Nemoto Tooru, Operario Don, Soma Toho, Bao Daniel, Vajrabukka Alberto, Crisostomo Vincent
Center for AIDS Prevention Studies, University of California, San Francisco, 94105, USA.
AIDS Educ Prev. 2003 Feb;15(1 Suppl A):7-20. doi: 10.1521/aeap.15.1.5.7.23616.
Despite increasing need for HIV prevention research and intervention programs, the voices and stories of Asian and Pacific Islander men who have sex with men (API MSM) have remained absent from HIV prevention literature. Five focus groups with API MSM (N = 38) were conducted to identify psychological, social, and cultural factors related to HIV risk and protection. Six themes were identified based on focus group discussion: (a) dual-identity status, (b) coming out and disclosure issues, (c) relationships and dating, (d) substance use, (e) sexual risk reduction strategies, and (f) health and social services. Narrative data indicate that multilevel HIV prevention intervention strategies are necessary for addressing the unique psychosocial and behavioral HIV risk factors among API MSM, such as dual stigma stemming from homophobia and racism, discomfort with sexuality, power dynamics and stereotypes in relationships with White men, substance use, and low utilization of health and social services.
尽管对艾滋病病毒预防研究和干预项目的需求不断增加，但亚太裔男男性行为者（API MSM）的声音和故事在艾滋病病毒预防文献中仍然缺失。对38名亚太裔男男性行为者进行了五个焦点小组访谈，以确定与艾滋病病毒风险和防护相关的心理、社会和文化因素。根据焦点小组讨论确定了六个主题：（a）双重身份状况，（b）出柜和披露问题，（c）关系和约会，（d）物质使用，（e）降低性风险策略，以及（f）健康和社会服务。叙事数据表明，需要采取多层次的艾滋病病毒预防干预策略，以应对亚太裔男男性行为者中独特的心理社会和行为艾滋病病毒风险因素，例如源于恐同和种族主义的双重污名、对性的不适感、与白人男性关系中的权力动态和刻板印象、物质使用，以及健康和社会服务利用率低的问题。
