Several factors contribute to the underrepresentation of these populations in epidemiological studies. These include:
Historical Exclusion: Many underrepresented groups have faced systemic barriers that have excluded them from research. Distrust in Medical Systems: Due to past unethical research practices, such as the Tuskegee Syphilis Study, there is often a profound mistrust in medical research among these groups. Language Barriers: Non-English speakers or those with limited proficiency in the dominant language are frequently excluded due to a lack of accessible materials. Socioeconomic Barriers: Populations with limited financial resources may not have the time or ability to participate in studies.