{"id":"https://openalex.org/W3043998632","doi":"https://doi.org/10.1002/jia2.25559","title":"Stigma impedes HIV prevention by stifling patient\u2013provider communication about U = U","display_name":"Stigma impedes HIV prevention by stifling patient\u2013provider communication about U = U","publication_year":2020,"publication_date":"2020-07-01","ids":{"openalex":"https://openalex.org/W3043998632","doi":"https://doi.org/10.1002/jia2.25559","mag":"3043998632","pmid":"https://pubmed.ncbi.nlm.nih.gov/32686324","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7369401"},"language":"en","primary_location":{"id":"doi:10.1002/jia2.25559","doi":"https://doi.org/10.1002/jia2.25559","is_oa":true,"landing_page_url":"https://doi.org/10.1002/jia2.25559","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jia2.25559","source":{"id":"https://openalex.org/S66330005","display_name":"Journal of the International AIDS Society","issn_l":"1758-2652","issn":["1758-2652"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320728","host_organization_name":"International AIDS Society","host_organization_lineage":["https://openalex.org/P4310320728"],"host_organization_lineage_names":["International AIDS Society"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the International AIDS Society","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jia2.25559","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5088289989","display_name":"Sarah K. Calabrese","orcid":"https://orcid.org/0000-0003-2640-0208","observed_orcids":["https://orcid.org/0000-0003-2640-0208"]},"institutions":[{"id":"https://openalex.org/I193531525","display_name":"George Washington University","ror":"https://ror.org/00y4zzh67","country_code":"US","type":"education","lineage":["https://openalex.org/I193531525"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sarah K Calabrese","raw_affiliation_strings":["Department of Prevention and Community Health, George Washington University, Washington, DC, USA","Department of Psychological and Brain Sciences, George Washington University, Washington, DC, USA"],"raw_orcid":"https://orcid.org/0000-0003-2640-0208","affiliations":[{"raw_affiliation_string":"Department of Prevention and Community Health, George Washington University, Washington, DC, USA","institution_ids":["https://openalex.org/I193531525"]},{"raw_affiliation_string":"Department of Psychological and Brain Sciences, George Washington University, Washington, DC, USA","institution_ids":["https://openalex.org/I193531525"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5025150770","display_name":"Kenneth Hugh Mayer","orcid":"https://orcid.org/0000-0001-7460-733X","observed_orcids":["https://orcid.org/0000-0001-7460-733X","https://orcid.org/0000-0001-8034-5110"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I44580034","display_name":"Fenway Health","ror":"https://ror.org/04ztdzs79","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I44580034"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kenneth H Mayer","raw_affiliation_strings":["Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA","The Fenway Institute, Fenway Health, Boston, MA, USA"],"raw_orcid":"https://orcid.org/0000-0001-7460-733X","affiliations":[{"raw_affiliation_string":"Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]},{"raw_affiliation_string":"The Fenway Institute, Fenway Health, Boston, MA, USA","institution_ids":["https://openalex.org/I44580034"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5088289989"],"corresponding_institution_ids":["https://openalex.org/I193531525"],"apc_list":{"value":2400,"currency":"USD","value_usd":2400},"apc_paid":{"value":2400,"currency":"USD","value_usd":2400},"fwci":1.1465,"has_fulltext":true,"cited_by_count":58,"citation_normalized_percentile":{"value":0.89174569,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"23","issue":"7","first_page":"e25559","last_page":"e25559"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11860","display_name":"HIV, Drug Use, Sexual Risk","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hiv-prevention","display_name":"HIV prevention","score":0.7480000257492065},{"id":"https://openalex.org/keywords/stigma","display_name":"stigma","score":0.8159999847412109},{"id":"https://openalex.org/keywords/patient-provider-communication","display_name":"patient-provider communication","score":0.8999999761581421},{"id":"https://openalex.org/keywords/implicit-stigma","display_name":"implicit stigma","score":0.6370000243186951},{"id":"https://openalex.org/keywords/patient-education","display_name":"patient education","score":0.6039999723434448},{"id":"https://openalex.org/keywords/viral-suppression","display_name":"viral suppression","score":0.6140000224113464},{"id":"https://openalex.org/keywords/risk-compensation","display_name":"risk compensation","score":0.7080000042915344},{"id":"https://openalex.org/keywords/provider-attitudes","display_name":"provider attitudes","score":0.45100000500679016},{"id":"https://openalex.org/keywords/patient-centered-care","display_name":"patient-centered care","score":0.6579999923706055},{"id":"https://openalex.org/keywords/hiv-status-disclosure","display_name":"HIV status disclosure","score":0.4860000014305115},{"id":"https://openalex.org/keywords/health-workforce-shortage","display_name":"health workforce shortage","score":0.7039999961853027}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.732398271560669},{"id":"https://openalex.org/C168285401","wikidata":"https://www.wikidata.org/wiki/Q1427245","display_name":"Stigma (botany)","level":2,"score":0.5015382766723633},{"id":"https://openalex.org/C761482","wikidata":"https://www.wikidata.org/wiki/Q118093","display_name":"Transmission (telecommunications)","level":2,"score":0.46907633543014526},{"id":"https://openalex.org/C2777929519","wikidata":"https://www.wikidata.org/wiki/Q7144988","display_name":"Patient education","level":2,"score":0.4416901767253876},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.37049585580825806},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.21593722701072693},{"id":"https://openalex.org/C119599485","wikidata":"https://www.wikidata.org/wiki/Q43035","display_name":"Electrical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1002/jia2.25559","doi":"https://doi.org/10.1002/jia2.25559","is_oa":true,"landing_page_url":"https://doi.org/10.1002/jia2.25559","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jia2.25559","source":{"id":"https://openalex.org/S66330005","display_name":"Journal of the International AIDS Society","issn_l":"1758-2652","issn":["1758-2652"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320728","host_organization_name":"International AIDS Society","host_organization_lineage":["https://openalex.org/P4310320728"],"host_organization_lineage_names":["International AIDS Society"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the International AIDS Society","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7369401","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7369401","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Int AIDS Soc","raw_type":"Text"},{"id":"pmid:32686324","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32686324","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the International AIDS Society","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1002/jia2.25559","doi":"https://doi.org/10.1002/jia2.25559","is_oa":true,"landing_page_url":"https://doi.org/10.1002/jia2.25559","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jia2.25559","source":{"id":"https://openalex.org/S66330005","display_name":"Journal of the International AIDS Society","issn_l":"1758-2652","issn":["1758-2652"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320728","host_organization_name":"International AIDS Society","host_organization_lineage":["https://openalex.org/P4310320728"],"host_organization_lineage_names":["International AIDS Society"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the International AIDS Society","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[{"id":"https://openalex.org/G9000904381","display_name":"Harvard University Center for AIDS Research","funder_award_id":"P30AI060354","funder_id":"https://openalex.org/F4320337355","funder_display_name":"National Institute of Allergy and Infectious Diseases"}],"funders":[{"id":"https://openalex.org/F4320337355","display_name":"National Institute of Allergy and Infectious Diseases","ror":"https://ror.org/043z4tv69"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3043998632.pdf","grobid_xml":"https://content.openalex.org/works/W3043998632.grobid-xml"},"referenced_works_count":11,"referenced_works":["https://openalex.org/W1515745006","https://openalex.org/W2103506772","https://openalex.org/W2113932960","https://openalex.org/W2114727448","https://openalex.org/W2163772781","https://openalex.org/W2475857717","https://openalex.org/W2943039121","https://openalex.org/W3009131172","https://openalex.org/W3009438983","https://openalex.org/W3043998632","https://openalex.org/W3095615027"],"related_works":["https://openalex.org/W4286496154","https://openalex.org/W7163155773","https://openalex.org/W4412003964","https://openalex.org/W4390038532","https://openalex.org/W3093286094","https://openalex.org/W4391316792","https://openalex.org/W4214703710","https://openalex.org/W7117538726","https://openalex.org/W4415570334","https://openalex.org/W4417184252"],"abstract_inverted_index":{"The":[0,393,984],"success":[1],"of":[2,13,24,52,96,152,187,214,279,336,396,418,465,563,597,718,782,821,889,932,1018,1056,1102],"HIV":[3,18,438,457,474,486,589,603,630,669,680,835,958],"control":[4],"strategies":[5,918],"throughout":[6],"the":[7,14,44,78,150,277,293,304,427,450,463,560,581,643,716,783,887,1016,1098,1103,1116],"world":[8],"depends":[9],"on":[10,123,136,475,534,829],"stakeholders\u2019":[11],"implementation":[12],"latest":[15],"advancements":[16,28],"in":[17,276,363,443,453,492,518,547,595,607,791,868,929,946],"science.":[19],"However,":[20,332,491,862],"healthcare":[21,997],"providers\u2019":[22,90,162,535,713,930],"adoption":[23],"recent":[25],"HIV-related":[26],"scientific":[27],"into":[29,72,953],"clinical":[30,73,494,570,954],"practice":[31,74],"has":[32,36,365,1083],"been":[33,37,366,605],"variable.":[34],"There":[35,915],"a":[38,146,431,569,1079],"notable":[39],"challenge":[40],"around":[41,287,389],"consistently":[42],"communicating":[43,179],"discovery":[45],"that":[46,116,128,131,194,344,461,471,572,591,631,649,919,998,1062],"sustained":[47],"viral":[48,236,482],"suppression":[49,196,237,483],"eliminates":[50],"risk":[51,206,239,647,850,899],"sexual":[53,198,205,639,751,757,815,898],"transmission":[54,199,218,265,590,836],"(undetectable":[55],"=":[56,59,68,80,155,168,182,229,271,289,311,391,398,414,441,501,515,529,565,659,720,732,737,785,934,942,951,966,1005,1029,1052],"untransmittable,":[57],"(U":[58],"U))":[60],"to":[61,64,93,220,249,263,295,306,368,404,487,525,545,576,613,638,646,703,778,788,831,897,904,922,996,1014,1044,1047,1060,1077],"patients.":[62,320],"Failure":[63],"routinely":[65,913,1048],"incorporate":[66],"U":[67,69,79,81,154,156,167,169,181,183,228,230,270,272,288,290,310,312,390,397,399,413,415,440,442,500,502,514,528,530,564,566,658,660,719,721,731,733,736,738,784,786,933,935,941,943,950,952,965,967,1004,1006,1028,1030,1051,1053],"patient":[70,124,157,285,410,511,582,944],"education":[71,286,411,512,567,734,739,936,945,955],"is":[75,89,299,531,538,542,557,579,622,865,987,1012],"peculiar":[76],"because":[77,540,735,820,990],"message":[82,294,787],"aligns":[83],"with":[84,184,373,437,473,549,588,602,624,629,668,679,692,753,773,805,817,968,1054,1086,1105],"treatment":[85,97,446,618],"goals.":[86],"Moreover,":[87],"it":[88,574,578],"professional":[91],"responsibility":[92],"inform":[94],"patients":[95,226,436,470,628,666,775,885,902,1033,1058],"risks":[98],"and":[99,164,202,238,327,380,480,497,523,585,596,674,723,745,825,926,971,1025,1034,1040,1059,1093,1100,1114],"benefits.":[100],"So":[101],"why":[102,174],"aren\u2019t":[103],"these":[104,333,662,909,1067],"conversations":[105,379,812,963],"happening?":[106],"Although":[107],"there":[108],"are":[109,244,338,381,421,747,911,916],"multiple":[110],"contributing":[111],"factors,":[112],"including":[113,635],"structural":[114],"challenges":[115],"vary":[117],"by":[118,317,875],"setting":[119],"(e.g.":[120,687,756,765],"time":[121,464],"limits":[122],"visits),":[125],"we":[126],"contend":[127],"stigma":[129,318,337,351,362,376,541,727,823,840,1063],"\u2013":[130,143],"is,":[132],"social":[133],"devaluation":[134],"based":[135,533],"one":[137],"or":[138,256,261,267,291,308,506,615,694,708,891],"more":[139,543,701,827],"distinguishing":[140],"characteristics":[141],"[1]":[142],"could":[144,314,386,895,979],"be":[145,178,315,504,593,700,704,808,854,1042],"key":[147],"reason":[148],"underlying":[149],"lack":[151,186,507],"consistent":[153,623,780],"education.":[158],"Early":[159],"research":[160,1011,1080,1085],"investigating":[161],"perspectives":[163],"experiences":[165],"surrounding":[166,499],"[2-5]":[170],"suggests":[171],"several":[172,917],"reasons":[173,654],"they":[175,223],"may":[176,503,592,670,699,776,807,853,920],"not":[177,300,339,348,558,656,1065],"about":[180,204,227,235,412,439,513,527,665,715,743,813,834,886,964,1003,1050],"patients:":[185],"knowledge;":[188],"disbelief":[189],"(despite":[190],"robust":[191],"evidence":[192],"demonstrating":[193],"virologic":[195],"prevents":[197],"[6,":[200],"7]);":[201],"concerns":[203,644,673,714,852],"compensation":[207,648,851,900],"[2-4].":[208],"Providers":[209,372],"have":[210,604,633,651,682,690,803,1112],"also":[211,580,729,988],"expressed":[212,855],"fear":[213],"being":[215],"blamed":[216],"if":[217],"were":[219],"occur":[221],"after":[222],"had":[224],"educated":[225],"[2,":[231,282],"3].":[232],"When":[233],"communication":[234,388,400,742,781,1031],"does":[240,1064],"occur,":[241],"some":[242,754,991],"providers":[243,345,467,610,632,650,746,819,830,1008,1046],"inconsistent":[245],"and/or":[246,552,759],"unclear,":[247],"continuing":[248],"use":[250,281],"language":[251],"such":[252,355,519,797,863,906],"as":[253,273,416,568,653,706,798,843,856,873],"\u201cextremely":[254],"low\u201d":[255],"\u201cnegligible\u201d":[257],"(rather":[258],"than":[259,763,871],"\u201cno\u201d":[260],"\u201czero\u201d)":[262],"describe":[264],"risk,":[266,710],"incorrectly":[268],"qualifying":[269],"applicable":[274],"only":[275,559],"context":[278],"condom":[280],"5].":[283],"Withholding":[284],"tempering":[292],"prevent":[296,999],"unwanted":[297],"behaviour":[298,752],"medically":[301],"justifiable.":[302],"Furthermore,":[303],"decision":[305,845],"withhold":[307],"modify":[309],"messaging":[313,978],"influenced":[316],"towards":[319,627],"Stigma":[321],"can":[322,352,728,841,1039],"operate":[323],"at":[324,357,462,709],"conscious":[325],"(explicit)":[326],"unconscious":[328,359],"(implicit)":[329],"levels":[330,335],"[8].":[331],"two":[334],"strongly":[340],"correlated":[341],"[8],":[342],"suggesting":[343],"who":[346,478,611,681,689,696,802],"do":[347],"consciously":[349],"endorse":[350],"nonetheless":[353,912],"harbour":[354],"attitudes":[356,626],"an":[358],"level.":[360],"Implicit":[361],"particular":[364],"found":[367],"impact":[369,1017],"patient\u2013provider":[370,741,962],"interactions:":[371],"higher":[374],"implicit":[375],"verbally":[377],"dominate":[378],"less":[382,748,779,809],"patient-centred":[383],"[9],":[384],"which":[385,537],"compromise":[387,730],"U.":[392,516],"discretionary":[394,561],"nature":[395,562],"increases":[401],"its":[402,876],"susceptibility":[403],"stigma.":[405,676],"At":[406],"present,":[407],"standards":[408,496],"establishing":[409],"part":[417],"routine":[419,510],"care":[420],"newly":[422],"emerging.":[423],"In":[424],"December":[425],"2019,":[426],"US":[428],"government":[429],"added":[430],"recommendation":[432],"for":[433,655,859,956],"universally":[434],"educating":[435,884],"their":[444,454,488,814,818,1057],"antiretroviral":[445],"guidelines":[447,460,498],"[10].":[448],"Likewise,":[449,793],"WHO":[451],"suggested":[452],"November":[455],"2019":[456],"testing":[458],"services":[459],"diagnosis,":[466],"should":[468,1041],"educate":[469,526],"\u201cpeople":[472],"[antiretroviral":[476],"therapy]":[477],"achieve":[479],"maintain":[481],"cannot":[484],"transmit":[485],"partners\u201d":[489],"[11].":[490],"many":[493],"centres,":[495],"absent":[505],"specificity,":[508],"hindering":[509],"Additionally,":[517],"circumstances,":[520],"whether,":[521],"how,":[522],"whom":[524],"commonly":[532],"discretion,":[536],"problematic":[539],"likely":[544,702,866],"manifest":[546,842],"settings":[548],"ambiguous":[550],"norms":[551],"flexible":[553],"protocols":[554],"[12].":[555],"It":[556],"activity":[571],"renders":[573],"vulnerable":[575],"stigma;":[577],"populations":[583,790],"impacted":[584],"behaviours":[586],"associated":[587],"stigmatized":[594,795,992],"themselves.":[598],"Worldwide,":[599],"people":[600,695],"living":[601,667,678],"mistreated":[606],"healthcare,":[608],"facing":[609],"refuse":[612],"treat":[614],"provide":[616],"substandard":[617],"[9,":[619],"13].":[620],"This":[621],"stigmatizing":[625],"endorsed,":[634],"stereotypes":[636,869],"related":[637,645],"irresponsibility":[640],"[13].":[641],"Given":[642],"reported":[652],"discussing":[657,750,771],"[2],":[661],"preconceived":[663],"notions":[664],"reinforce":[671],"existing":[672,924],"potentiate":[675],"People":[677],"other,":[683],"intersectional":[684],"marginalized":[685],"statuses":[686],"men":[688,693,801],"sex":[691,772,804],"inject":[697],"drugs)":[698],"stereotyped":[705],"irresponsible":[707],"further":[711],"exacerbating":[712],"consequences":[717],"discussions":[722,833],"fuelling":[724],"disparities.":[725],"Intersectional":[726],"requires":[740],"sex,":[744],"comfortable":[749,810],"groups":[755,993],"minority":[758],"gender":[760],"non-conforming":[761],"individuals)":[762,768],"others":[764],"heterosexual,":[766],"cisgender":[767],"[14].":[769],"Discomfort":[770],"certain":[774,794],"translate":[777],"those":[789],"particular.":[792],"groups,":[796],"Black":[799],"American":[800],"men,":[806],"initiating":[811],"health":[816,977],"anticipated":[822],"[15]":[824],"thus":[826],"reliant":[828],"initiate":[832],"during":[837],"sex.":[838],"Importantly,":[839],"reasoned":[844],"making":[846],"[9].":[847],"For":[848,882],"example":[849],"genuine":[857],"consideration":[858],"patients\u2019":[860],"wellbeing.":[861],"logic":[864],"rooted":[867],"rather":[870],"science,":[872],"demonstrated":[874],"inapplicability":[877],"within":[878],"other":[879],"medical":[880],"contexts.":[881],"example,":[883],"benefits":[888,910],"contraceptive":[890],"erectile":[892],"dysfunction":[893],"medications":[894],"lead":[896],"among":[901],"electing":[903],"take":[905],"medications,":[907],"yet":[908],"communicated.":[914],"help":[921],"address":[923],"inconsistencies":[925],"potential":[927],"disparities":[928],"delivery":[931],"(Table":[937],"1).":[938],"Establishing":[939],"universal":[940],"normative":[947],"guidelines,":[948],"incorporating":[949],"all":[957,980,1055],"service":[959],"providers,":[960],"facilitating":[961],"concrete":[969],"tools,":[970],"broadening":[972],"public":[973,976],"awareness":[974],"through":[975],"promote":[981],"positive":[982],"change.":[983],"latter":[985],"strategy":[986],"vital":[989],"face":[994],"barriers":[995],"them":[1000],"from":[1001,1007,1074,1090,1108],"learning":[1002],"altogether.":[1009],"Additional":[1010],"needed":[1013],"assess":[1015],"provider":[1019],"stigma,":[1020],"evaluate":[1021],"culturally":[1022],"tailored":[1023],"interventions,":[1024],"ultimately":[1026],"optimize":[1027],"between":[1032],"providers.":[1035],"Nonetheless,":[1036],"immediate":[1037],"action":[1038],"taken":[1043],"encourage":[1045],"communicate":[1049],"ensure":[1061],"stifle":[1066],"critical":[1068],"conversations.":[1069],"SKC":[1070,1096],"received":[1071],"partial":[1072],"support":[1073,1089],"Gilead":[1075,1091],"Sciences":[1076,1092],"attend":[1078],"conference.":[1081],"KHM":[1082],"conducted":[1084],"unrestricted":[1087],"project":[1088],"ViiV":[1094],"Healthcare.":[1095],"led":[1097],"conceptualization":[1099],"writing":[1101],"Viewpoint":[1104],"significant":[1106],"input":[1107],"KHM.":[1109],"Both":[1110],"authors":[1111],"read":[1113],"approved":[1115],"final":[1117],"manuscript.":[1118],"None":[1119,1121,1123],"declared.":[1120,1122,1124]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":6},{"year":2024,"cited_by_count":11},{"year":2023,"cited_by_count":13},{"year":2022,"cited_by_count":10},{"year":2021,"cited_by_count":10},{"year":2020,"cited_by_count":2}],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2020-07-29T00:00:00"}