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“It’s another gay disease”: an intersectional qualitative approach contextualizing the lived experiences of young gay, bisexual, and other sexual minoritized men in the United States during the mpox outbreak

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Abstract
Background The U.S. mpox outbreak in 2022 introduced new and exacerbated existing challenges that
disproportionately stigmatize gay, bisexual, and other sexual minoritized men (GBSMM). This study contextualizes
the perceptions, susceptibility, and lived experiences of the mpox outbreak among GBSMM in the U.S. using an
intersectional framework.
Methods Between September 2022 to February 2023, we conducted 33 semi-structured qualitative interviews with
purposively sampled GBSMM in the Northeast and the South region of the United States on various aspects related to
their experience during the mpox outbreak.
Results We identified four themes: (1) understanding and conceptualizations of mpox, (2) mpox vaccine availability
and accessibility, (3) mpox vaccine hesitancy and mistrust, and (4) call to action and recommendations. GBSMM
collectively discussed the elevated mpox stigmatization and homophobic discourse from mainstream social media
and news outlets. GBSMM also discussed the lack of availability of mpox vaccines, unclear procedures to receive the
vaccine, and continued mistrust in government, non-government, and other institutions of health that were complicit
in anti-LGBTQ + narratives related to mpox. However, they expressed that these challenges may be addressed through
more LGTBQ + representation and leveraging ways to empower these communities.
Conclusion GBSMM have mpox experiences that are distinct and multifaceted. Effectively addressing mpox and
mitigating public health emergencies for GBSMM requires prioritizing destigmatizing communication channels and
vaccine distribution strategies by centering their stories and lived experiences to advance health equity.
Keywords Gay, Bisexual, Sexual minoritized men, Mpox, Stigma, Intersectionality

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: .,

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Indonesia

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NONE

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JURNAL

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