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Interviews were analyzed using a hybrid deductive\u2013inductive approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Findings identified multi-level factors shaping stigma experiences and practices. In the Outer Setting, sociocultural beliefs, discriminatory policies, and preventive care norms facilitated stigma, undermining trust and engagement in HIV prevention. Within the Inner Setting, organizational culture, physical space, accessibility, and workforce representation influenced whether services felt safe and trustworthy. Individual biases, limited awareness, stigmatizing communication, narrow biomedical framings of HIV risk, and inflexible service designs further reinforced stigma. Implementation processes that emphasized inclusive messaging, routine sexual health discussions, intentional workforce planning, and ongoing stigma-reduction training were described as opportunities to disrupt stigma across all CFIR domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Stigma in HIV prevention for young Hispanic\/Latino sexual minority men emerges across policy, organizational, and interpersonal levels. Implementation strategies that promote inclusive messaging, routine sexual health conversations, representative staffing, and ongoing training may help reduce stigma.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582261458953","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T08:47:47Z","timestamp":1781599667000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Welcoming or Warning Signs? A Qualitative Study of Providers\u2019 Perspectives on Stigma Experiences and Practices in HIV Prevention Services for Young Hispanic\/Latino Sexual Minority Men"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0484-3107","authenticated-orcid":false,"given":"Rainier","family":"Masa","sequence":"first","affiliation":[{"name":"University of North Carolina at Chapel Hill"},{"name":"Global Social Development Innovations, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"},{"name":"Centre for Social Development in Africa, University of Johannesburg, Johannesburg, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Burns","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8739-5012","authenticated-orcid":false,"given":"Dicky","family":"Baruah","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"},{"name":"Global Social Development Innovations, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Villegas","sequence":"additional","affiliation":[{"name":"Global Social Development Innovations, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"},{"name":"School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Orlando","family":"Mart\u00ednez","sequence":"additional","affiliation":[{"name":"El Centro Hispano, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Don","family":"Operario","sequence":"additional","affiliation":[{"name":"Emory University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Sanchez V Reese P Bose D. 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