Intersectionality must be understood and utilized to eliminate biases in public health and health care systems so that they can deliver cultural competent solutions to combat the high prevalence of HIV in the black gay male population. According to Hancock, “Paradigm intersectionality seeks to jettison the additive-binary-zero-sum calculus, conceptualizing individuals, for example, as bundles of privilege and disadvantage based on their structural locations and relationships to opportunity, rather than as solely the sum of their disadvantages (2012).” At the macro level of society black gay men are often perceived and defined as having a triple disadvantage. By using intersectionality black gay men may be at a disadvantage because of the combination of their race and sexual orientation. On the other hand, gay black men may still benefit from male privilege in a patriarchal society. Intersectionality at the micro level and specifically in a biomedical setting presents challenges. For example, An HIV positive black gay male might be simultaneously experiencing poverty, structural racism, food insecurity and homelessness and many other things. Without intersectionality and cultural competence a physician might prescribe prescriptions, test and preventable measures that are impossible or difficult to obtain for the …show more content…
“Domination operates by seducing, pressuring, or forcing African-American women and members of subordinated groups to replace individual and cultural ways of knowing with the dominant group 's specialized thought (Collins, 1990).” This may explain why most people are able to recall RuPaul, a gay black man who is a famous drag queen before Bayard Rustin, a gay black man who was a civil rights