Uncovering Unique Lived Healthcare Experiences of Homeless Gay and Bisexual Young Men in New York City: A Qualitative Study.

An estimated 1.6 million American youth are experiencing houselessness in the United States. Of these, 20-40% are lesbian, gay, bisexual, or transgender. However, limited attention has been given to the preventive and primary healthcare experiences of homeless gay and bisexual young men, despite documentation of their elevated health risks. This is a qualitative study based on semi-structured interviews of 30 homeless gay and bisexual young adult men in New York City to examine their experience with the healthcare system. Three themes emerged from content analysis of the interview data. First, all participants exhibited misunderstandings about what constitutes routine preventive healthcare. Second, only those receiving HIV-related care reported experiencing continuous, high-quality care. Third, bisexual men expressed concerns about clinician's lack of understanding about the divergence between identity and actual sexual behavior. This study adds to the growing literature as it unearthed nuances in the healthcare system as experienced by homeless gay and bisexual young men in New York City. More research is warranted to explore healthcare providers' assessment of bisexuality among young adult men experiencing houselessness. A comparative assessment is needed to understand the perception and expectations of gay and bisexual young men experiencing homelessness regarding primary healthcare to that of medical recommendations.