Table 3.
Codebook for Young Men Who Have Sex with Men: Barriers
| No. | YMSM barriers | Concept | No. of participants |
|---|---|---|---|
| 1B | No comprehensive/wraparound services offered | Health system (systems) | 2 |
| 2B | Distrust of site and/or medical providers | Health system (provider) | 5 |
| 2B.1 | Lack of confidentiality | Health system (provider) | 2 |
| 3B | Unfamiliar with seeking services | Health system (patient) | 1 |
| 4B | Feeling invincible/denial of need for services | Health system (patient) | 3 |
| 5B | Don't know about organization | Community outreach | 5 |
| 6B | Intersectional and structural concerns | Cultural responsiveness | 14 |
| 6B.1 | Think site's services aren't for them | Cultural responsiveness; community outreach | 11 |
| 6B.2 | Homophobia | Cultural responsiveness | 2 |
| 6B.3 | Racism | Cultural responsiveness | 1 |
| 6B.4 | Transphobia | Cultural responsiveness | 3 |
| 6B.5 | HIV prevention fatigue | Cultural responsiveness | 2 |
| 6B.6 | Neighborhood safety | Environmental/structural | 1 |
| 7B | Geography/distance | Environmental/structural | 5 |
| 7B.1 | Distance/travel time is too long | Environmental/structural | 4 |
| 7B.2 | Transit is a barrier | Environmental/structural | 5 |
| 7B.3 | Don't want to seek services where they live | Environmental/structural + stigma | 1 |
| 8B | HIV stigma | Stigma | 10 |