The 130th Annual Meeting of APHA

3172.0: Monday, November 11, 2002 - Board 8

Abstract #46309

Psychosocial and neighborhood predictors of HIV risk and testing among Asian / Pacific Islander men who have sex with men

Hiro Yoshikawa, PhD1, Patrick A. Wilson1, and David Chae, MA2. (1) Department of Psychology, New York University, 6 Washington Place, 2nd Floor, New York, NY 10003, (212) 998-7826, hiro.yoshikawa@nyu.edu, (2) Asian / Pacific Islander Coalition on HIV/AIDS, 150 Lafayette Street, 6th Floor, New York, NY 10013

Asian / Pacific Islander (A/PI) MSM in the U.S. show seroprevalence rates slightly higher than White gay men, though lower than Black or Latino gay men (Valleroy et al., 2001). Little is known about predictors of HIV risk among A/PI MSM. This study examines: What are rates of self-reported UAI among A/PI MSM? What demographic, psychosocial, and neighborhood factors predict UAI and testing? The 198 men (57% East Asian, 31% Southeast Asian, 6% South Asian, 6% Pacific Islander) were recruited from NYC gay bars, bathhouses, clubs, social organizations, events, and coffee bars by A/PI peer educators. Measures: demographics (age, education, income, ethnicity, years in U.S.), self-identified sexual orientation, problems obtaining condoms, substance use, and two Census 2000 variables: % Asian immigrants and % unmarried partner households in zip code of residence (“gayness” of neighborhood). Dependent variables: UAI (primary, secondary partners); HIV testing. Logistic regressions used. Results: 29% reported UAI in prior 6 months. East Asian men were more likely to report UAI with secondary partners than Southeast Asian men. Men with a college degree were less likely to have been tested, and more likely to report UAI with primary partners. Men residing in “gayer” neighborhoods were more likely to have been tested, but also more likely to report UAI. Interactions among predictors were also tested. Differences in HIV risk and testing by ethnicity, neighborhood, and demographics imply the need for more sophisticated targeting of subgroups in HIV prevention for A/PI MSM. Suggestions for such targeting will be discussed.

Learning Objectives:

Keywords: Gay Men, Culture

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

HIV Risk Behaviors and Comorbidities

The 130th Annual Meeting of APHA