HIV-related knowledge, risk perception, and minority stressors among South Asian sexual minority men in the United States-Reference-Cited by-同舟云学术

HIV-related knowledge, risk perception, and minority stressors among South Asian sexual minority men in the United States

Published:2024-08-13 Issue: Volume: Page:
ISSN:0956-4624
Container-title:International Journal of STD & AIDS
language:en
Short-container-title:Int J STD AIDS

Author:

Sharma Akshay¹^ORCID,Gebrezgi Feaven²,Hamilton April²,Boyd Sara¹,Sallabank Gregory¹

Affiliation:

1. School of Nursing, University of Michigan, Ann Arbor, MI, USA

2. School of Public Health, University of Michigan, Ann Arbor, MI, USA

Abstract

Background South Asian gay, bisexual, and other men who have sex with men (GBM) in the United States have been persistently overlooked in HIV research and programming. To address this limitation, this article describes their HIV-related knowledge, risk perception, and minority stressors, with a focus on identifying variations between American-born individuals and immigrants. Methods Participants were recruited from April-July 2022 through social media advertising and peer referral and surveyed about their sociodemographic and HIV-related behavioral characteristics. Previously validated scales were used to assess their HIV-related knowledge, risk perception, disclosure of sexual identity, experienced homophobia, and perceived racism within the sexual and gender minority community. Mann-Whitney-Wilcoxon tests were conducted to compare those born in the United States and those born abroad. Results Of the 112 participants, 26 (23.21%) were American-born individuals and 86 (76.79%) were immigrants. Despite similar levels of sexual risk behaviors, such as having multiple male sex partners, engaging in condomless anal sex, and using alcohol or drugs immediately before or during sex, immigrants had lower levels of HIV-related knowledge ( p = .0480) and risk perception ( p = .0114) compared to American-born individuals. Immigrants were also less likely to have disclosed their sexual identity to family, friends, and society compared to American-born individuals ( p = .0004). No differences were identified with respect to experiences of homophobia ( p = .2303) or perceptions of racism ( p = .4011). Conclusion Comprehensive HIV prevention efforts that address the social and cultural norms of South Asian GBM in the United States are needed.

Funder

National Institutes of Health

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/09564624241273830

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