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REGULAR ARTICLES

The Inclusion of Women and Minorities in Smoking Cessation Clinical Trials: A Systematic Review

, DO, MPH, , PhD, , PhD & , PhD
Pages 21-28 | Received 26 Feb 2008, Accepted 24 Apr 2008, Published online: 10 Jul 2009
 

Abstract

This study assesses the impact of the 1993 NIH Revitalization Act on the inclusion and subgroup analysis of women and minorities in trials of FDA-approved smoking cessation pharmacotherapy. Female representation, while commensurate with population levels, declined significantly for trials that began recruitment after 1993(M = 47.2% vs. M = 53.9%), and fewer than half reported analyses by gender. Minorities continued to be under-represented in later trials; however, significant improvement in representation (M = 16.1% vs. M = 10%) and analysis by race occurred. Industry-sponsored studies had lower minority representation than NIH funded studies. Recommendations are offered to improve subgroup analyses and minority inclusion.

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