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.
McCauley et al. (Sun,) studied this question.
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