Sexuality, HIV/Drug in 3 Groups of Asian/Gay/Bi Men/MSM

描述（由申请人提供）：本提案是为了满足进一步了解美国亚裔美国人和太平洋岛民（AAPI）男性与男性（MSM）发生性关系的社会角色的需要。AAPI文化中的性行为的社会结构并不像欧美文化那样在异性恋或同性恋取向之间建立相同的二分法。因此，AAPI MSM可能会或可能不会认同为同性恋，并且可能会或可能不会感知他们的性行为与他们的社会角色或性取向之间的联系。 社会角色或感知的性取向在多大程度上与AAPI MSM中的耻辱，羞耻和丢脸有关，以及这些是否反过来与艾滋病毒相关的风险态度和做法有关尚不清楚。此外，与男性发生性关系的耻辱，羞耻和面子损失是否反过来影响酒精，烟草和其他药物（ATOD）的使用需要进行探讨，ATOD使用/滥用与艾滋病毒的高风险之间的关系也需要进行探讨。这项研究具有重要意义，因为与其他种族/民族的男男性接触者相比，AAPI男男性接触者在累计艾滋病病例中所占比例第二高（72%），仅比白色男男性接触者低两个百分点。 按比例，2000年，AAPI男男性行为者（53%）在艾滋病病例中排名第二，再次仅次于白色男男性行为者（62%）（疾病控制和预防中心，2001年）。因此，GWU SPHHS CHSRP与华盛顿的亚洲及太平洋岛民健康伙伴关系一起提出了一项为期五年的两阶段混合方法（定性和定量）研究，以：1.研究社会文化力量，如性道德，羞耻，或耻辱，在一群自称中国，菲律宾和越南的男同性恋/双性恋男子和男男性行为者中扮演的角色，他们年龄在18岁及以上，生活在大都市华盛顿，DC地区。2.检查羞耻（或耻辱）和同性恋和双性恋之间的关系，在艾滋病毒相关的风险态度和实践中的男性队列。 3. 检查羞耻（或耻辱）和同性恋和双性恋在ATOD使用/滥用的男性队列之间的关系。基于Wong和Edberg（2001）的三个领域，概念（即，根据美国移民政策（包括移民的国家背景、移民/移民经历/历史和美国的经验/情况）的模式和方法设计，这三（3）个具体目标将通过七（7）个研究问题针对选定的一组变量进行检查。

DESCRIPTION (provided by applicant): This proposal is responsive to the need to further understand social roles among Asian American and Pacific Islander (AAPI) men who have sex with men (MSM) in the U.S. The social construction of sexuality in AAPI cultures does not establish the same dichotomy between heterosexual or homosexual orientation as European-American culture. Thus, AAPI MSM may or may not identify as gay, and may or may not perceive a connection between their sexual behavior and their social role or sexual orientation. The extent to which social roles or perceived sexual orientation are related to stigma, shame, and loss of face among AAPI MSM, and whether these are in turn related to HIV-related risk attitudes and practices is unclear. Moreover, whether the stigma, shame, and loss of face of having sex with men in turn influence use of alcohol, tobacco, and other drugs (ATOD) needs to be explored, as does the relation between ATOD use/abuse and higher risk for HIV in this population. This research is of great significance because, compared to MSM in other racial/ethnic groups, AAPI MSM have the second highest proportion of cumulative AIDS cases (72%) -- only two percentage points lower than white MSM. Proportionately, AAPI MSM (53%) rank second in number of AIDS cases in Year 2000, again after white MSM (62%), (Center for Disease Control and Prevention, 2001). The GWU SPHHS CHSRP, together with the Asian & Pacific Islander Partnership for Health, Washington, DC, therefore, proposes a five-year, two-phase, mixed approach (qualitative and quantitative) study to: 1. Examine socio-cultural forces such as sexual mores, shame, or stigma that play a role in sexual identity and orientation among a cohort of self-identified Chinese, Filipino, and Vietnamese gay/bisexual men and MSM ages 18 and above living in the metropolitan Washington, DC area. 2. Examine the relationship between shame (or stigma) and homosexuality and bisexuality in HIV-related risk attitudes and practices among the cohort of men. 3. Examine the relationship between shame (or stigma) and homosexuality and bisexuality in ATOD use/abuse among the cohort of men. Based on Wong and Edberg's (2001) three-domain, conceptual (i.e., home country background, migration/immigration experience/history, and U.S. experience/situation) model and methodological design, the three (3) Specific Aims will be examined by seven (7) research questions against a selected set of variables.