Predictors of screening for AIDS clinical trials among African-Americans and Latino/Hispanics enrolled in an efficacious peer-driven intervention: Uncovering socio-demographic, health, and substance use-related factors that promote or impede screening

Marya Gwadz, Charles M. Cleland, Noelle R. Leonard, Amanda S. Ritchie, Angela Banfield, Marion Riedel, Pablo Colon, Donna Mildvan

Research output: Contribution to journalArticle

Abstract

African-American and Latino/Hispanic persons living with HIV/AIDS are underrepresented in AIDS clinical trials (ACTs). The aim of this paper was to uncover factors, either unmodifiable or not directly targeted for change, that predicted screening for ACTs during an efficacious peer-driven intervention (N = 540 total; N = 351 in an intervention arm, N = 189 control). This paper focused on participants assigned to an intervention arm, 56 % of whom were screened for ACTs. We found a decreased odds of screening was associated with closer proximity to the screening site, gay/lesbian orientation, lower mental health symptoms, current injection drug use, more recent HIV diagnosis, lack of prior screening experience, and failure to attend all intervention sessions, but there were no gender or racial/ethnic differences. Efforts to reduce racial/ethnic disparities in ACTs can be enhanced by attending to these specific factors, which may interfere with programmatic efforts to increase African-American and Latino/Hispanic representation in ACTs.

Original languageEnglish (US)
Pages (from-to)801-812
Number of pages12
JournalAIDS and Behavior
Volume17
Issue number2
DOIs
StatePublished - Feb 2013

Keywords

  • Clinical trials
  • HIV/AIDS
  • Moderators
  • Peer-driven intervention
  • Race/ethnic disparities

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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