1. Barriers of enrolment in HIV vaccine trials: A review of HIV vaccine preparedness studies
- Author
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Gary Poole and Shayesta Dhalla
- Subjects
Adult ,Male ,Health Knowledge, Attitudes, Practice ,medicine.medical_specialty ,Adolescent ,Population ,Developing country ,HIV Infections ,Men who have sex with men ,Risk Factors ,medicine ,Humans ,Health belief model ,Patient participation ,HIV vaccine ,education ,Developing Countries ,AIDS Vaccines ,Clinical Trials as Topic ,education.field_of_study ,General Veterinary ,General Immunology and Microbiology ,business.industry ,Developed Countries ,Public Health, Environmental and Occupational Health ,Infectious Diseases ,Preparedness ,Family medicine ,Molecular Medicine ,Female ,Patient Participation ,business ,Developed country - Abstract
Barriers to participation in an HIV vaccine trial have been examined in many HIV vaccine preparedness studies (VPS). These barriers can be understood in terms of the locus of the barrier (personal vs. social) and the nature of the barrier (risk vs. cost). Another type of barrier is perceived misconceptions. In this systematic review, we categorize barriers, and compare these barriers between the Organization for Economic Co-operation and Development (OECD) countries and the non-OECD countries. In the OECD countries, we retrieved 25 studies reporting personal risks (PR), 9 studies reporting social risks (SR), 10 studies reporting personal costs (PC), and 16 studies reporting misconceptions. In the non-OECD countries, we retrieved 27 studies reporting PR, 19 studies reporting SR, 18 studies reporting PC, 1 study reporting social costs (SC), and 13 studies reporting misconceptions. Important PR were "adverse effects" and "vaccine-induced seropositivity", "distrust of institutions", and "temptation to have unsafe sex" in men who have sex with men (MSM). "Discrimination" was a common SR. "Time commitment" was an important PC, and "family commitments" were a SC in one non-OECD country. "HIV infection from the vaccine" was a common misconception. Both the OECD and the non-OECD countries have similar barriers, and people's decisions to participate in a clinical trial involve multiple barriers. However, these barriers apply to hypothetical HIV vaccine trials, and barriers for actual vaccine trials need further assessment.
- Published
- 2011
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