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Review
. 2016 May;10(3):170-80.
doi: 10.1177/1557988314561489. Epub 2015 Jan 6.

A Synthesis of 20 Years of Research on Sexual Risk Taking Among Asian/Pacific Islander Men Who Have Sex With Men in Western Countries

Chen Shi Shiu  1 , Dexter R Voisin  2 , Wet-Ti Chen  3 , Yi-An Lo  4 , Melissa Hardestry  5 , Huong Nguyen  6
Affiliations
Review

A Synthesis of 20 Years of Research on Sexual Risk Taking Among Asian/Pacific Islander Men Who Have Sex With Men in Western Countries

Chen Shi Shiu et al. Am J Mens Health. 2016 May.

Abstract

Over the past two decades, there has emerged a body of literature documenting a number of risk factors associated with Asian/Pacific Islander men who have sex with men's unsafe sexual behaviors. This study aims to systematically review existing empirical studies and synthesize research results into a social-ecological framework using a mixed research synthesis. Empirical research articles published in peer-reviewed journals between January 1990 and June 2013 were identified in six databases, including PubMed, Ovid MEDLINE, PsycINFO, Social Work Abstract, CINAL, and Web of Knowledge. Both quantitative and qualitative studies were included. Two analysts independently reviewed the articles, and findings were organized on a social-ecological framework. Twenty-two articles were included in the analysis; among these 13 were quantitative, 8 were qualitative, and 1 was mixed-methods research. Results indicated that demographic characteristics, psychological resources, behavioral patterns, relationships with family and friends, dynamics with romantic or sexual partners, community involvement, culture, discrimination, and institutional factors were related to unprotected anal intercourse. This article presents a critique of this literature and discusses implications for future research with this population. It concludes with prevention/intervention initiatives based on review findings.

Keywords: API; MSM; risk factors; social ecology; unprotected anal sex.

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Conflict of interest statement

Declaration of Conflicting Interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1
Figure 1
Selection process for analysis. Note. APIMSM = Asian and Pacific Islander men who have sex with men.
See this image and copyright information in PMC

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