“…The lack of provider trust and access to affordable screening and treatment exponentially increases the degree of HIV risk in the sexual networks of SMM. Lack of culturally and medically competent providers on issues relating to lesbian, gay, bisexual, transgender, queer, asexual, intersex, and others (LGBTQ+) health ( Institute of Medicine, 2011 ; Nowaskie & Sowinski, 2019 ) and individual-/community-level factors, such as heteronormative assumptions stemming from group-based, cisgender, heterosocial hierarchies ( Parrott, 2009 ; Ray & Parkhill, 2021 ), have resulted in mistrust and misinformation about health risks ( Jaiswal et al, 2020 ; Ramos et al, 2019 ) and have perpetuated racism and discrimination among minoritized groups ( Arscott et al, 2020 ; Quinn et al, 2019 ), leading to experiences of internalized homophobia.…”