title: Views about HIV/STI and health promotion among gay and bisexual Chinese and South Asian men living in Auckland, New Zealand.
abstract: Ethnic minority gay, bisexual, and other men who have sex with men (MSM) are considered to have a high risk for HIV infection. The aim of this study was to identify some of the ways Chinese and South Asian MSM talk about and understand issues related to HIV/STI and health promotion, as well as highlighting some of this group's health promoting behaviours. A qualitative study using face-to-face interviews with 44 Chinese and South Asian MSM living in Auckland, New Zealand, was undertaken. Following data analysis, four major themes were identified: the importance of condoms, condom use, HIV/STI practices, and HIV health promotion. The results showed that the men interviewed had a good understanding of the benefits of using condoms for anal sex. They also reported strong recall of the local HIV health promotion campaigns which seek to influence men's behaviours through promotion of a single, unequivocal message to always use a condom for anal sex. The men however did not always report consistent condom use, and a range of reasons why this happened were identified. Among the men who discussed testing practices, regular testing was much more likely to have occurred in men who have lived in New Zealand for more than 5 years. These results suggest that future health promotion initiatives should be tailored to ensure the needs of Chinese and South Asian MSM are appropriately addressed when promoting condom use for anal sex.
authors.affiliation: Department of Nursing, Auckland University of Technology, Auckland, New Zealand; stephen.neville@aut.ac.nz.
authors.forename: Stephen
authors.initials: S
authors.lastname: Neville
authors.affiliation: SHORE & Whariki Research Centre, Massey University, Auckland, New Zealand.
authors.forename: Jeffery
authors.initials: J
authors.lastname: Adams
mesh_terms: D000293:Adolescent; D000328:Adult; D001208:Asia / Q000208:ethnology; D044466:Asian People; D001294:Attitude to Health; D001727:Bisexuality; D002681:China / Q000208:ethnology; D003469:Culture; D054242:Emigrants and Immigrants; D004641:Emigration and Immigration; D015658:HIV Infections / Q000517:prevention & control; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D008403:Mass Screening; D011939:Mental Recall; D009520:New Zealand; D012309:Risk-Taking; D012725:Sexual Behavior; D000072339:Sexual and Gender Minorities; D055815:Young Adult
keywords: Chinese; HIV; Men who have sex with men; South Asian; condom use; ethnic minority; gay; health promotion; migrant