Document Detail


Increasing and supporting the participation of persons of color living with HIV/AIDS in AIDS clinical trials.
MedLine Citation:
PMID:  20737252     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Persons living with HIV/AIDS (PLHA) of color are under-represented in AIDS clinical trials (ACTs), which may limit the generalizability of research findings and denies many individuals access to high levels of care and new treatments available through ACTs. Disproportionately low rates of recruitment in health care settings and by providers are a major barrier to ACTs for this group. Moreover, PLHA of color are more likely than their white peers to decline to participate, mainly due to fear and mistrust (although willingness is also high), negative social norms about ACTs, and difficulty navigating the unfamiliar ACT system. We describe a small number of successful behavioral and structural interventions to increase the participation of PLHA of color in screening for and enrollment into ACTs. HIV care settings, clinical trials sites, and trial sponsors are uniquely positioned to develop procedures, supports, and trials to increase the proportion of PLHA of color in ACTs.
Authors:
Marya Viorst Gwadz; Pablo Colon; Amanda S Ritchie; Noelle R Leonard; Charles M Cleland; Marion Riedel; DeShannon Bowens; Angela D Banfield; Patricia Chang; Robert Quiles; Donna Mildvan
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Current HIV/AIDS reports     Volume:  7     ISSN:  1548-3576     ISO Abbreviation:  Curr HIV/AIDS Rep     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-09-14     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235661     Medline TA:  Curr HIV/AIDS Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  194-200     Citation Subset:  IM    
Affiliation:
New York University College of Nursing, 726 Broadway, New York, NY 10003, USA. marya.gwadz@nyu.edu
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MeSH Terms
Descriptor/Qualifier:
Acquired Immunodeficiency Syndrome / drug therapy,  ethnology
African Americans*
Clinical Trials as Topic*
Ethnic Groups
HIV Infections / drug therapy,  ethnology*,  prevention & control
Health Knowledge, Attitudes, Practice
Health Services Accessibility
Healthcare Disparities / ethnology
Hispanic Americans*
Humans
Intervention Studies
Minority Groups
Minority Health
Patient Compliance
Patient Participation
Patient Selection*
Refusal to Participate / ethnology
Trust
Grant Support
ID/Acronym/Agency:
1 R01 AI070005/AI/NIAID NIH HHS; P30DA011041/DA/NIDA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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