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CREATED:20260120T184148Z
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SUMMARY:Bridging Mental Health Equity and HIV Prevention for LGBTQ+ College Students: A Systematic Review and Public Health Framework for Appalachia
DESCRIPTION:LGBTQ+ students in U.S. colleges experience disproportionately high rates of mental health disorders and HIV vulnerability—risks exacerbated in rural and Appalachian regions by structural stigma\, provider shortages\, and limited-service access. Despite this convergence\, few interventions integrate mental health and HIV prevention in campus settings. \nThis systematic review (2015–2024) analyzed 27 peer-reviewed studies addressing either or both domains among LGBTQ+ university students. Only 22% of studies integrated mental health and HIV prevention outcomes. These dual-focus programs typically combined trauma-informed counseling\, peer-led support\, and digital PrEP navigation\, yielding reported reductions in depressive symptoms (19–33%) and increased HIV testing or PrEP uptake (17–31%). Interventions using telehealth delivery and self-testing kits showed the highest adoption (≥80%) and maintenance (≥60%) rates. \nFewer than 10% of included studies were based in rural or Appalachian institutions\, highlighting a critical equity gap. To assess translational potential\, the RE-AIM framework was applied to evaluate reach\, effectiveness\, adoption\, implementation\, and maintenance. The MAP-IT model informed planning strategies for institutional scaling and capacity building. Additionally\, the Minority Stress Theory and the Social Ecological Model contextualized stigma and structural exclusion as key barriers. \nFindings support a public health implementation model focused on digital access\, peer engagement\, and stigma reduction. This review contributes to SYNC 2026’s call for integrated innovation by identifying scalable\, equity-driven interventions that can address co-occurring epidemics affecting LGBTQ+ student populations\, particularly in underserved campus communities.
URL:https://syncconference.org/agenda/bridging-mental-health-equity-and-hiv-prevention-for-lgbtq-college-students/
LOCATION:Potomac B
CATEGORIES:Track Session
ATTACH;FMTTYPE=image/jpeg:https://syncconference.org/wp-content/uploads/2026/01/TrackHero-LGBTQHealth.jpg
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