HIV SEROPREVALENCE, RISK BEHAVIORS, AND COGNITIVE-FACTORS AMONG ASIANAND PACIFIC ISLANDER AMERICAN MEN WHO HAVE SEX WITH MEN - A SUMMARY AND CRITIQUE OF EMPIRICAL-STUDIES AND METHODOLOGICAL ISSUES
T. Nemoto et al., HIV SEROPREVALENCE, RISK BEHAVIORS, AND COGNITIVE-FACTORS AMONG ASIANAND PACIFIC ISLANDER AMERICAN MEN WHO HAVE SEX WITH MEN - A SUMMARY AND CRITIQUE OF EMPIRICAL-STUDIES AND METHODOLOGICAL ISSUES, AIDS education and prevention, 10(3), 1998, pp. 31-47
Citations number
35
Categorie Soggetti
Public, Environmental & Occupation Heath","Education & Educational Research
The goals of this article are to (a) summarize and discuss published e
mpirical studies addressing HIV seroprevalence rates and HIV-related b
ehaviors and cognitive factors among Asian and Pacific Islander Americ
an (ATI) men who have sex with men (MSM) in the United States, (b) exa
mine existing population-based research methodologies for studying HIV
and AIDS prevention, (c) describe a conceptual framework to facilitat
e the identification of ecologically sound or culturally appropriate a
nd competent methodologies for studying HIV prevention among API MSM,
and (d) discuss methodological issues and recommend alternative method
ologies to better understand this population in HIV prevention. A tota
l of eight published empirical studies reported the HIV seroprevalence
rates, HIV-risk behaviors, and attitudes toward HIV and AIDS among AP
I MSM. Specifically, seven studies reported HIV seroprevalence rates t
hat were based on either self-disclosure of HIV status or HIV test res
ults among the study participants. Four studies also reported findings
about the relationships between HIV-related behaviors and cognitive f
actors. There are five population-based databases on HIV and AIDS epid
emiology and surveillance which have been managed by the Centers for D
isease Control and Prevention. Findings from the seven studies indicat
e that API MSM are as likely to engage in HIV-risk behaviors as other
groups. The present analysis reveals that conventional surveillance or
epidemiological techniques (e.g., random digit telephone dialing), ba
sed on a singular model of populations, are not appropriate to address
culturally, linguistically and racially/ethnically diverse groups of
API MSM. To address the diversity of this group, ecologically sound or
culturally appropriate and competent research methodologies are neede
d. Thus, a conceptual framework for such methodologies with examples w
as reviewed. Two alternative methodologies, network analysis and venue
-based sampling, were briefly discussed.