1 / 26

Kyung-Hee Choi

High Sexual Risk But Low HIV Prevalence Among Asian And Pacific Islander (API) Men Who Have Sex With Men (MSM). Kyung-Hee Choi Center for AIDS Prevention Studies (CAPS) University of California, San Francisco, San Francisco. UC. SF. University of California San Francisco.

mandel
Télécharger la présentation

Kyung-Hee Choi

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. High Sexual Risk But Low HIV Prevalence Among Asian And Pacific Islander (API) Men Who Have Sex With Men (MSM) Kyung-Hee Choi Center for AIDS Prevention Studies (CAPS)University of California, San Francisco, San Francisco UC SF University of California San Francisco

  2. Presentation Outline • Background • Study 1 Asian Counseling and Testing (ACT) • Study 2 Community, Health, and Identity (CHAI) • Directions for Future Research

  3. Background: U.S. API Population 9% • Fast growing ethnic group in the U.S. 4.5% 1.6%

  4. Background: U.S. API Population • Six ethnic groups make up 85% of the API population. • 71% are foreign-born.

  5. Background: AIDS and U.S. APIs • A small number of AIDS cases • - 6,1032 AIDS cases as of December 2001 • - 0.76% of all U.S. AIDS cases

  6. Background: AIDS and U.S. APIs • 87% of all APIs with AIDS are male.

  7. Background: AIDS and U.S. APIs • 71% of API men with AIDS are MSM.

  8. Background: Studies of API MSM • Few HIV prevalence studies with a large sample of API MSM.

  9. Research Questions • What is the prevalence of HIV among API MSM? • ACT Study • What can explain the current levels of HIV prevalence among API MSM? • CHAI Study

  10. Study 1: ACT Study

  11. ACT: Methods • 496 API MSM aged 18 to 29 years. • Recruited from 30 randomly selected gay venues in San Francisco from January 2000 to September 2001. • Completed interviewer-administered questionnaires. • Tested for HIV, hepatitis B, chlamydia, syphilis, and gonorrhea.

  12. ACT: Sample Characteristics (N=496)

  13. ACT: Prevalence of HIV, HBV, & STDs • HIV Infection • - 2.6% HIV-positive • HBV Infection • - 28.5% markers for past or current HBV infection • - 8.7% markers for chronic HBV infection • STD Infection • - 2.9% positive for chlamydia • - 0.5% positive for syphilis • - 0.4% positive for gonorrhea

  14. ACT: Sexual Risk Behaviors, • Past Six Months (%) • Number of male partners (median, 2) • 0 6 • 1 31 • 2-5 44 • 6+ 19 • Unprotected anal intercourse • Any 47 • Insertive 39 • Receptive 35

  15. ACT: Predictors of HIV Infection: Multivariate Results • Having larger number of sexual partners in the lifetime (AOR, 1.003) • Older age (AOR, 1.26) • Lifetime attendance of a ‘circuit party’ (a series of parties held for MSM special events; AOR, 4.31) • AOR, Adjusted odds ratio

  16. Study 2: CHAI Study

  17. CHAI: Methods • 303 API MSM aged 18 to 39 years • Recruited from informal social networks and gay venues in Los Angeles from July 1999 to March 2000 • Completed interviewer-administered questionnaires

  18. CHAI: Characteristics of Participants with One or More Partners in the Past Six Months (N=193)

  19. CHAI: Partner Characteristics (N=320)

  20. CHAI: Associations of Respondent & Partner Characteristics to Unprotected Anal Intercourse: Multivariate Results • Respondent’s age (being older; AOR, 1.14) • Number of sexual partners, past 6 months (2+; AOR, 2.78) • Partner type (primary partner; AOR, 5.01) • Partner’s ethnicity (API; AOR, 2.79) AOR, adjusted odds ratio

  21. Summary:ACT • Low HIV prevalence • High level of unprotected anal intercourse

  22. Summary:CHAI • High rate of interracial sexual partnerships • Higher frequency of unprotected anal intercourse with API partners

  23. Conclusion • Sexual network patternspossibly responsible for: - high sexual risk - low HIV prevalence

  24. Program Implications • Target social/sexual networks instead of specific ethnic groups

  25. Study Limitations • Limited generalizability to those: - English-speaking, acculturated, and educated - frequent gay-identified venues - live in areas with a high concentration of APIs • Underreporting of: - respondents’ risk behavior - sexual partners’ risk behavior

  26. Directions for Future Research • Descriptive studies - Sexual networks and HIV risk • Intervention studies - Network-based interventions

More Related