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Health Care Experiences of Black Transgender Women and Men Who Have Sex With Men: A Qualitative Study

Health Care Experiences of Black Transgender Women and Men Who Have Sex With Men: A Qualitative... Black sexual and gender minorities (SGM) are at greater risk for HIV compared to their White, cisgender, heterosexual counterparts. Linkage to culturally sensitive health care is, therefore, pivotal for HIV prevention and treatment of Black SGM. Unfortunately, social and structural challenges undermine Black SGM individuals’ abilities to obtain adequate health care services, indicating a need to understand Black SGM perceptions of health care. To address this gap, we interviewed Black men who have sex with men and transwomen about their experiences with health care providers. Participants discussed needs and concerns, including provider SGM identity diversity and education; assumptions, judgment, stigma, and discrimination; and ability to establish a personal bond, trust, and familiarity. Black SGM indicated that providers often did not meet their needs in different ways regarding their SGM identities. Findings suggest a need for provider cultural sensitivity education programs that address the needs of Black SGM in health care. Key words: health care disparities, health care perceptions, sexual and gender minorities, LGBTQ1, qualitative n the United States, men who have sex with men Clark et al., 2017), indicating that Black sexual and I(MSM) make up more than 50% of persons living with gender minority (SGM) groups are priority http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the Association of Nurses in AIDS Care Wolters Kluwer Health

Health Care Experiences of Black Transgender Women and Men Who Have Sex With Men: A Qualitative Study

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References (36)

Publisher
Wolters Kluwer Health
ISSN
1055-3290
eISSN
1552-6917
DOI
10.1097/JNC.0000000000000111
Publisher site
See Article on Publisher Site

Abstract

Black sexual and gender minorities (SGM) are at greater risk for HIV compared to their White, cisgender, heterosexual counterparts. Linkage to culturally sensitive health care is, therefore, pivotal for HIV prevention and treatment of Black SGM. Unfortunately, social and structural challenges undermine Black SGM individuals’ abilities to obtain adequate health care services, indicating a need to understand Black SGM perceptions of health care. To address this gap, we interviewed Black men who have sex with men and transwomen about their experiences with health care providers. Participants discussed needs and concerns, including provider SGM identity diversity and education; assumptions, judgment, stigma, and discrimination; and ability to establish a personal bond, trust, and familiarity. Black SGM indicated that providers often did not meet their needs in different ways regarding their SGM identities. Findings suggest a need for provider cultural sensitivity education programs that address the needs of Black SGM in health care. Key words: health care disparities, health care perceptions, sexual and gender minorities, LGBTQ1, qualitative n the United States, men who have sex with men Clark et al., 2017), indicating that Black sexual and I(MSM) make up more than 50% of persons living with gender minority (SGM) groups are priority

Journal

Journal of the Association of Nurses in AIDS CareWolters Kluwer Health

Published: Jan 1, 2020

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