Lower HIV Prevalence Among Asian/Pacific Islander Men Who Have Sex with Men: A Critical Review for Possible Reasons

Wei, Chongyi; Raymond, H. Fisher; Wong, Frank Y.; Silvestre, Anthony J.; Friedman, Mark; Documét, Patricia I.; McFarland, Willi; Stall, Ron

doi:10.1007/s10461-010-9855-0

Cited by 17 publications

(19 citation statements)

References 89 publications

(173 reference statements)

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“…An overwhelming focus on deficits among gay and bisexual men predisposes prevention efforts to ignore the strong body of evidence for resilience that exists in this population [8,[12][13][14]; evidence that may be useful in designing interventions to address health disparities. This suggests that learning how strengths evolve could improve prevention efforts by capitalizing on the skills and resources that already exist among gay and bisexual men.…”

Section: A Critique Of Relying Only On a Deficit Approach To Public Hmentioning

confidence: 99%

Resilience as a Research Framework and as a Cornerstone of Prevention Research for Gay and Bisexual Men: Theory and Evidence

et al. 2013

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This commentary presents the content and results of a recent symposium held to discuss how resiliencies among gay and bisexual men, and other men who have sex with men, could inform HIV prevention interventions. We outline the argument for including resiliencies in prevention work and present a critique of the deficitbased approached to public health research as it applies to this line of inquiry. The commentary makes the case that HIV prevention work would be more efficacious if it were designed to incorporate naturally occurring resiliencies that manifest among gay male communities rather than primarily using interventions that address vulnerabilities among men who continue to reside in high risk contexts. The commentary concludes by listing a set of resiliency variables and constructs proposed at the meeting that could be tested in theoretically-based investigations to raise resiliencies among gay and bisexual men thereby lowering HIV risks in this population.Keywords Resilience Á MSM health Á Gay and bisexual men Á TheoryIn the summer of 2011, The Fenway Institute of Boston and the University of Pittsburgh Center for Lesbian, Gay, Bisexual and Transgender (LGBT) Health Research convened a meeting of many of the thought leaders in the field of Gay and Bisexual men's health to discuss how resilience among gay and bisexual men, and other men who have sex with men (henceforth referred to simply as gay and bisexual men), could inform HIV prevention interventions. The idea behind the meeting was to outline ways in which resiliencies could be used to move the field forward towards the abatement or elimination of health disparities within this population. The primary goals of this meeting were to raise interest in the study of resilience as a way to improve health outcomes among gay and bisexual men, to learn from community-based programs that were already using resilience-based approaches in their work, and to begin conceptualizing how researchers could adapt and use a resilience-based framework in their study of HIV and other health disparities in gay and bisexual men. We also critically reviewed deficit-based approach to health, focusing on assumptions underlying these methods.Relative to the field of prevention research, communitybased organizations for gay and bisexual men have better recognized that focusing on strengths, resilience, and other protective factors can bring about positive individual and community-level results. However, few community programs have had the resources to test or evaluate their work. To begin to bridge this divide, the meeting organizers brought together leaders in research as well as key informants from resilience-based community programs including Manifest Love, the Harlem United Community AIDS Center (www.harlemunited.org), Easton Mountain (www. eastonmountain.com), Life Lube (www.lifelube.org), and others who have already been using strength-based approaches to promote health among gay and bisexual men. After a day of sharing methods, challenges, questions and results f...

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Section: A Critique Of Relying Only On a Deficit Approach To Public Hmentioning

confidence: 99%

Resilience as a Research Framework and as a Cornerstone of Prevention Research for Gay and Bisexual Men: Theory and Evidence

et al. 2013

Self Cite

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“…For example, some work has shown that men find Asian MSM less desirable as sex partners because they are perceived to be less masculine and more submissive. 18,19 This too has led to insularity, with many sex ties among Asian MSM being intraracial, 20 although within a population with significantly lower HIV prevalence. 1 Thus, further research into the methods by which MSM select partners may help our understanding of the spread of HIV within and between racial/ethnic communities.…”

Section: Introductionmentioning

confidence: 99%

Partner Preference Among Men Who Have Sex with Men: Potential Contribution to Spread of HIV Within Minority Populations

et al. 2016

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Purpose: Human immunodeficiency virus (HIV) disproportionately affects men who have sex with men (MSM) in the United States. Most prior research into drivers of HIV transmission has focused on individual characteristics rather than on dyadic-level behaviors such as sex partner selection. This article explores racial/ethnic preferences in sex and relationship partner selection among MSM to further contextualize the spread of HIV within minority groups. Methods: Participants were recruited through a mobile application (app) for men to meet other men in 2015 and completed an online survey on behaviors related to HIV risk. All analyses on the sample of 530 MSM were conducted in 2015.Results: There was significant homophily in partner selection within racial/ethnic minorities, but not for white MSM. In general, mobile app-using MSM reported a general preference for white and Hispanic men and a dispreference for black and Asian men, both for sex and relationship partners. Conclusion: Racial/ethnic preferences were found to drive intentions to form partnerships within this sample. Combined with the stigma many of these racial/ethnic minorities may also feel from homophobic attitudes within their own racial/ethnic communities, these MSM may be at particular risk for social isolation. These partner preferences likely affect the structure of the sexual networks of MSM and may contribute to increased clustering within high HIV incident sexual networks.Key words: apps, human immunodeficiency virus (HIV), men who have sex with men (MSM), partner preference.

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“…Empirical studies have emerged to investigate whether acculturation is associated with behaviors related to HIV infection or HIV risk reduction (Wei et al, 2011). Some previous reviews have examined immigrants’ HIV-related behaviors but have not focused on the impact of acculturation on sexual behaviors (Organista & Organista, 1997; Tosh & Simmons, 2007; Wei et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…Some previous reviews have examined immigrants’ HIV-related behaviors but have not focused on the impact of acculturation on sexual behaviors (Organista & Organista, 1997; Tosh & Simmons, 2007; Wei et al, 2011). Two exceptions are the reviews conducted by Bradford et al (2002) and Afable-Munsuz and Brindis (2006).…”

Section: Introductionmentioning

confidence: 99%

Acculturation and HIV-related sexual behaviours among international migrants: a systematic review and meta-analysis

2013

Health Psychology Review

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This review examines the global literature regarding the relationship between acculturation and HIV-related sexual behaviors among international migrants. Seventy-nine articles published in English-language journals prior to July 2012 met the criteria for inclusion. We conducted a systematic review and subset meta-analysis of correlations between acculturation and five types of sexual behaviors including condom use, multiple partnerships, early sexual initiation, sexually transmitted diseases (STDs), and other unsafe sexual practices. Immigrants high in mainstream acculturation were more likely to have multiple partnerships, early sexual initiation, STDs, and unsafe sex (rs ranged from .10 to .16), but acculturation was not associated with condom use (r = .02). Gender moderated the relationships between acculturation and multiple partnerships, STDs, and unsafe sex. The relationship between acculturation and unsafe sex also varied across ethnicity. These findings suggest that acculturation may serve as a risk factor towards immigrants’ HIV-related sexual health. We offered a theoretical framework and suggested applying cross-cultural and longitudinal designs in future research on acculturation and health behaviors.

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Lower HIV Prevalence Among Asian/Pacific Islander Men Who Have Sex with Men: A Critical Review for Possible Reasons

Cited by 17 publications

References 89 publications

Resilience as a Research Framework and as a Cornerstone of Prevention Research for Gay and Bisexual Men: Theory and Evidence

Resilience as a Research Framework and as a Cornerstone of Prevention Research for Gay and Bisexual Men: Theory and Evidence

Partner Preference Among Men Who Have Sex with Men: Potential Contribution to Spread of HIV Within Minority Populations

Acculturation and HIV-related sexual behaviours among international migrants: a systematic review and meta-analysis

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