouch: Department of Community Medicine, Public Health and Epidemiology, Faculty of Medicine, Cadi Ayyad University, Marrakesh, Morocco.
  3. Alya Elgamri: Department of Orthodontics, Pediatric Dentistry and Preventive Dentistry, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan.
  4. Samar Abd ElHafeez: Epidemiology Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt. ORCID
  5. Zeinab Mohammed: Department of Public Health and Community Medicine, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.
  6. Fatma Abdelgawad: Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Cairo University, Cairo, Egypt. ORCID
  7. Eman H Elsebaie: Department of Public Health, Faculty of Medicine, Cairo University, Cairo, Egypt.
  8. Ahmed Samir Abdelhafiz: Department of Clinical Pathology, National Cancer Institute, Cairo University, Cairo, Egypt.
  9. Ehsan Gamel: Department of Oral Rehabilitation, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan.
  10. Karima El Rhazi: Department of Epidemiology and Public Health, Faculty of Medicine, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
  11. Asmaa Abdelnaby: Department of Public Health, Faculty of Medicine, Cairo University, Cairo, Egypt.
  12. Mamoun Ahram: Department of Physiology and Biochemistry, School of Medicine, The University of Jordan, Amman, Jordan. ORCID
  13. Henry Silverman: Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA. ORCID

Abstract

The recent expansion of genomic biobank research in the Arab region in the Middle East North Africa has raised complex ethical and regulatory issues. However, there is a lack of studies regarding the views of Arab researchers involved in such research. We aimed to assess the perceptions and attitudes of Arab researchers regarding these issues in biobank research. We developed a questionnaire to assess the perceptions and attitudes regarding genetic research of researchers from Egypt, Sudan, Morocco, and Jordan. The questionnaire requested demographic data, perceptions, and attitudes regarding the collection, storage, and use of biospecimens and data, the use of broad consent, data security, data sharing, and community engagement. We used multiple linear regressions to identify predictors of perceptions and attitudes. We recruited 383 researchers. Researchers favored equally the use of broad and tiered consent (44.1% and 39.1%, respectively). Most respondents agreed with the importance of confidentiality protections to ensure data security (91.8%). However, lower percentages were seen regarding the importance of community engagement (64.5%), data sharing with national colleagues and international partners (60.9% and 41.1%, respectively), and biospecimen sharing with national colleagues and international partners (59.9% and 36.2%, respectively). Investigators were evenly split on whether the return of individual research results should depend on the availability or not of a medical intervention that can be offered to address the genetic anomaly (47.5% and 46.4%, respectively). Predictors of attitudes toward biospecimen research included serving on Research Ethics Committees, prior research ethics training, and affiliation with nonacademic institutions. We recommend further exploratory research with researchers regarding the importance of community engagement and to address their concerns about data sharing, with researchers within and outside their countries.

Keywords

References

  1. AAS Open Res. 2018 Apr 18;1:13 [PMID: 30714023]
  2. Clin Med (Lond). 2003 May-Jun;3(3):260-4 [PMID: 12848262]
  3. Brief Funct Genomic Proteomic. 2007 Sep;6(3):193-201 [PMID: 17916592]
  4. BMC Med Ethics. 2014 May 28;15:42 [PMID: 24885855]
  5. BMC Med Ethics. 2018 Feb 27;19(1):13 [PMID: 29482536]
  6. PLoS One. 2013 Sep 30;8(9):e76686 [PMID: 24098803]
  7. Dev World Bioeth. 2015 Dec;15(3):226-32 [PMID: 25280225]
  8. BMC Med Ethics. 2021 Nov 19;22(1):154 [PMID: 34798900]
  9. BMC Med Ethics. 2022 Mar 18;23(1):27 [PMID: 35300680]
  10. Biopreserv Biobank. 2017 Apr;15(2):142-147 [PMID: 28375760]
  11. BMC Med Ethics. 2017 Feb 2;18(1):8 [PMID: 28153006]
  12. Biopreserv Biobank. 2012 Aug;10(4):361-5 [PMID: 24849885]
  13. Annu Rev Genomics Hum Genet. 2016 Aug 31;17:375-93 [PMID: 26905784]
  14. J Empir Res Hum Res Ethics. 2015 Dec;10(5):449-56 [PMID: 26564943]
  15. BMC Med Ethics. 2021 Jul 1;22(1):84 [PMID: 34210291]
  16. Eur J Hum Genet. 2005 Sep;13(9):1071-6 [PMID: 15986039]
  17. BMC Med Ethics. 2016 Oct 10;17(1):57 [PMID: 27724893]
  18. BMC Med Ethics. 2013 Sep 12;14:36 [PMID: 24028325]
  19. J Empir Res Hum Res Ethics. 2019 Oct;14(4):307-317 [PMID: 31378129]
  20. Glob Bioeth. 2021 Mar 9;32(1):15-33 [PMID: 33762814]
  21. Public Health Genomics. 2011;14(6):337-45 [PMID: 21487211]
  22. BMC Med Ethics. 2011 Mar 18;12:5 [PMID: 21418562]
  23. J Multidiscip Healthc. 2019 Mar 29;12:229-234 [PMID: 31114216]
  24. PLoS One. 2021 Mar 26;16(3):e0248401 [PMID: 33770108]
  25. Wellcome Open Res. 2021 Jan 13;6:4 [PMID: 33824911]
  26. Public Health Genomics. 2012;15(5):232-42 [PMID: 22722687]
  27. Eur J Health Law. 2004 Mar;11(1):87-92 [PMID: 15285198]
  28. Int J Med Inform. 2016 Mar;87:84-90 [PMID: 26806715]
  29. JAMA. 1998 Jul 15;280(3):216-7 [PMID: 9676658]
  30. Biopreserv Biobank. 2019 Dec;17(6):613-624 [PMID: 31603696]
  31. BMC Med Ethics. 2014 Oct 18;15:76 [PMID: 25326753]
  32. Clin Transl Sci. 2012 Aug;5(4):329-32 [PMID: 22883610]
  33. BMC Med Ethics. 2019 Aug 9;20(1):57 [PMID: 31399100]
  34. Bull World Health Organ. 2015 Feb 1;93(2):113-7 [PMID: 25883404]
  35. J Adv Nurs. 1997 Sep;26(3):608-12 [PMID: 9378884]
  36. Perspect Clin Res. 2013 Jan;4(1):100-4 [PMID: 23533991]
  37. Cell. 2017 Mar 23;169(1):6-12 [PMID: 28340351]
  38. BMC Med Ethics. 2013 Sep 11;14:35 [PMID: 24025667]
  39. BMC Med Ethics. 2012 Oct 16;13:27 [PMID: 23072321]
  40. Med Health Care Philos. 2021 Sep;24(3):377-388 [PMID: 33797712]
  41. BMC Med Ethics. 2019 Oct 15;20(1):71 [PMID: 31615491]
  42. Genom Soc Policy. 2010;6(3):50 [PMID: 22962560]
  43. Genet Med. 2013 Nov;15(11):882-7 [PMID: 23639901]
  44. N Engl J Med. 2003 Sep 4;349(10):996-8 [PMID: 12954750]
  45. Life Sci Soc Policy. 2014;10:16 [PMID: 26573981]
  46. Glob Health Epidemiol Genom. 2017 Sep 4;2:e13 [PMID: 29276620]
  47. Eur J Hum Genet. 2015 May;23(5):569-74 [PMID: 25074466]
  48. J Glob Health. 2011 Jun;1(1):2-4 [PMID: 23198094]
  49. Ethics Hum Res. 2020 Nov;42(6):14-20 [PMID: 33136331]
  50. PLoS One. 2022 Apr 28;17(4):e0267552 [PMID: 35482729]
  51. Croat Med J. 2011 Jun;52(3):262-79 [PMID: 21674823]
  52. Pharmgenomics Pers Med. 2019 Mar 21;12:23-32 [PMID: 30962705]
  53. BMC Public Health. 2015 Dec 03;15:1208 [PMID: 26635005]
  54. Wellcome Open Res. 2020 Nov 16;5:270 [PMID: 33225074]
  55. JAMA. 2014 Mar 12;311(10):1035-45 [PMID: 24618965]

MeSH Term

Humans
Biological Specimen Banks
Arabs
Confidentiality
Attitude
Surveys and Questionnaires
Informed Consent
Biomedical Research

Word Cloud

Created with Highcharts 10.0.0researchdataregardingresearchersattitudessharingArabperceptionsrespectivelyusesecuritycommunityengagement1%importanceResearchgenomicbiobankissuesHoweverassessquestionnairegeneticbroadconsent5%nationalcolleaguesinternationalpartners9%biospecimenreturnresultsaddressEthicsCommitteesrecentexpansionregionMiddleEastNorthAfricaraisedcomplexethicalregulatorylackstudiesviewsinvolvedaimeddevelopedEgyptSudanMoroccoJordanrequesteddemographiccollectionstoragebiospecimensusedmultiplelinearregressionsidentifypredictorsrecruited383Researchersfavoredequallytiered4439respondentsagreedconfidentialityprotectionsensure918%lowerpercentagesseen64604159362%Investigatorsevenlysplitwhetherindividualdependavailabilitymedicalinterventioncanofferedanomaly47464%PredictorstowardincludedservingpriorethicstrainingaffiliationnonacademicinstitutionsrecommendexploratoryconcernswithinoutsidecountriesResearchers'PerspectivesRegardingEthicalIssuesBiobankRegionbiobanks

Similar Articles

Cited By