{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T13:06:02Z","timestamp":1779368762249,"version":"3.53.0"},"reference-count":42,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"NIH","award":["P30 AI50410"],"award-info":[{"award-number":["P30 AI50410"]}]},{"name":"NIH","award":["R01AI169602"],"award-info":[{"award-number":["R01AI169602"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Public health departments (HDs) are central to HIV prevention and care, yet client perspectives remain understudied. Before implementing a social network strategy within a HD, we examined how prior experiences with HDs influence engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted 17 in-depth interviews with Black sexual and gender minority individuals in Charlotte, North Carolina, to explore experiences with HDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants described emotional and navigational support during critical health encounters, including compassionate linkage to care and HIV\/STI testing. Identity-affirming interactions and shared cultural backgrounds fostered trust and comfort. However, stigma, concerns about privacy, and intrusive exposure notifications created barriers and, in some cases, distrust of HDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings underscore the importance of identity-concordant care and transparent communication. Tailoring partner services to address confidentiality and affirm identity is essential for public health approaches that build trust, reduce stigma, and meet the needs of underserved communities, ultimately improving engagement in HIV prevention and care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582261451971","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T14:41:31Z","timestamp":1779201691000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Perspectives of Local Health Departments Among People Receiving HIV Services in a Southern \u201cEnding the HIV Epidemic\u201d Region: A Qualitative Study"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3443-1372","authenticated-orcid":false,"given":"Ian","family":"Dale","sequence":"first","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Diggs","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Esposito","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Galphin","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Golin","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"},{"name":"Division of General Internal Medicine and Clinical Epidemiology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"},{"name":"Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eunice","family":"Okumu","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ujunwa","family":"Onyeama","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Sherard","sequence":"additional","affiliation":[{"name":"Mecklenburg County Health & Human Services"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meagan","family":"Zarwell","sequence":"additional","affiliation":[{"name":"University of North Carolina at Charlotte"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0687-9661","authenticated-orcid":false,"given":"Ann M","family":"Dennis","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000001328"},{"issue":"9","key":"e_1_3_3_3_2","first-page":"1","article-title":"Recommendations for partner services programs for HIV infection, syphilis, gonorrhea, and chlamydial infection","volume":"57","author":"Centers for Disease Control and Prevention (CDC)","year":"2008","unstructured":"Centers for Disease Control and Prevention (CDC). 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