Rapid Review #45: August 2011 Factors influencing the sexual health of Asian men who have sex with men EVIDENCE INTO ACTION Question The OHTN Rapid Response What are the factors influencing the sexual health of Asian men who have Service offers HIV/AIDS programs sex with men in North America, Australia and United Kingdom?. [...] What We Found HIV Prevalence in Asians and Pacific Islanders in the US and the UK Although the absolute number of Asians and Pacific Islanders in North America,. [...] A qualitative exploration of the relationship between racism In terms of other STIs, one study found that rates of rectal gonorrhoea have and unsafe sex among Asian Pacif- been increasing in Asian men who have sex with men in the US.(12) Another ic Islander gay men. [...] In the US, Choi et al (2011) found that MSM of color employ different strategies to mitigate the impact of racism and homophobia in the gay and in the broader community.(15) Asian MSM in this study were the only group to state that they actively. [...] Emerging risk reduction strategies, such as seroadaptive behaviors, may help reduce risk and disparities.(1) Given the role of discrimination in risk, it may also be important to change perceptions of Asian and Pacific Islander men in the larger gay community and among Asian and Pacific Islander MSM themselves in order to increase their self-esteem and support their efforts to reduce their risk.(7