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AI/AN gay, bisexual, and two-spirit men, especially those on reservations or in rural areas, may face culturally based stigma and confidentiality concerns that interfere in learning about HIV prevention and getting HIV testing. Cultural differences, beliefs, and practices may also be an obstacle, with more 200 different languages spoken across more than 500 federally recognized AI/AN tribe. Other barriers may include socioeconomic issues, substance use disorders, and mistrust of government health care and the government itself.

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Native, LGBTQ2S, Proud Campaign Fact Sheets

The campaign, a joint effort between Northwest Portland Area Indian Health Board (NPAIHB) and IHS, offers two fact sheets, one on HIV prevention, the other on HIV screening.