Life
If you're a person who takes medication, from aspirin to chemotherapy drugs, it's probable that you'd prefer that your medication be tested on people who are, you know, like you — but more often than not, medical trials tend to use white men as their test subjects, leaving women and people of color in the lurch. This reality has been getting better in recent years, however: A new study from the Journal of Women's Health reveals that more women are being represented as test subjects in clinical drug trials in the United States, but people of color are still underrepresented.
Up until 1993, the Food & Drug Administration made drug testing a man-only business; it was only at that point that women of child-bearing age were allowed to participate in drug trials at all. (It used to be thought that being test subjects might endanger female fertility and health.) From there, it's been an uphill struggle to get women into drug trials in equal numbers, and the FDA itself has done a lot of work to encourage better gender parity in drug testing. But while the story is good for women's representation in drug testing, the study, which reviewed 102 new drug applications submitted to the FDA between 2013 and 2015, revealed that when it comes to race, representation in testing is still not catching up — and this has tremendous repercussions.
But People Of Color Are Still Not Represented Properly
When it came to the people of color represented in the 2,455 clinical trials, the story was not as good. Proper racial representation in medication trials is important; though our understanding of how people of different races react to different medications, it's crucial that drugs aren't just tested on white men and then marketed as safe for everybody, just in case a previously unknown complication reveals itself. And on that front, the news from the study wasn't as stellar.
97.5 percent of the trial participants recorded their race, and the results showed that 77.2 percent of all the people tested were white, 12.2 percent were Asian, 6.4 percent were Black/African American, 2.6 percent were Other, 0.6 percent were Native American, and 0.6 percent were Hispanic/Latino. (For context, as of 2016, 17.8 percent of Americans were Hispanic or Latino, according to the census.) Non-white people made up between 13.9 and 33 percent of the total.
The thing about taking race into account is that it's viewed as a good representation if it corresponds to percentage numbers in the population. Compared to the Asian population in the U.S., the percentage of Asian clinical trial participants, at 12.2 percent, was pretty high. That's good! But the percentage of Black people averaged around 6.4 percent, which is way below the number of Black people in America (around 13.3 percent of the total U.S. population).
"Participation of some racial minorities — most notably, Blacks/African Americans — is still not well represented in many programs and remains an area in need of improvement," the scientists behind the study noted in their conclusion. They raised the possibility that one of the reasons Black people miss out is that these big drug trials now involve countries other than the U.S., which may not have the same population of Black people as the U.S. But it's something that needs to be addressed; otherwise, the medications on our shelves haven't truly been tested for everybody's safety and health.