Very few studies have been conducted to investigate HIV risk and protective behaviors in relation to psychosocial factors among Asian and Pacific Islander (API) MSM whose HIV/AIDS prevalence is lower than those of other racial/ethnic groups. This study, based on an online survey targeting API MSM in California revealed that API MSM often met sex partners online and that psychosocial factors (e.g., homophobia and identity with API gay community) were correlated with condomless receptive anal sex (RAS) with casual partners. In particular, an Asian cultural construct, interdependency, was correlated with condom use for RAS; that is, those who consider sex partners' health and value harmony tend to engage in safe sex. This finding sheds light on re-thinking the current over-emphasis on assertiveness and self-responsibility to keep free from HIV/STIs during negotiation with partners. Future STI prevention programs for API MSM should incorporate Asian cultural constructs and target specific risk groups.

中文翻译：

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与加利福尼亚州发生性关系的亚洲及太平洋岛民（API）男性中的社会心理因素和互联网使用相关的HIV风险行为

在艾滋病病毒/艾滋病患病率低于其他种族/族裔人群的亚洲及太平洋岛民（API）MSM中，很少进行研究以调查与心理社会因素有关的艾滋病毒风险和保护行为。该研究基于针对加利福尼亚州API MSM的在线调查，发现API MSM经常在网上遇到性伴侣，并且心理社会因素（例如同性恋恐惧症和与API同性恋社区的认同）与随便伴侣的无避孕套接受肛交（RAS）相关。特别是亚洲文化结构的相互依存与使用安全套用于RAS有关。也就是说，那些认为性伴侣的健康和价值和谐的人倾向于进行安全的性行为。这一发现为重新思考当前过分强调自负和自我责任以在与合作伙伴进行谈判期间免于感染艾滋病毒/性传播感染提供了启示。API MSM的未来性传播感染预防计划应纳入亚洲文化结构并针对特定的风险人群。