Provider attitudes regarding participation of women and persons of color in AIDS clinical trials.
Provider attitudes and perceptions that may influence recruitment and enrollment of diverse patients into AIDS clinical trials were examined by conducting a cross-sectional survey of all HIV/AIDS providers at a municipal teaching hospital. Providers were less likely to feel confident explaining trials to non-English-speaking patients (p < .05). Providers also reported being more confident of their ability to give an overview of clinical trials in culturally appropriate terms to white patients than to patients of other races/ethnicities (p < .05). Many providers perceived the interest in clinical trials by African American (25%), Latino (14%), and Haitian patients (30%) to be lower; and primarily cited suspicions about clinical research as the reason. Some providers (13%) perceived that women with HIV/AIDS are less interested in clinical trials. Despite these perceptions, all providers reported that they are just as likely to inform women and African Americans about available clinical trials; a small proportion reported that they were less likely to inform Latinos (6%) and Haitians (11%). None of these findings differed significantly by provider race, gender, HIV experience, languages spoken, or specialty. Underrepresentation of minorities and women in AIDS Clinical Trials may partially result from attitudes and perceptions of providers.
Stone
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Department of Medicine, Memorial Hospital of Rhode Island, Brown University School of Medicine, Providence 02860, USA. Valerie_Stone@mhri.org
Mauch
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Steger
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D001741:Black or African American; D001291:Attitude of Health Personnel / Q000208:ethnology; D002986:Clinical Trials as Topic / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003469:Culture; D005260:Female; D006205:Haiti / Q000208:ethnology; D006630:Hispanic or Latino; D006801:Humans; D007802:Language; D008297:Male; D009726:Nurses; D010358:Patient Participation / Q000523:psychology*; D018579:Patient Selection; D010820:Physicians; D011287:Prejudice; D011795:Surveys and Questionnaires; D014481:United States