title: Targeted expansion project for outreach and treatment for substance abuse and HIV risk behaviors in Asian and Pacific Islander communities.
abstract: Access to culturally competent HIV/AIDS and substance abuse treatment and prevention services is limited for Asian and Pacific Islanders (APIs). Based on the intake data for a community outreach project in the San Francisco Bay Area (N = 1,349), HIV risk behaviors were described among the targeted API risk groups. The self-reported HIV prevalence was 6% among MSM. Inconsistent condom use for vaginal sex with casual partners in the past 6 months was reported among substance users (43%) and incarcerated participants (60%), whereas 26% of men who have sex with men reported inconsistent condom use for anal sex with casual partners. Overall, 56% and 29% had engaged in sex with casual partners under the influence of alcohol and drugs in the past 6 months, respectively. Although API organizations in the Bay Area have spearheaded HIV prevention, future programs must address substance use issues in relation to sexual risk behaviors, specific to API risk groups.
authors.affiliation: Department of Medicine, University of California, San Francisco, USA. tnemoto@phi.org
authors.forename: Tooru
authors.initials: T
authors.lastname: Nemoto
authors.forename: Mariko
authors.initials: M
authors.lastname: Iwamoto
authors.forename: Emiko
authors.initials: E
authors.lastname: Kamitani
authors.forename: Anne
authors.initials: A
authors.lastname: Morris
authors.forename: Maria
authors.initials: M
authors.lastname: Sakata
mesh_terms: D000328:Adult; D001213:Asian / Q000706:statistics & numerical data; D003159:Community-Institutional Relations; D005260:Female; D015658:HIV Infections / Q000208:ethnology* / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D008875:Middle Aged; D044468:Native Hawaiian or Pacific Islander / Q000706:statistics & numerical data; D010865:Pilot Projects; D015995:Prevalence; D011329:Prisoners; D012111:Residence Characteristics; D012309:Risk-Taking; D012495:San Francisco / Q000453:epidemiology; D012747:Sexual Partners; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000208:ethnology* / Q000628:therapy; D011795:Surveys and Questionnaires; D047568:Unsafe Sex; D055815:Young Adult