TOPIC: Prevention & Education
OTHER KEYWORDS: Asians & Pacific Islanders, Gay and Bisexual Men, Men who have Sex with Men
TITLE: HIV prevention among Asian and Pacific Islander men who have sex with men: a critical review of theoretical models and directions for future research
BIBLIOGRAPHY
Choi K, Yep GA, Kumekawa R. HIV prevention among Asian and Pacific Islander men who have sex with men: a critical review of theoretical models and directions for future research. AIDS Educ and Prev. 1998; 10 (Suppl A):19-30.
SUMMARY
This paper reviews the five major models of health behavior change used in HIV prevention for the MSM population: the health belief model, theory of reasoned action, social learning theory, diffusion theory, and the AIDS risk reduction model. Although some of these models have been useful in designing risk reduction programs for A&PI MSM, recent empirical data suggests that the models do not adequately address environmental influences affecting A&PI MSM and limit our choices in prevention strategies to the level of the individual. An ecological model is proposed for health promotion as a potentially useful theoretical framework, and suggests prevention strategies directed at the individual, the family, the general A&PI community, and the mainstream gay community to reduce HIV risk among A&PI MSM.