262742 Disrupting discourse and pushing the paradigm: Reframing HIV risk behavior among Asian & Pacific Islander men who have sex with men (API MSM)

Sunday, October 28, 2012

Sean Arayasirikul, PhD Student , Department of Social and Behavioral Sciences, University of California, San Francisco (UCSF), Oakland, CA
Ben Cabangun , Department of Health Education, Asian & Pacific Islander Wellness Center, San Francisco, CA
The legacy of the model minority myth and its effects as a social construction has continued to plague public health discourse around HIV risk among Asian and Pacific Islander men who have sex with men (API MSM). A genuine understanding of API MSM HIV risk is further distorted by low rates of HIV infection, relative to that of other race categories, promoting divestment and the false belief that that HIV is not a problem in communities of API MSM.

The results of this study seek to reframe HIV risk behavior in a sample of API MSM (n=150) in the San Francisco Bay Area. Data on HIV risk behavior, substance use, acculturation, social support, exposure to prevention messages, HIV-related stigma, internalized homophobia, and HIV testing and partner seeking behavior will be analyzed.

Questionnaires are completed by all individuals who receive an HIV test or participate in HIV prevention programs at a community-based HIV/AIDS service organization. In addition to univariate and bivariate analyses, HIV risk behavior data are analyzed cross-sectionally, using linear and logistic regression. Interactions between key constructs are also tested.

Data collection for this study has not ended; therefore, results are not final. However, preliminary analyses reveal growing salience in foreign-born status, socio-cultural and network influences.

Current public health HIV prevention frameworks rely on data verified at the aggregate level for all populations; this essentialist approach is ill-equipped to understand HIV risk among API MSMs. Instead, CBOs must lead research priorities in understanding the social and cultural contexts of HIV/AIDS.

Learning Areas:
Advocacy for health and health education
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. To identify correlates and predictors of HIV risk and protective factors in a sample of at-risk API MSM; and 2. To discuss how API MSM HIV risk differ from other populations.

Keywords: Community Collaboration, HIV Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I served as the evaluator for the current study, which included design, data collection and analysis.
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.