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Regarding racial disparities in PrEP uptake, men cited structural barriers and competing priorities such as poverty, unemployment and racial segregation as contributors. Because they have access, they have the money, they have the families for this stuff. Many participants attempted to actively distance themselves from those living with HIV.

Black LGBT Adults in the US

Gay men of color also tend to have sex with older men as a result of their smaller sexual networks. The historical failure of social, judicial, and public health services within lower-income communities tends to fuel a general distrust in governmental institutions. This includes mistrust in public health facilities offering HIV testing and treatment.

CHAPTER 12. Black Gay (Raw) Sex

In almost all areas of economic and social vulnerability, such as employment, income, food insecurity, and healthcare access, Black LGBT adults fared worse than their non-LGBT counterparts. Disparities were also observed in several areas of mental and physical health, particularly depression and asthma, as well as vulnerability to mild degrees of disability.

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