“The fear of being Black plus the fear of being gay”: The effects of intersectional stigma on PrEP use among young Black gay, bisexual, and other men who have sex with men

Abstract

• Intersectional stigma is a persistent barrier to PrEP use among young Black men. • Decisions about PrEP use are informed by racism, homonegativity, and HIV stigma. • Intersectional stigma contributes to othering, PrEP stigma, and HIV stigma. • Intersectional stigma influenced decisions about identity disclosure in healthcare. • Social and structural interventions are needed to reduce the sources of stigma.