An opportunity for prevention: prevalence, incidence, and sexual risk for HIV among young Asian and Pacific Islander men who have sex with men, San Francisco.
OBJECTIVE
We investigated HIV prevalence and incidence and related risk factors among young Asian and Pacific Islander (API) men who have sex with men (MSM).


METHODS
We conducted a cross-sectional survey.


METHODS
A venue-based sample of 496 young API MSM in San Francisco completed face-to-face questionnaires and received HIV counseling and testing.


RESULTS
HIV prevalence was 2.6% and annualized HIV incidence was 1.8% per year. In multivariate analysis, being American-born, having 51+ lifetime sex partners, and having attended a "circuit party" (multiday large MSM gatherings) were associated with HIV infection. Forty-seven percent of the sample reported unprotected anal intercourse in the past 6 months.


CONCLUSIONS
The current levels of HIV prevalence, HIV incidence, and sexual risk behavior suggest an emerging HIV epidemic among young API MSM in San Francisco.
University of California, San Francisco Center for AIDS Prevention Studies, San Francisco, California 94105, USA. khchoi@psg.ucsf.edu
Kyung-Hee
KH
Choi
Willi
W
McFarland
Torsten B
TB
Neilands
Sean
S
Nguyen
Brian
B
Louie
Gina M
GM
Secura
Stephanie
S
Behel
Duncan
D
Mackellar
Linda
L
Valleroy
D000293:Adolescent; D000328:Adult; D001213:Asian / Q000706:statistics & numerical data; D003376:Counseling; D015658:HIV Infections / Q000097:blood / Q000453:epidemiology* / Q000208:ethnology / Q000209:etiology / Q000517:prevention & control*; D015528:HIV Seroprevalence; D018451:Homosexuality, Male; D006801:Humans; D015994:Incidence; D008297:Male; D044468:Native Hawaiian or Pacific Islander / Q000706:statistics & numerical data; D015995:Prevalence; D012309:Risk-Taking; D012495:San Francisco / Q000453:epidemiology; D012725:Sexual Behavior; D011795:Surveys and Questionnaires