Note. This model was adapted from existing models (Hatzenbuehler, 2009; Meyer, 2003, 2015; Pachankis, 2015) to address the confluence of racial, sexual orientation, and intersectional stressors. To conserve space, universal risk factors were not examined as mechanisms within the present investigation. GBM = gay, bisexual, and other men who have sex with men; LGBTQ = lesbian, gay, bisexual, transgender, queer; PrEP = preexposure prophylaxis; ART = antiretroviral therapy.