“A gay man and a doctor are jt like, a recipe for stctn”: How racism and homonegativy healthre settgs fluence PrEP uptake among young Black MSM - PMC

Contents:

• “A GAY MAN AND A DOCTOR ARE JT LIKE, A RECIPE FOR STCTN”: HOW RACISM AND HOMONEGATIVY HEALTHRE SETTGS FLUENCE PREP UPTAKE AMONG YOUNG BLACK MSM
• GAY AND BISEXUAL MEN'S HEALTH ISSU
• NEW REARCH CHAIR GAY MEN’S HEALTH IS SETTG OUT TO BREAK DOWN BARRIERS TO RE
• SUBSTANCE USE PATTERNS OF GAY AND BISEXUAL MEN THE MOMENTUM HEALTH STUDY
• GAY, BISEXUAL MEN UTAH N GIVE BLOOD UNR PANY’S LOOSENED RTRICTNS

“A GAY MAN AND A DOCTOR ARE JT LIKE, A RECIPE FOR STCTN”: HOW RACISM AND HOMONEGATIVY HEALTHRE SETTGS FLUENCE PREP UPTAKE AMONG YOUNG BLACK MSM

Published fal eded form as:PMCID: PMC6571052NIHMSID: NIHMS1516922AbstractYoung, Black, gay bisexual or other MSM are signifintly ls likely to e PrEP than their Whe unterparts.

GAY AND BISEXUAL MEN'S HEALTH ISSU

We ed a team-based approach to thematic ntent analysis to unrstand how racism and homonegativy affected healthre accs and experienc. Keywords: Medil mistst, racial dispari, PrEP dispari, young adults, qualative, racism, homonegativyHIV pre-exposure prophylaxis (PrEP) is a promisg ponent of HIV preventn, particularly for gay, bisexual, and other men who have sex wh men (MSM), monstratg high efficy among adherent ers1, 2.

NEW REARCH CHAIR GAY MEN’S HEALTH IS SETTG OUT TO BREAK DOWN BARRIERS TO RE

Incln creria required that participants intify as Black or Ain Amerin, were assigned male genr at birth, intified as gay, bisexual, or other men who have sex wh men, were between the ag of 16 and 25, and reported an HIV-negative or unknown serostat. We explicly asked about experienc of discrimatn, racism, and homonegativy om health re provirs and sought to unrstand how the factors may affect PrEP uptake among young Black analysisFoc groups were d-rerd, transcribed verbatim, and d g MAXQDA qualative analysis software.

The fal book clud barriers to PrEP (cludg stigma, lack of support, and perceptn of need), benefs of PrEP, medil mistst, discrimatn healthre settgs, PrEP stigma, homonegativy (cludg ‘down low’, homonegativy wh the Black muny, ternalized homonegativy, and anticipated homonegativy), and racism (cludg differenc healthre treatment by race and racial discrimatn). Seventy-five percent (n=33) intified as gay; others intified as bisexual (n=8), pansexual (n=1), no label (n=1), and straight (n=1). Analys revealed the ntued effects of racial and enomic disadvantage on health re accs and the ways which racism and homonegativy fluenced young men’s fort discsg sexual behavr wh physicians.

SUBSTANCE USE PATTERNS OF GAY AND BISEXUAL MEN THE MOMENTUM HEALTH STUDY

[Foc group six]Although this excerpt they were discsg healthre more generally, the perceptn of receivg ferr medil treatment n ntribute to dividuals’ reluctance to start discsg perceived substandard re for Black gay men, foc group three participants scribed how racism, homonegativy, discrimatn, and poor medil re had bee expected and accepted as part of their health re.

Precedg the followg excerpt om foc group three, several participants had jt shared personal stori of discrimatn and poor treatment:Facilator: Why do we, as a gay Black muny, why do we allow suatns like that to bee a mon thg? Through their own experienc and those of their fay, iends, and muny members, participants uld rell so many experienc of stigma and mistreatment that they had e to expect and accept homonegativy, racism, and discrimatn.

GAY, BISEXUAL MEN UTAH N GIVE BLOOD UNR PANY’S LOOSENED RTRICTNS

This is not to say they did not intify the jtice this or sire better re, but such experienc had bee so monplace that they were no longer shockg or Black MSM rced to their sexualy by doctorsThe perceived racism participants faced was plited by the tersectn of homonegativy. While the lack of a tsted, regular provir was one factor this, this disfort was also rooted anticipated homonegativy and poor treatment om physicians.