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We analyzed data from 166 BSMM\u2009+\u2009in the South to assess direct associations between experiences of racism, heterosexism, and HIV-related discrimination with HIV care engagement. We further investigated indirect associations through three mediators: internalized racism, internalized heterosexism, and internalized HIV stigma. Experienced heterosexism was indirectly associated with HIV care engagement through internalized HIV stigma (<jats:italic>b<\/jats:italic>\n            <jats:sub>indirect<\/jats:sub> = \u22120.039, <jats:italic>p<\/jats:italic>\u2009=\u20090.098). HIV discrimination was associated with internalized heterosexism (<jats:italic>b<\/jats:italic>\n            <jats:sub>direct<\/jats:sub> = 0.577, <jats:italic>p<\/jats:italic>\u2009=\u20090.007) and internalized racism (<jats:italic>b<\/jats:italic>\n            <jats:sub>direct<\/jats:sub> = 0.253, <jats:italic>p<\/jats:italic>\u2009=\u20090.009). There were significant direct associations between internalized HIV stigma and HIV care engagement (<jats:italic>b<\/jats:italic>\n            <jats:sub>direct<\/jats:sub> = \u22120.040, <jats:italic>p<\/jats:italic>\u2009=\u20090.001) and experienced heterosexism and internalized HIV stigma (<jats:italic>b<\/jats:italic>\n            <jats:sub>direct<\/jats:sub> = 0.974, <jats:italic>p<\/jats:italic>\u2009=\u20090.050). These findings aim to understand the factors affecting HIV care engagement among this population to improve HIV care engagement.<\/jats:p>","DOI":"10.1007\/s10461-025-04774-z","type":"journal-article","created":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T10:18:39Z","timestamp":1749118719000},"page":"3264-3274","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Untangling Discrimination: The Impact of Internalizing Oppression on HIV Treatment Engagement Among Young Black Sexual Minority Men in the Southern US"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2533-3034","authenticated-orcid":false,"given":"Carrie L.","family":"Nacht","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4666-6305","authenticated-orcid":false,"given":"Cody","family":"Lentz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1995-4958","authenticated-orcid":false,"given":"Wilson","family":"Vincent","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7805-5410","authenticated-orcid":false,"given":"Daniel","family":"Siconolfi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lance M.","family":"Pollack","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan M.","family":"Kegeles","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8609-5762","authenticated-orcid":false,"given":"Chadwick K.","family":"Campbell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3074-6431","authenticated-orcid":false,"given":"Adedotun","family":"Ogunbajo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7072-4248","authenticated-orcid":false,"given":"Erik D.","family":"Storholm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,6,5]]},"reference":[{"unstructured":"Centers for Disease Control and Prevention (CDC). 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