Sociocultural contexts of Asian American/Pacific Islander women's HIV risk enhancing/reducing responses

2004 2004

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Abstract (summary)

HIV prevention issues for Asian American and Pacific Islander (API) women are complex and multifaceted. Comprehending the risk enhancing/reducing responses of API women in heterosexual relationships requires an examination of various sociocultural influences, such as gender roles, cultural expectations, community, economic conditions, acculturation and public policies that shape API women's decision-making and HIV risk enhancing/reducing responses.

In order to address these issues, a mixed method study (i.e., qualitative and quantitative) was conducted to elucidate these sociocultural factors. Additionally, this study sought to investigate the various ecological levels that are associated with API women's sexual risk enhancing and reducing behaviors.

Participants included ten self-identified API women in heterosexual relationships. Each of these women participated in a semi-structured interview designed to address sexual health, cultural and gender issues. The Ecological Model of Health Promotion (McLeroy, Bibeau, Steckler & Glanz, 1988) was used as a theoretical framework to guide research and interview questions. Participants also completed the Suinn-Lew Asian Identity Acculturation Scale (Scale (SL-ASIA; Suinn, Rickard-Figueroa, Lew, & Vigil, 1987) as well as the Brief HIV Knowledge Questionnaire (HIV-KQ-18; Carey, & Schroder, 2002) to assess their acculturation levels and HIV knowledge. Methods adopted from grounded theory were used to analyze interviews.

Findings indicate that various sociocultural factors, such as cultural and gender norms and expectations affected the sexual health of participants at various ecological levels, such as the intrapersonal, interpersonal, and public policy levels. Implications for future research are provided and culturally congruent interventions are proposed to target these various ecological levels to change condom communication, negotiation and safer sex practices for API women and their male partners.

Indexing (details)

Behavioral sciences;
Womens studies;
Public health;
Social psychology;
Human immunodeficiency virus--HIV;
Asian Americans;
Health risk assessment
0384: Behaviorial sciences
0453: Womens studies
0573: Public health
0451: Social psychology
Identifier / keyword
Health and environmental sciences; Social sciences; Psychology; Asian-American; HIV; Immune deficiency; Pacific Islander; Sociocultural; Women
Sociocultural contexts of Asian American/Pacific Islander women's HIV risk enhancing/reducing responses
Huang, Jennifer C.
Number of pages
Publication year
Degree date
School code
DAI-B 65/06, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
Bowleg, Lisa
University of Rhode Island
University location
United States -- Rhode Island
Source type
Dissertations & Theses
Document type
Dissertation/thesis number
ProQuest document ID
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
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