Association between risk sexual behaviors and HIV/STIs testing behaviors among Asian Americans

Objectives: Compared with other ethnic groups in the U.S., Asian Americans are more likely to be at an advanced stage of HIV/AIDS at the time of diagnosis. The prevalence of HIV/STIs among Asian Americans is lower than other ethnicities, yet the rate of growth is considerable, posing an increased need for understanding the predictors of their testing behaviors. This will be crucial in promoting early diagnosis, accessing effective treatment, and developing HIV/STI prevention policy.

Methods: A nationally representative sample of Asian Americans (n=1195, 48% women, age 18-25), from wave III (2001) of the National Longitudinal Study of Adolescent Health, was analyzed. Logistic regression analysis was used to assess the predictors of STI testing behavior among Asian Americans while controlling for age, gender, and sexual orientation.

Results: Only 13.2% (n=162, 7.7% women, 5.5% men) reported being tested for HIV/STI. After controlling for age, gender, and sexual orientation, having a history of STI (OR: 6.5) and U.S. birth status (OR: 1.7) were significantly associated with STI testing behaviors. In addition, various sexual risk behaviors were significantly associated with testing behaviors: having multiple sex partners (OR: 2.3), having paid money for sex (OR: 6.5), first sexual intercourse before 15 years old (OR: 2.5), drinking alcohol while having sex (OR: 1.5). Access to health care and failure to receive medical care were not associated with testing behaviors.

Conclusion: To prevent the spread of HIV/STIs in this rising population, urgent efforts are needed to promote HIV/STI testing by raising awareness and education.