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01.04.2011 | Substantive Review

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

verfasst von: Chongyi Wei, H. Fisher Raymond, Frank Y. Wong, Anthony J. Silvestre, Mark S. Friedman, Patricia Documét, Willi McFarland, Ron Stall

Erschienen in: AIDS and Behavior | Ausgabe 3/2011

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Abstract

We conducted a critical literature review for possible reasons that may explain the lower HIV prevalence observed among API MSM compared to MSM of other races/ethnicities. Trends emerging from the literature suggest that traditional individual-level factors—unprotected anal intercourse, substance use, STD prevalence, rates and frequency of HIV testing, and utilization of HIV prevention services—do not appear to be related to the lower HIV prevalence among API MSM. Some evidence suggests that socio-cultural and structural factors might be the more critical forces in determining racial/ethnic disparities of HIV among MSM. For API MSM, these factors include structures of sexual networks, access to and reception of medical care and treatment among HIV-positive MSM, and influences of different levels and types of acculturation. Moreover, emerging risk reduction strategies, such as seroadaptive behaviors, could play a role. Future research should address these factors in intervention design. In addition, better theories of resilience and measurement of strengths and protective factors are needed to enhance the efficacy of HIV interventions.

Millett GA, Peterson JL, Wolitski RJ, Stall R. Greater risk for HIV infection of Black men who have sex with men: a critical literature review. Am J Public Health. 2006;96:1007–19.PubMedCrossRef

Millett GA, Flores SA, Peterson JL, Bakeman R. Explaining disparities in HIV infection among black and white men who have sex with men: a meta-analysis of HIV risk behaviors. AIDS. 2007;21:2083–91.PubMedCrossRef

Choi KH, Han CS, Hudes ES, Kegeles S. Unprotected sex and associated risk factors among young Asian and Pacific Islander men who have sex with men. AIDS Educ Prev. 2002;14:472–81.PubMedCrossRef

Choi KH, Operario D, Gregorich SE, McFarland W, MacKellar D, Valleroy L. Substance use, substance choice, and unprotected anal intercourse among young Asian American and Pacific Islander men who have sex with men. AIDS Educ Prev. 2005;17:418–29.PubMedCrossRef

Operario D, Choi KH, Chu PL, et al. Prevalence and correlates of substance use among young Asian Pacific Islander men who have sex with men. Prev Sci. 2006;7:19–29.PubMedCrossRef

Schwarcz S, Scheer S, McFarland W, et al. Prevalence of HIV infection and predictors of high-transmission sexual risk behaviors among men who have sex with men. Am J Public Health. 2007;97:1067–75.PubMedCrossRef

Bingham TA, Harawa NT, Johnson DF, Secura GM, MacKellar DA, Valleroy LA. The effect of partner characteristics on HIV infection among African American men who have sex with men in the Young Men’s Survey, Los Angeles, 1999–2000. AIDS Educ Prev. 2003;15(A):39–52.PubMedCrossRef

Valleroy LA, MacKellar DA, Karon JM, et al. HIV prevalence and associated risks in young men who have sex with men. Young Men’s Survey Study Group. JAMA. 2000;284:198–204.PubMedCrossRef

Catania J, Osmond D, Stall R, et al. The continuing HIV epidemic among men who have sex with men. Am J Public Health. 2001;91:908–14.CrossRef

10.

Lemp GF, Hirozawa AM, Givertz D, et al. Seroprevalence of HIV and risk behaviors among young homosexual and bisexual men. JAMA. 1994;272:449–54.PubMedCrossRef

11.

Centers for Disease Control and Prevention. HIV incidence among young men who have sex with men—seven U.S. cities, 1994–2000. MMWR Morb Mortal Wkly Rep. 2001;50:440–4.

12.

Brooks RA, Lee SJ, Newman PA, Leibowitz AA. Sexual risk behavior has decreased among men who have sex with men in Los Angeles but remains greater than that among heterosexual men and women. AIDS Educ Prev. 2008;20:312–24.PubMedCrossRef

13.

Centers for Disease Control and Prevention. HIV testing survey, 2002. In: HIV/AIDS Special Surveillance Report. Atlanta: Centers for Disease Control and Prevention; 2002.

14.

Rosser BRS, Oakes JM, Horvath KJ, Konstan JA, Danilenko GP, Peterson JL. HIV sexual risk behavior by men who use the Internet to seek sex with men: results of the Men’s Internet Sex Study-II (MINTS-II). AIDS Behav. 2009;13:488–98.PubMedCrossRef

15.

Xia Q, Osmond D, Tholandi M. HIV prevalence and sexual risk behaviors among men who have sex with men: results from a statewide population-based survey in California. J Acquir Immune Defic Syndr. 2006;41:238–45.PubMedCrossRef

16.

Bingham TA, Secura GM, Bethel SK, Bunch JG, Simon PA, MacKellar DA. HIV risk factors reported by two samples of male bathhouse attendees in Los Angeles, California, 2001–2002. Sex Transm Dis. 2008;35:631–6.PubMedCrossRef

17.

Sanchez T, Finlayson T, Drake A, et al. Human immunodeficiency virus (HIV) risk, prevention, and testing behaviors—United States, National HIV Behavioral Surveillance System: men who have sex with men, November 2003–April 2005. MMWR Surveill Summ. 2006;55:1–16.PubMed

18.

Chng CL, Geliga-Vargas J. Ethnic identity, gay identity, sexual sensation seeking and HIV risk taking among multiethnic men who have sex with men. AIDS Educ Prev. 2000;12:326–39.PubMed

19.

Essien E, Ross MW, Fernandez-Esquer ME, Williams ML. Reported condom use and condom use difficulties in street outreach samples of men of four racial and ethnic backgrounds. Int J STD AIDS. 2005;16:739–43.PubMedCrossRef

20.

Flores SA, Bakeman R, Millett GA, Peterson JL. HIV risk among bisexually and homosexually active racially diverse young men. Sex Transm Dis. 2009;36:325–9.PubMedCrossRef

21.

Horvath KJ, Rosser BRS, Remafedi G. Sexual risk taking among young Internet-using men who have sex with men. Am J Public Health. 2008;28:1059–67.CrossRef

22.

Peterson J, Bakeman R, Strokes J. The community intervention trial for youth study team: racial/ethnic patterns of HIV sexual risk behaviors among young men who have sex with men. J Gay Lesbian Med Assoc. 2001;5:155–62.CrossRef

23.

Raymond HF, McFarland W. An examination of the rates of receptive anal intercourse among Asian/Pacific Islander men who have sex with men in San Francisco. Arch Sex Behav. 2009;38:168–9.PubMedCrossRef

24.

Ruiz J, Facer M, Sun R. Risk factors for human immunodeficiency virus infection and unprotected anal intercourse among young men who have sex with men. Sex Transm Dis. 1998;25:100–7.PubMedCrossRef

25.

Seage GR, Mayer KH, Lenderking WR, et al. HIV and hepatitis B infection and risk behavior in young gay and bisexual men. Public Health Rep. 1997;112:158–67.PubMed

26.

Katz MH, Schwarcz SK, Kellogg TA, et al. Impact of HAART on HIV seroincidence among men who have sex with men in San Francisco. Am J Public Health. 2002;92:388–94.PubMedCrossRef

27.

Sullivan PS, Hamouda O, Delpech V, et al. Reemergence of the HIV epidemic among men who have sex with men in North America, Western Europe, and Australia, 1996–2005. Ann Epidemiol. 2009;19:423–31.PubMedCrossRef

28.

Chesney MA, Barrett DC, Stall R. Histories of substance use and risk behavior: precursors to HIV seroconversion in homosexual men. Am J Public Health. 1998;88:113–6.PubMedCrossRef

29.

Plankey MW, Ostrow DG, Stall R, et al. The relationship between methamphetamine and popper use and risk of HIV seroconversion in the multicenter AIDS cohort study. J Acquir Immune Defic Syndr. 2007;45:85–92.PubMedCrossRef

30.

Grov C, Bimbi DS, Nanin JE, Parsons JT. Exploring racial and ethnic differences in recreational drug use among gay and bisexual men in New York City and Los Angeles. J Drug Educ. 2006;36:105–23.PubMed

31.

Greenwood GL, White EW, Page-Shafer K, et al. Correlates of heavy substance use among young gay and bisexual men: the San Francisco Young Men’s Health Study. Drug Alcohol Depend. 2001;61:105–12.PubMedCrossRef

32.

Halkitis PN, Green KA, Mourgues P. Longitudinal investigation of methamphetamine use among gay and bisexual men in New York City: findings from project BUMPS. J Urban Health. 2005;82(Suppl 1):18–25.

33.

Halkitis PN, Moeller RW, Siconolfi DE, Jerome RC, Rogers M, Schillinger J. Methamphetamine and poly-substance use among gym-attending men who have sex with men in New York City. Ann Behav Med. 2008;35:41–8.PubMed

34.

Palamar JJ, Mukherjee PP, Halkitis PN. A longitudinal investigation of power cocaine use among club-drug using gay and bisexual men. J Stud Alcohol Drugs. 2008;69:806–13.PubMed

35.

Rhodes SD, Hergenrather KC, Yee LJ, Knipper E, Wilkin AM, Omli MR. Characteristics of a sample of men who have sex with men, recruited from gay bars and Internet chat rooms who report methamphetamine use. AIDS Patient Care STDs. 2007;21:575–83.PubMedCrossRef

36.

Spindler HH, Scheer S, Chen SY, et al. Viagra, methamphetamine, and HIV risk: results from a probability sample of MSM, San Francisco. Sex Transm Dis. 2007;34:586–91.PubMed

37.

Ostrow DG, Stall R. Alcohol, tobacco, and drug use among gay and bisexual men. In: Wolitski RJ, Stall R, Valdiserri RO, editors. Unequal opportunity: health disparities affecting gay and bisexual men in the United States. New York: Oxford University Press; 2008.

38.

Stueve A, O’Donnell L, Duran R, Doval AS, Geier J. Being high and taking sexual risks: findings from a multisite survey of urban young men who have sex with men. AIDS Educ Prev. 2002;14:482–95.PubMedCrossRef

39.

Berry M, Raymond HF, McFarland W. Same race and older partner selection may explain higher HIV prevalence among black men who have sex with men. AIDS. 2007;21:2349–50.PubMedCrossRef

40.

Fleming DT, Wasserheit JN. From epidemiological synergy to public health policy: the contribution of other sexually transmitted diseases to sexual transmission of HIV infection. Sex Transm Dis. 1999;75:3–17.

41.

Rothenberg RB, Wasserheit JN, St Louis ME, Douglas JM. The effect of treating sexually transmitted diseases on the transmission of HIV in dually infected persons: a clinic-based estimate. Sex Transm Dis. 2000;27:411–6.PubMedCrossRef

42.

Kim AA, Kent CK, Klausner JD. Risk factor for rectal gonococcal infection amidst resurgence in HIV transmission. Sex Transm Dis. 2003;30:813–7.PubMedCrossRef

43.

McFarland W, Chen S, Weide D, Kohn R, Klausner J. Gay Asian men in San Francisco follow the international trend: increases in rates of unprotected anal intercourse and sexually transmitted diseases, 1999–2002. AIDS Educ Prev. 2004;16:13–8.PubMedCrossRef

44.

Mimiaga MJ, Tetu AM, Gortmaker S, et al. HIV and STD status among MSM and attitudes about Internet partner notification for STD exposure. Sex Transm Dis. 2006;35:111–6.

45.

Morris SR, Klausner JD, Buchbinder SP, et al. Prevalence and incidence of pharyngeal gonorrhea in a longitudinal sample of men who have sex with men: the EXPLORE study. Clin Infect Dis. 2006;43:1284–9.PubMedCrossRef

46.

Centers for Disease Control and Prevention. HIV prevalence, unrecognized infection, HIV testing among men who have sex with men-five U.S. cities: June 2004–April 2005. MMWR Morb Mortal Wkly Rep. 2005;54:597–601.

47.

Helms DJ, Weinstock HS, Mahle KC, et al. HIV testing frequency among men who have sex with men attending sexually transmitted disease clinics: implications for HIV prevention and surveillance. J Acquir Immune Defic Syndr. 2009;50:320–6.PubMedCrossRef

48.

Horvath KJ, Oakes JM, Rosser BRS. Sexual negotiation and HIV serodisclosure among men who have sex with men with their online and offline partners. J Urban Health. 2008;85:744–57.PubMedCrossRef

49.

MacKellar DA, Valleroy LA, Anderson JE, et al. Recent HIV testing among young men who have sex with men: correlates, contexts, and HIV seroconversion. Sex Transm Dis. 2006;33:183–92.PubMedCrossRef

50.

MacKellar DA, Valleroy LA, Secura GM, et al. Perceptions of lifetime risk and actual risk for acquiring HIV among young men who have sex with men. AIDS Behav. 2007;11:263–70.PubMedCrossRef

51.

Raymond HF, Bingham TA, McFarland W. Locating unrecognized HIV infections among men who have sex with men: San Francisco and Los Angeles. AIDS Educ Prev. 2008;20:408–19.PubMedCrossRef

52.

Pilcher CD, Tien HC, Eron JJ, et al. Brief but efficient: acute HIV infection and the sexual transmission of HIV. J Infect Dis. 2004;189:1785–92.PubMedCrossRef

53.

Stekler J, Sycks BJ, Holte S, et al. HIV dynamics in seminal plasma during primary HIV infection. AIDS Res Hum Retroviruses. 2008;24:1269–74.PubMedCrossRef

54.

Zetola NM, Pilcher CD. Diagnosis and management of acute HIV infection. Infect Dis Clin N Am. 2007;2:19–48.CrossRef

55.

Herbst JH, Sherba RT, Crepaz N, et al. A meta-analytic review of HIV behavioral interventions for reducing sexual risk behavior of men who have sex with men. J Acquir Immune Defic Syndr. 2005;39:228–41.PubMed

56.

Bernstein KT, Liu KL, Begier EM, Koblin B, Karpati A, Murrill C. Same-sex attraction disclosure to health care providers among New York City men who have sex with men. Arch Intern Med. 2008;168:1458–64.PubMedCrossRef

57.

Woo JM, Rutherford GW, Payne SF, Barnhart JL, Lemp GF. The epidemiology of AIDS in Asian and Pacific Islander populations in San Francisco. AIDS. 1988;2:473–5.PubMedCrossRef

58.

Zaidi IF, Crepaz N, Song R, et al. Epidemiology of HIV/AIDS among Asians and Pacific Islanders in the United States. AIDS Educ Prev. 2005;17:405–17.PubMedCrossRef

59.

Chae DH, Yoshikawa H. Perceived group devaluation, depression, and HIV-risk behavior among Asian gay men. Health Psychol. 2008;27:140–8.PubMedCrossRef

60.

Choi KH, Coates T, Catania J, Lew S, Chow P. High HIV risk among gay and Asian and Pacific Islander men in San Francisco. AIDS. 1995;9:306–8.PubMed

61.

Choi KH, McFarland W, Neilands TB, et al. An opportunity for prevention: prevalence, incidence, and sexual risk for HIV among young Asian and Pacific Islander men who have sex with men, San Francisco. Sex Transm Dis. 2004;31:475–80.PubMedCrossRef

62.

Choi KH, Operario D, Gregorich SE, Han L. Age and race mixing patterns of sexual partnerships among Asian men who have sex with men: implications for HIV transmission and prevention. AIDS Educ Prev. 2003;15(A):53–65.PubMedCrossRef

63.

Matteson DR. Bisexual and homosexual behavior and HIV risk among Chinese-, Filipino- and Korean-American men. J Sex Res. 1997;34:93–104.CrossRef

64.

Shapiro J, Vives G. Demographic and attitudinal variables related to high-risk behaviors in Asian males who have sex with other men. AIDS Patient Care STDs. 1999;13:667–75.PubMedCrossRef

65.

Yoshikawa H, Wilson PA, Chae DH, Cheng JF. Do family and friendship networks protect against the influence of discrimination on mental health and HIV risk among Asian and Pacific Islander gay men? AIDS Educ Prev. 2004;16:84–100.PubMedCrossRef

66.

Anderson RM, Medley GF, May RM. A preliminary study of the transmission dynamics of the human immunodeficiency virus (HIV), the causative agent of AIDS. IMA J Math Appl Med Biol. 1986;3:229–63.PubMedCrossRef

67.

Aral SO. Sexual network patterns and determinants of STD rates: paradigm shift in the behavioral epidemiology of STDs made visible. Sex Transm Dis. 1999;26:262–4.PubMedCrossRef

68.

Doherty IA, Padian NS, Marlow C, Aral SO. Determinants and consequences of sexual networks as they affect the spread of sexually transmitted infections. J Infect Dis. 2005;191(Suppl 1):42–54.CrossRef

69.

Jacquez JA, Simon CP, Koopman J, Sattenspiel L, Perry T. Modeling and analyzing HIV transmission: the effect of contact partners. Math Biosci. 1988;92:119–99.CrossRef

70.

Halkitis PN, Moeller RW, Pollack JA. Sexual practices of gay, bisexual, and other nonidentified MSM attending New York City gyms: patterns of serosorting, strategic positioning, and context selection. J Sex Res. 2008;45:253–61.PubMed

71.

Raymond HF, McFarland W. Racial mixing and HIV risk among men who have sex with men. AIDS Behav. 2009;13:630–7.PubMedCrossRef

72.

Catania J, Binson D, Stone V. Relationship of sexual mixing across age and ethnic groups to Herpes Simplex Virus-2 among unmarried heterosexual adults with multiple sexual partners. Health Psychol. 1996;15:362–70.PubMedCrossRef

73.

Le Talec J, Jablonski O. Seroadaptation instead of serosorting: a broader concept and a more precise process model. In: XVII International AIDS Conference, Mexico City, Mexico; 2008 [Abstract WEPE 0311].

74.

Mao L, Crawford JM, Hospers HJ, Prestage GP, Grulich AE, Kippax SC. “Serosorting” in casual anal sex of HIV-negative gay men is noteworthy and is increasing in Sydney, Australia. AIDS. 2006;20:1204–6.PubMedCrossRef

75.

Parsons JT, Schrimashaw EW, Wolitski RJ, et al. Sexual harm reduction practices of HIV-seropositive gay and bisexual men: serosorting, strategic positioning, and withdrawal before ejaculation. AIDS. 2005;19(Suppl 1):513–25.

76.

Snowden J, Raymond HF, McFarland W. Prevalence of seroadaptive behaviors of men who have sex with men, San Francisco, 2004. Sex Transm Infect. 2009;85:469–76.PubMedCrossRef

77.

Eaton LA, Kalichman SC, Cain DN, et al. Serosorting sexual partners and risk for HIV among men who have sex with men. Am J Prev Med. 2007;33:479–85.PubMedCrossRef

78.

Rietmeijer CA, Lloyd LV, McLean C. Discussing HIV serostatus with prospective sex partners: a potential HIV prevention strategy among high-risk men who have sex with men. Sex Transm Dis. 2007;34:215–9.PubMedCrossRef

79.

Bolding G, Davis M, Hart G, Sherr L, Elford J. Gay men who look for sex on the Internet: is there more HIV/STI risk with online partners? AIDS. 2005;19:961–8.PubMedCrossRef

80.

Grov C, DeBusk JA, Bimbi DS, Golub SA, Nanin JE, Parsons JT. Barebacking, the internet and harm reduction: an intercept survey with gay and bisexual men in LA and NYC. AIDS Behav. 2007;11:527–36.PubMedCrossRef

81.

Poon MK, Ho PT, Wong JP, Wong G, Lee R. Psychosocial experiences of East and Southeast Asian men who use gay Internet chatrooms in Toronto: an implication for HIV/AIDS prevention. Ethn Health. 2005;10:145–67.PubMedCrossRef

82.

Denning PH, Campsmith ML. Unprotected anal intercourse among HIV-positive men who have a steady male sex partner with negative or unknown HIV serostatus. Am J Public Health. 2005;95:152–8.PubMedCrossRef

83.

O’Leary A, Wolitski RJ, Remien RH, et al. Psychosocial correlates of transmission risk behavior among HIV-seropositive gay and bisexual men. AIDS. 2005;19(Suppl 1):67–75.CrossRef

84.

Osmond D, Pollack LM, Paul J, Catania J. Changes in prevalence of HIV infection and sexual risk behavior in men who have sex with men in San Francisco: 1997–2002. Am J Public Health. 2007;97:1677–83.PubMedCrossRef

85.

Raymond HF, Chen S, Truong HM, et al. Trends in sexually transmitted diseases, sexual risk behavior, and HIV infection among Asian/Pacific Islander men who have sex with men, San Francisco, 1999–2005. Sex Transm Dis. 2006;33:1–3.CrossRef

86.

Whittington WLH, Morris M, Buchbinder SP, et al. Partner-specific sexual behavioral differences between phase 3 HIV vaccine efficacy trial participants and controls. J Acquir Immune Defic Syndr. 2006;43:234–8.PubMedCrossRef

87.

Wei C, Raymond HF, Guadamuz TE, et al. Racial ethnic differences in seroadaptive and serodisclosure behaviors among men who have sex with men. AIDS Behav. 2010. doi:10.1007/S10461-010-9683-2.

88.

Gray RH, Wawer MJ, Brookmeyer R, et al. Probability of HIV-1 transmission per coital act in monogamous, heterosexual, HIV-1-discordant couples in Rakai, Uganda. Lancet. 2001;357:1149–53.PubMedCrossRef

89.

Mannheimer S, Friedland G, Matts J, Child C, Chesney M. The consistency of adherence to antiretroviral therapy predicts the biologic outcomes of human immunodeficiency virus-infected persons in clinical trials. Clin Infect Dis. 2002;34:1115–21.PubMedCrossRef

90.

Porco TC, Martin JN, Page-Shafer KA, et al. Decline in HIV infectivity following the introduction of highly active antiretroviral therapy. AIDS. 2004;81:81–8.CrossRef

91.

Blair JM, Fleming PL, Karon JM. Trends in AIDS incidence and survival among racial/ethnic minority men who have sex with men, United States, 1990–1999. J Acquir Immune Defic Syndr. 2002;31:339–47.PubMed

92.

Stall R, Paul JP, Greenwood G, et al. Alcohol use, drug use and alcohol-related problems among men who have sex with men: the Urban Men’s Health Study. Addiction. 2001;96:1589–601.PubMedCrossRef

93.

Lloyd LS, Faust M, Roque JS, Loue S. A pilot study of immigration status, homosexual self-acceptance, social support, and HIV reduction in high risk Asian and Pacific Islander men. J Immigr Health. 1999;1:115–22.PubMedCrossRef

94.

O’Donnell L, Agronick G, San Doval A, Duran R, Myint-U A, Stueve A. Ethnic and gay community attachments and sexual risk behaviors among urban Latino young men who have sex with men. AIDS Educ Prev. 2002;14:457–71.PubMedCrossRef

95.

Chin JJ, Leung M, Sheth L, Rodriguez TR. Let’s not ignore a growing HIV problem for Asians and Pacific Islanders in the U.S. J Urban Health. 2007;84:642–7.PubMedCrossRef

96.

Diaz RM, Peterson JL, Choi KH. Social discrimination and health outcomes in African American, Latino, and Asian/Pacific Islander gay men. In: Wolitski RJ, Stall R, Valdiserri RO, editors. Unequal opportunity: health disparities affecting gay and bisexual men in the United States. New York: Oxford University Press; 2008.

Titel: Lower HIV Prevalence Among Asian/Pacific Islander Men Who Have Sex with Men: A Critical Review for Possible Reasons
verfasst von: Chongyi Wei
H. Fisher Raymond
Frank Y. Wong
Anthony J. Silvestre
Mark S. Friedman
Patricia Documét
Willi McFarland
Ron Stall
Publikationsdatum: 01.04.2011
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 3/2011
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-010-9855-0

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