In recent years, the health and well-being of LGBTQIA+ communities have come under increasing threat due to the resurgence of discriminatory policies, heightened political polarization, and the erosion of rights at both state and national levels. These challenges have created barriers to accessing affirming health care, heightened stigma, and placed a strain on existing support systems. In this context, community engagement has emerged as a powerful tool to foster resilience, amplify marginalized voices, and drive equitable public health responses.

This presentation explores strategies for effective LGBTQIA+ health promotion and community engagement amid a shifting sociopolitical landscape. Drawing on recent case studies, grassroots initiatives, and community-led research, we examine the ways in which LGBTQIA+ individuals and organizations are responding to policy rollbacks and social hostility. We highlight inclusive health interventions, mutual aid networks, and coalition-building as mechanisms for advocacy and care.

The session will address:

• The impact of recent legislative actions on LGBTQIA+ health access and mental health.
• Community-driven solutions that center queer and trans voices, particularly those of BIPOC individuals.
• Ethical considerations and best practices in engaging LGBTQIA+ communities in research and service delivery under political duress.
• By centering lived experiences and collective knowledge, this abstract advocates for a public health framework that not only responds to current challenges but also envisions a more just and affirming future for LGBTQIA+ people.