“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

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While I was examg a young child, her mother said she was glad she got a “ual straight” doctor for her child, rather than the other (aka homosexual) kd about whose petence she was not sure. As a gay physician, I was torn between my duty toward my patient and my sire for personal tegry.

Homophobia the workplace n seem almost too strong a label to addrs what may be perceived as a trivial cint.

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Often perceived as too signifint to addrs, the cints persist the psyche of those of who intify as lbian, gay, bisexual, transgenr, or queer (LGBTQ). Simulated enunters may be pecially helpful illtratg s of “sual” homophobia which n be difficult to addrs or even to expla. Lbian, gay, bisexual, and transgenr (LGBT) physicians’ experienc the workplace.

“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

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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. 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.

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. Foc groups were led by two rearch associate who intify as a Black gay men.

“THE DOCTOR SAID I DIDN’T LOOK GAY”: YOUNG ADULTS’ EXPERIENC OF DISCLOSURE AND NON-DISCLOSURE OF LGBTQ INTY TO HEALTHRE PROVIRS

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.

MEDIL SCHOOLS NEGLECT GAY AND GENR ISSU

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.

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“The doctor said I didn’t look gay”: Young adults’ experienc of disclosure and non-disclosure of LGBTQ inty to healthre provirs - PMC.

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