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Black individuals have characteristically had low levels of health care utilization as a result of historical and contemporary barriers to care including financial and structural access barriers, medical mistrust, and history of unequal and maltreatment [ 96 ]. A meta-analytic review. The Pew forum on religion and public life. This is sometimes replicated in families, among peers, and in the larger community. Author manuscript; available in PMC Dec 1.

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The black church in the African American experience.

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For example, prior work suggests that for some YBGBM a positive societal view of Black men was associated with decreased sexual risk behavior [ 89 ]. These areas are often characterized by socio-economic inequity, which can lead to negative health outcomes through poor social cohesion, low collective efficacy, and physical and social disorder [ 54 ]. HIV Clinical Care. Greater risk for HIV infection of black men who have sex with men:

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Even among those who have left traditional church affiliations, spirituality remains a salient component of their self-concept and source of strength and resilience [ 49 ].

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