Increasing and supporting the participation of persons of color living with HIV/AIDS in AIDS clinical trials
- PMID: 20737252
- PMCID: PMC3634564
- DOI: 10.1007/s11904-010-0055-3
Increasing and supporting the participation of persons of color living with HIV/AIDS in AIDS clinical trials
Abstract
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.
Conflict of interest statement
Disclosure
There are no conflicts of interest.
References
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- Centers for Disease Control and Prevention. [Accessed June 23, 2010];HIV/AIDS Surveillance Report. 2008; Vol. 20. Available at http://www.cdc.gov/hiv/topics/surveillance/resources/reports/
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- Centers for Disease Control and Prevention. [Accessed March 28, 2005];HIV/AIDS among African-Americans. Available at http://www.cdc.gov/hiv/pubs/Facts/afam.htm.
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- National Institute of Allergy and Infectious Diseases (NIAID) [Accessed February 28, 2010];HIV Infection in Minority Populations. Available at http://www.niaid.nih.gov/topics/HIVAIDS/Understanding/Population%20Speci....
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- Gifford AL, Cunningham WE, Heslin KC, et al. Participation in research and access to experimental treatments by HIV-infected patients. N Engl J Med. 2002;346:1373–1382. - PubMed
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