203136 HIV-related risk behaviors among Asian and Pacific Islander men who have sex with men (API MSM) in the San Francisco Bay Area

Wednesday, November 11, 2009: 11:10 AM

Tooru Nemoto, PhD , Public Health Institute, Oakland, CA
Mariko Iwamoto, MA , Public Health Institute, Oakland, CA
Birte Bodeker, MSc , Public Health Institute, Oakland, CA

Participants were recruited through community outreach in the San Francisco Bay Area. A total of 652 API MSM completed individual interviews using a structured questionnaire. The participants were: Chinese (28%), Filipino (25%), and Vietnamese (12%); average age = 31 years; 70% immigrants.


Nearly 60% of the participants reported having primary (M=1, range: 1-7) and/or casual partners (M=9, range: 1-150) in the past 6 months.

Participants had higher levels of HIV knowledge and positive attitude toward condom use; however, inconsistent condom use was reported (only 43% always used a condom with primary partners; 74% with casual partners in the past 6 months). Majority of participants said they never used condoms for oral sex (77% with primary and 75% with casual partners). 12% and 50% of participants had had sex without knowing their primary and causal partners' HIV status, respectively.

Alcohol use was most commonly reported in the past 30 days (75%), followed by marijuana (11%), and 24% reported being intoxicated with alcohol(more than 5 drinks in one sitting) in the past 30 days. 38% and 45% had sex under the influence of substances with primary and casual partners, respectively.

89% reported being tested for HIV and 6% revealed their HIV positive status.


Regardless of participants' high levels of HIV knowledge and positive attitude toward condom use, many API MSM had engaged in riskier sex behaviors and substance use. Culturally appropriate prevention programs addressing both sexual and substance use behaviors need to be implemented in API MSM communities.

Learning Objectives:
List HIV risk behaviors among API MSM. Describe the cultural context of HIV risk behaviors. Discuss implications for developing future HIV prevention programs targeting API MSM.

Keywords: Asian and Pacific Islander, Gay Men

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been mainly engaging in substance abuse and HIV prevention research among stigmatized and neglected populations, such as MSM, sex workers and substance users. I have a number of presentations at APHA, APA and other professional meetins and converences for the past 20 years. I don't hve a relevant financial relationships with a commercial interest.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.