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Lower HIV prevalence among Asian/Pacific islander men who have sex with men: A critical review for possible reasons

Wei, C and Raymond, HF and Wong, FY and Silvestre, AJ and Friedman, MS and Documét, P and McFarland, W and Stall, R (2011) Lower HIV prevalence among Asian/Pacific islander men who have sex with men: A critical review for possible reasons. AIDS and Behavior, 15 (3). 535 - 549. ISSN 1090-7165

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We conducted a critical literature review for possible reasons that may explain the lower HIV prevalence observed among API MSM compared to MSM of other races/ethnicities. Trends emerging from the literature suggest that traditional individual-level factors - unprotected anal intercourse, substance use, STD prevalence, rates and frequency of HIV testing, and utilization of HIV prevention services - do not appear to be related to the lower HIV prevalence among API MSM. Some evidence suggests that socio-cultural and structural factors might be the more critical forces in determining racial/ethnic disparities of HIV among MSM. For API MSM, these factors include structures of sexual networks, access to and reception of medical care and treatment among HIV-positive MSM, and influences of different levels and types of acculturation. Moreover, emerging risk reduction strategies, such as seroadaptive behaviors, could play a role. Future research should address these factors in intervention design. In addition, better theories of resilience and measurement of strengths and protective factors are needed to enhance the efficacy of HIV interventions. © 2010 Springer Science+Business Media, LLC.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Wei, C
Raymond, HF
Wong, FY
Silvestre, AJtonys@pitt.eduTONYS
Friedman, MSmsf11@pitt.eduMSF11
Documét, P
McFarland, W
Stall, Rrstall@pitt.eduRSTALL
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 1 April 2011
Date Type: Publication
Journal or Publication Title: AIDS and Behavior
Volume: 15
Number: 3
Page Range: 535 - 549
DOI or Unique Handle: 10.1007/s10461-010-9855-0
Schools and Programs: School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 1090-7165
Article Type: Review
MeSH Headings: Attitude to Health--ethnology; HIV Infections--epidemiology; HIV Infections--ethnology; HIV Infections--prevention & control; HIV Infections--transmission; HIV Seronegativity; HIV Seropositivity--diagnosis; HIV Seropositivity--epidemiology; HIV-1; Homosexuality, Male--ethnology; Homosexuality, Male--psychology; Humans; Male; Oceanic Ancestry Group--psychology; Oceanic Ancestry Group--statistics & numerical data; Prevalence; Qualitative Research; Risk Factors; Risk Reduction Behavior; Sexual Partners; United States--epidemiology; Unsafe Sex
PubMed ID: 21153049
Date Deposited: 12 Jun 2013 21:40
Last Modified: 02 Feb 2019 15:55


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