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

AIDS Behav. 2013 Feb;17(2):801-12. doi: 10.1007/s10461-012-0194-1.

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.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Acquired Immunodeficiency Syndrome / diagnosis
  • Acquired Immunodeficiency Syndrome / epidemiology*
  • Acquired Immunodeficiency Syndrome / ethnology
  • Adult
  • Black or African American / statistics & numerical data*
  • Educational Status
  • Female
  • Health Behavior* / ethnology
  • Health Literacy
  • Health Status Disparities*
  • Hispanic or Latino / statistics & numerical data*
  • Humans
  • Male
  • Mass Screening / statistics & numerical data*
  • Mental Health
  • Middle Aged
  • Peer Group
  • Predictive Value of Tests
  • Randomized Controlled Trials as Topic
  • Substance-Related Disorders / epidemiology*
  • Substance-Related Disorders / ethnology
  • United States / epidemiology
  • United States / ethnology
  • Vulnerable Populations