Aim: In this talk, I will make a parallel between the current gender and ethnic biases in the AIDS epidemic and what interventions are likely to accomplish based on available trial data. I will then analyze the extent to which these biases exist in or are mitigated by behavioral interventions that have been tested since the beginning of the epidemic. A model describing the intervention cycle is used to characterize gender and ethnic biases in enrollment, retention, and behavior change. Several important conclusions emerge. One is that there is no adequate efficacy or effectiveness knowledge about programs for women or ethnic minorities in the absence of comparative data for men and ethnic majorities. Another is that there are worrisome gender and ethnic biases in retention and behavior change, as well as field data showing biases in enrollment as well. I conclude with new directions and the need to embrace complexity in HIV prevention and treatment research.
| |