Bridging Mental Health Equity and HIV Prevention for LGBTQ+ College Students: A Systematic Review and Public Health Framework for Appalachia
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.