Abstract

This proposal is responsive to the need to furtherunderstandsocialrolesamongAsianAmericanand Pacific Islander(AAPI) menwhohave sexwithmen (MSM) inthe U.S. The socialconstructionof sexualityinAAPI culturesdoes notestablishl:hesame dichotomybetweenheterosexualor homosexualorientationas European-Americanculture. Thus,AAPI MSM may or may notidentifyas gay, and mayor may notperceive a connectionbetweentheir sexualbehaviorandtheirsocialroleor sexualorientation.The extentto which socialrolesor perceivedse;(ualorientationare relatedtostigma,shame,and lossof face amongAAPI MSM, andwhethertheseare inturnrelatedto HIV-relatedriskattitudesand practicesis unclear. Moreover, whetherthe stigma,shame,and lossof face of havingsexwithmen inturninfluenceuse of alcohol, tobacco,and otherdrugs(ATOD) needstobe explored. As doestherelationbetween ATOD use/abuseand higherriskfor HIV in thispopulation.Thisresearchis ofgreatsignificancebecause,comparedtoMSM in otherracial/ethnicgroups,,_,PI MSM have thesecondhighestproportionof cumulativeAIDS cases (72%) - - onlytwo percentagepointslowerthan whiteMSM. ProportionatelyA, API MSM (53%) ranksecondin numberof AIDS cases inYear 2000, againafter whiteMSM (62%) (Centerfor DiseaseControland Prevention,2001). The GWU SPHHS CHSRP, togetherwiththeAsian& PacificIslanderPartnershipfor Health,Washington,DC, therefore,proposesa five-year,two-phase, mixedapproach(qualitativeand quantitative)studyto: 1. Examinesocio-culturaflorces suchas sexualmores,shame,or stigmathat playa rolein sexualidentity and orientationamonga cohortof self-identifiedChinese,Filipino,and Vietnamesegay/bisexualmen and MSM ages 18 andabovelivinginthe metropolitanWashington,DC area. 2. Examinethe relationshipbetweenshame(orstigma)and homosexualityand bisexualityinHIV-related riskattitudesand practicesamongthecohortof men. 3. Examinethe relationshipbetweenshame(orstigma)andhomosexualityand bisexualityinATOD use/abuseamongthe cohortof men. BasedonWongand Edberg's(2001) three-domain,conceptual(i.e., homecountrybackground,migration/ immigrationexperience/historya, nd U.S. experience/situationm) odeland methodologicadl esign,thethree (3) SpecificAimswillbe examinedby seven(7) researchquestionsagainsta selectedset of variables.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
3R01DA015623-06S2
Application #
7410288
Study Section
Special Emphasis Panel (ZRG1-AARR-7 (01))
Program Officer
Schulden, Jeffrey D
Project Start
2002-08-01
Project End
2007-07-31
Budget Start
2006-08-01
Budget End
2007-07-31
Support Year
6
Fiscal Year
2007
Total Cost
$19,710
Indirect Cost

  Institution

Name
Georgetown University
Department
Other Health Professions
Type
Schools of Nursing
DUNS #
049515844
City
Washington
State
DC
Country
United States
Zip Code
20057

  Publications

Lemieux, A F; Nehl, E J; Lin, L et al. (2013) A pilot study examining depressive symptoms, Internet use, and sexual risk behaviour among Asian men who have sex with men. Public Health 127:1041-4
Wong, Frank Y; DiGangi, Julia; Young, Darwin et al. (2011) Intimate partner violence, depression, and alcohol use among a sample of foreign-born Southeast Asian women in an urban setting in the United States. J Interpers Violence 26:211-29
Wong, Frank Y; He, N; Huang, Z J et al. (2010) Migration and illicit drug use among two types of male migrants in Shanghai, China. J Psychoactive Drugs 42:1-9
Wong, F Y; Huang, Z J; He, N et al. (2008) HIV risks among gay- and non-gay-identified migrant money boys in Shanghai, China. AIDS Care 20:170-80
He, N; Wong, F Y; Huang, Z J et al. (2007) Substance use and HIV risks among male heterosexual and 'money boy'migrants in Shanghai, China. AIDS Care 19:109-15
He, Na (2007) Sociodemographic characteristics, sexual behavior, and HIV risks of rural-to-urban migrants in China. Biosci Trends 1:72-80
He, Na; Wong, Frank Y; Huang, Z Jennifer et al. (2007) HIV risks among two types of male migrants in Shanghai, China: money boys vs. general male migrants. AIDS 21 Suppl 8:S73-9
Langland, Jeffrey O; Kash, John C; Carter, Victoria et al. (2006) Suppression of proinflammatory signal transduction and gene expression by the dual nucleic acid binding domains of the vaccinia virus E3L proteins. J Virol 80:10083-95
So, Dominicus W; Wong, Frank Y; DeLeon, Jordana M (2005) Sex, HIV risks, and substance use among Asian American college students. AIDS Educ Prev 17:457-68
Chng, Chwee Lye; Wong, Frank Y; Park, Royce J et al. (2003) A model for understanding sexual health among Asian American/Pacific Islander men who have sex with men (MSM) in the United States. AIDS Educ Prev 15:21-38