Are HIV Prevention Services Reaching all LGBTQ+ Youth? An Intersectional Analysis in a National Sample

Marla E. Eisenberg; Samantha E. Lawrence; Amy L. Gower; G. Nic Rider; Calla Brown; Val Crutcher; Andrew Schuster; Ryan J. Watson

doi:10.1007/s10461-023-04230-w

Are HIV Prevention Services Reaching all LGBTQ+ Youth? An Intersectional Analysis in a National Sample

Marla E. Eisenberg, Samantha E. Lawrence, Amy L. Gower, G. Nic Rider, Calla Brown, Val Crutcher, Andrew Schuster, Ryan J. Watson

University of Minnesota Twin Cities

Research output: Contribution to journal › Article › peer-review

Abstract

Although research has examined disparities in HIV prevention behaviors, intersectional research is needed to understand who may be underserved. This study examines disparities in consistent condom use, HIV testing, and PrEP awareness and use across assigned sex, gender identity, sexual orientation, and racial/ethnic identity in a large sample of sexually active LGBTQ+ youth (mean age = 16.5) who completed the 2022 LGBTQ National Teen Survey. Four social identities were included as indicators in Chi-Square Automated Interaction Detection models to uncover disparate rates of HIV preventive behaviors. Generally, HIV testing and PrEP services were higher among gay/lesbian and queer youth assigned male, and lower among those assigned female. Certain LGBTQ+ youth may be systematically missed by these services, (e.g., those assigned female; those assigned male who also identify as bisexual, pansexual, asexual, questioning, or straight (and trans/gender diverse)). Providers should strive to serve populations who are not being reached by HIV prevention services.

Original language	English (US)
Pages (from-to)	1435-1446
Number of pages	12
Journal	AIDS and Behavior
Volume	28
Issue number	4
DOIs	https://doi.org/10.1007/s10461-023-04230-w
State	Accepted/In press - 2023

Bibliographical note

Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

Adolescence
HIV prevention
Intersectionality
LGBTQ+
Pre-exposure prophylaxis (PrEP)

PubMed: MeSH publication types

Journal Article

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Publisher link

10.1007/s10461-023-04230-w

Cite this

@article{b2d50df22ccb45e7ab9c39feca5831a8,

title = "Are HIV Prevention Services Reaching all LGBTQ+ Youth? An Intersectional Analysis in a National Sample",

abstract = "Although research has examined disparities in HIV prevention behaviors, intersectional research is needed to understand who may be underserved. This study examines disparities in consistent condom use, HIV testing, and PrEP awareness and use across assigned sex, gender identity, sexual orientation, and racial/ethnic identity in a large sample of sexually active LGBTQ+ youth (mean age = 16.5) who completed the 2022 LGBTQ National Teen Survey. Four social identities were included as indicators in Chi-Square Automated Interaction Detection models to uncover disparate rates of HIV preventive behaviors. Generally, HIV testing and PrEP services were higher among gay/lesbian and queer youth assigned male, and lower among those assigned female. Certain LGBTQ+ youth may be systematically missed by these services, (e.g., those assigned female; those assigned male who also identify as bisexual, pansexual, asexual, questioning, or straight (and trans/gender diverse)). Providers should strive to serve populations who are not being reached by HIV prevention services.",

keywords = "Adolescence, HIV prevention, Intersectionality, LGBTQ+, Pre-exposure prophylaxis (PrEP)",

author = "Eisenberg, {Marla E.} and Lawrence, {Samantha E.} and Gower, {Amy L.} and Rider, {G. Nic} and Calla Brown and Val Crutcher and Andrew Schuster and Watson, {Ryan J.}",

note = "Publisher Copyright: {\textcopyright} 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.",

year = "2023",

doi = "10.1007/s10461-023-04230-w",

language = "English (US)",

volume = "28",

pages = "1435--1446",

journal = "AIDS and Behavior",

issn = "1090-7165",

publisher = "Springer New York",

number = "4",

}

TY - JOUR

T1 - Are HIV Prevention Services Reaching all LGBTQ+ Youth? An Intersectional Analysis in a National Sample

AU - Eisenberg, Marla E.

AU - Lawrence, Samantha E.

AU - Gower, Amy L.

AU - Rider, G. Nic

AU - Brown, Calla

AU - Crutcher, Val

AU - Schuster, Andrew

AU - Watson, Ryan J.

PY - 2023

Y1 - 2023

N2 - Although research has examined disparities in HIV prevention behaviors, intersectional research is needed to understand who may be underserved. This study examines disparities in consistent condom use, HIV testing, and PrEP awareness and use across assigned sex, gender identity, sexual orientation, and racial/ethnic identity in a large sample of sexually active LGBTQ+ youth (mean age = 16.5) who completed the 2022 LGBTQ National Teen Survey. Four social identities were included as indicators in Chi-Square Automated Interaction Detection models to uncover disparate rates of HIV preventive behaviors. Generally, HIV testing and PrEP services were higher among gay/lesbian and queer youth assigned male, and lower among those assigned female. Certain LGBTQ+ youth may be systematically missed by these services, (e.g., those assigned female; those assigned male who also identify as bisexual, pansexual, asexual, questioning, or straight (and trans/gender diverse)). Providers should strive to serve populations who are not being reached by HIV prevention services.

AB - Although research has examined disparities in HIV prevention behaviors, intersectional research is needed to understand who may be underserved. This study examines disparities in consistent condom use, HIV testing, and PrEP awareness and use across assigned sex, gender identity, sexual orientation, and racial/ethnic identity in a large sample of sexually active LGBTQ+ youth (mean age = 16.5) who completed the 2022 LGBTQ National Teen Survey. Four social identities were included as indicators in Chi-Square Automated Interaction Detection models to uncover disparate rates of HIV preventive behaviors. Generally, HIV testing and PrEP services were higher among gay/lesbian and queer youth assigned male, and lower among those assigned female. Certain LGBTQ+ youth may be systematically missed by these services, (e.g., those assigned female; those assigned male who also identify as bisexual, pansexual, asexual, questioning, or straight (and trans/gender diverse)). Providers should strive to serve populations who are not being reached by HIV prevention services.

KW - Adolescence

KW - HIV prevention

KW - Intersectionality

KW - LGBTQ+

KW - Pre-exposure prophylaxis (PrEP)

UR - http://www.scopus.com/inward/record.url?scp=85179373707&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85179373707&partnerID=8YFLogxK

U2 - 10.1007/s10461-023-04230-w

DO - 10.1007/s10461-023-04230-w

M3 - Article

C2 - 38085427

AN - SCOPUS:85179373707

SN - 1090-7165

VL - 28

SP - 1435

EP - 1446

JO - AIDS and Behavior

JF - AIDS and Behavior

IS - 4

ER -

Are HIV Prevention Services Reaching all LGBTQ+ Youth? An Intersectional Analysis in a National Sample

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

UN SDGs

Publisher link

Other files and links

Fingerprint

Cite this