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From an extensive review of previous research, there is no known recent published study in which the racial and ethnic differences related to HIV-positive serostatus to casual sexual partners focusing on the API MSM population has been examined. In addition to purposeful convenience sampling, snowball sampling was also used to recruit the hidden and hard-to-reach API MSM population. Nonprobability sampling methods can be divided into two broad types, accidental and purposive Trochim, a. The differences from the characteristics of collectivistic cultures include the emphasis on belongingness, maintenance of harmony i. Data were collected through an anonymous, self-completed online survey.

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Threats to statistical conclusion validity include the following:

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In summary, the two-phase, mixed methods, sequential explanatory design was used to interpret and integrate the quantitative and qualitative results, allowing for a deeper, richer, and better understanding and explanation of those results than either approach alone. Permission to copy, distribute, and use these four scales were obtained from the developers of these instruments for use in the study. English language fluency is also a barrier to many APIs, as Internals and Design Principles. Because the most at-risk population is homosexual males, men who have sex with men represented the majority of the samples. Therefore the four dimensions of H-C, V-C, H-I, and V-I offer more flexibility, specificity, and variety over the individualism-collectivism dimension when measuring cultural dimensions at the individual level rather than at the cultural or national level. Sullivan argued that communication about sensitive topics such as HIV seropositivity is influenced by cultural background.

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Lastly, Serovich, Esbensen, and Mason suggested that it is plausible that HIV-positive disclosure rates may also vary over time mainly because of changes in medical treatment, overall public sentiment toward those living with HIV, and the increase in opportunities for individuals to disclose as they are living longer with the virus. The serostatus of sex partners may be known or not known depending on the study. In addition to using the electronic or email direct marketing campaign, U. After reviewing the numerous options and recommendations of non-probabilistic sampling strategies to target the population for this study, a purposeful convenience sampling coupled with snowball sampling was selected. Therefore, any differences between the six independent variables i.

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