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.
- HIV Among American Indians and Alaska Natives in the United States - Centers for Disease Control and Prevention (CDC)
- New Federal Actions to Address HIV in the Transgender Community(2016) - HIV.Gov
- Special Projects of National Significance (SPNS) Program Enhancing Engagement and Retention in Quality HIV Care for Transgender Women of Color initiative – HRSA
- Specific Populations: Lesbian, Gay, Bisexual, and Transgender - AIDSOURCE, NIH Nation Library of Medicine
- Specific Populations: Native Americans - AIDSOURCE, NIH Nation Library of Medicine
- Transgender People and HIV/AIDS
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.