Table 4.
Mapping Codes Onto the Ecological Framework
| Ecological level | Conceptual theme (axial code) | Parent code |
|---|---|---|
| Microsystem | Health system | Perceived risk |
| Insurance | ||
| Ability to seek and navigate services | ||
| HIV stigma | Stigma (internalized) | |
| Mesosystem | Health system | Distrust of site and/or medical providers |
| Lack of confidentiality | ||
| HIV stigma | Stigma (provider) | |
| Intersectionality | Racism (provider) | |
| Community outreach | Thinks site's services aren't for them | |
| Knowledge of organization | ||
| Exosystem | Intersectionality | Neighborhood safety |
| Geography and transportation | Distance/travel time is too long | |
| Transit is a barrier | ||
| Community outreach | Knowledge of organization | |
| Macrosystem | Health system | (lack of) Comprehensive services |
| Intersectionality | Racism (community) | |
| Homophobia (community) | ||
| Geography and transportation | Don't want to seek services where they live | |
| HIV stigma | Don't want to seek services where they live |