Black and urban communities continue to experience the brunt of the HIV epidemic due to systemic inequities rooted in racism, generational trauma, and structural neglect. These inequities are compounded by a lack of culturally affirming prevention education, minimal uptake of PrEP, and a widespread absence of HIV-related discussions in traditional school systems. LGBTQ/SGL individuals, especially within Black communities, experience additional layers of marginalization, resulting in disproportionate rates of HIV, mental health challenges, substance misuse, and social isolation.

This session explores how affirmation-based intervention models — grounded in cultural pride, self-preservation, and community affirmation — are essential to ending the HIV endemic. Using a community engagement and harm reduction framework, we discuss the historical roots of disconnection, and how strategic investments in culturally affirming outreach and education are critical. We offer models and approaches that center community affirmation, mental health support, and intergenerational healing as HIV prevention tools.

We argue that without affirming Black lives and identities, especially within LGBTQ/SGL contexts, sustainable prevention efforts will continue to fall short. Empowerment, dignity, and cultural relevance must be centered in the next chapter of the HIV movement.