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
Choi, K-Hee.; McFarland, W.; Neilands, T.B.; Nguyen, S.; Louie, B.; Secura, G.M.; Behel, S.; Mackellar, D.; Valleroy, L.
Sexually Transmitted Diseases 31(8): 475-480
2004
ISSN/ISBN: 0148-5717 PMID: 15273580 Document Number: 530383
Objectives: We investigated HIV prevalence and incidence and related risk factors among young Asian and Pacific Islander (API) men who have sex with men (MSM). Design: We conducted a cross-sectional survey. Methods: A venue-based sample of 496 young API MSM in San Francisco completed face-to-face questionnaires and received HIV counseling and testing. Results: HIV prevalence was 2.6% and annualized HIV incidence was 1.8% per year. In multivariate analysis, being American-born, having 51+ lifetime sex partners, and having attended a "'circuit party" (multiday large MSM gatherings) were associated with HIV infection. Forty-seven percent of the sample reported unprotected anal intercourse in the past 6 months. Conclusions: The current levels of HIV prevalence, HIV incidence, and sexual risk behavior suggest an emerging HIV epidemic among young API MSM in San Francisco.