African American men who have sex with men (MSM) and Trans Women have been considered the highest sexual risk group with new cases of HIV for over a decade. The purpose of this paper is to explore and understand the motivators for higher HIV transmission risk factors through the perspective of members of an African American MSM and Trans women population. Due to inconsistencies in measurements, results, education, and adherence, understanding motivators for HIV transmission risk behaviors present challenges for public health clinicians and health services researchers. The current study acknowledges the perspectives of the population through multiple approaches to gain clarity to a gap of knowledge ineffectively reached through a single method. From the feedback of the focus population, themes, and statistical correlations are used to update the popular Andersen-Newman Model of Health Care Utilization. The current study suggests that the modification of current public health models or interventions to fit the truths of the population could be a fruitful approach only when the population is empowered and understood. Future studies can focus on modifying the interventions and education of public health clinicians through the involvement of more mixed-method approaches.