Black and Latine sexual minoritised individuals’ experiences accessing HIV prevention services in US medical settings
Bibliographic Data
| ID | 19473041 |
|---|---|
| Authors | Peter S McCauley (0000-0001-8400-7311, University of Connecticut, corresponding author), Nikole Babcock (0000-0001-9887-239X, University of Connecticut), Antonia E Caba (0000-0002-7760-3964, University of Connecticut), Nora Yanyi Sun (0009-0008-2023-8215, Harvard University), Lisa A Eaton (University of Connecticut), R J Watson (0000-0001-7824-7714, University of Connecticut) |
| Year | 2026 |
| Pages | 1-14 |
| Publication date | 2026-06-21 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Culture Health & Sexuality (JOURNAL) |
| Journal identifiers | ISSN: 1369-1058 • E-ISSN: 1464-5351 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/13691058.2026.2685859 |
| PMID | 42323721 |
| OpenAlex | W7165489335 |
| Language | EN |
| References cited | 40 |
Healthcare settings are contexts where Black and Latine sexual minoritised individuals experience stigma when accessing HIV services. Negative experiences have the potential to shape an individual’s beliefs, attitudes, and behaviours regarding future HIV prevention. To understand their experiences accessing HIV preventive care, this study used an abductive approach to explore (1) Black and Latine sexual minoritised individuals’ experiences with providers when accessing HIV prevention; and (2) how these interactions shaped subsequent feelings and behaviours towards accessing such services. Thirty semi-structured interviews were conducted with Black and Latine sexual minoritised individuals (Mage = 26.30, SD = 2.97) living in the USA. Participants described both negative (stigmatising and uncomfortable) and positive (openness and trusting) patient-provider interactions in healthcare settings. The combination of these negative and positive patient-provider interactions shaped the emotional experiences attached to access experiences in healthcare settings that, in turn, shaped behavioural responses (e.g. impression management or intentions to seek care from more culturally competent providers). Together, these findings highlight mechanisms that underpin the link between patient-provider interactions and the sustained use of HIV preventive services, as well as the importance of further training for healthcare providers
Feeling · Health care · Human immunodeficiency virus (HIV) · Human sexuality · Qualitative research · Reproductive health · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Sex work and related issues
Racism in healthcare
Structural Stigma and the Health of Lesbian, Gay, and Bisexual Populations
Effectiveness and safety of oral HIV preexposure prophylaxis for all populations
Understanding, Contextualizing, and Addressing PrEP Stigma to Enhance PrEP Implementation
Stigma, HIV Risk, and Access to HIV Prevention and Treatment Services Among Men Who have Sex with Men (MSM) in the United States
The PrEP Care Continuum and Black Men Who Have Sex with Men
PrEP and sexual well-being
Uptake of online HIV-related continuing medical education training among primary care providers in Southeast United States, 2017–2018
Stigma, medical mistrust, and perceived racism may affect PrEP awareness and uptake in black compared to white gay and bisexual men in Jackson, Mississippi and Boston, Massachusetts
Need for informed providers
Acceptability and Effectiveness of a One-Hour Healthcare Provider Intervention Integrating HIV Pre-Exposure Prophylaxis and Cultural Competence Training
High Rate of Discontinuation May Diminish PrEP Coverage Among Young Men Who Have Sex with Men
A Gay Man and a Doctor are Just like, a Recipe for Destruction”
A Closer Look at Racism and Heterosexism in Medical Students’ Clinical Decision-Making Related to HIV Pre-Exposure Prophylaxis (PrEP)
Experiences of Pre-Exposure Prophylaxis (PrEP)–Related Stigma among Black MSM PrEP Users in Los Angeles
Let’s Be a Person to Person and Have a Genuine Conversation”
Using thematic analysis in psychology
Mapping the Margins
Under the shadow of Tuskegee
The fear of being Black plus the fear of being gay
Linking racism and homonegativity to healthcare system distrust among young men of color who have sex with men
Applying an intersectional framework to understand syndemic conditions among young Black gay, bisexual, and other men who have sex with men
Racial Disparities in Health Status and Access to Healthcare
Theory Construction in Qualitative Research
Flexible Coding of In-depth Interviews
| Highly cited | No |
|---|