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

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.