# Adolescent health at the intersections of sexual, gender, racial/ethnic, immigrant identities and native language: a supplementary study of HIV/AIDS preventive behaviors

> **NIH NIH R01** · UNIVERSITY OF MINNESOTA · 2021 · $352,440

## Abstract

Project Summary
 Sexual and gender minority (SGM) populations, including adolescents, are at disproportionate risk of
HIV/AIDS infection compared to their straight, cisgender peers. SGM youth, however, are not a homogenous
population; each has multiple social identities that affect how they are viewed in the world and the risk and
protection they experience. Intersectionality refers to ways in which power and privilege are structured based
on interrelated social positions (e.g. due to race/ethnicity, immigrant status, native language) and how
individual experiences reflect processes that confer privilege and disadvantage. Mutually constitutive forms of
social oppression (e.g., stigma simultaneously based on race/ethnicity, gender, and sexual orientation) may
differentially affect the HIV prevention and treatment of SGM people with multiple marginalized social positions.
Living within these intersecting social positions may give rise to unique challenges as well as strengths that
promote healthy development.
 The 2021 National Academies of Sciences, Engineering, and Medicine consensus study report highlights
the need for sexual health research focused on STIs and HIV using an intersectionality framework to inform
prevention and intervention efforts, including for youth with marginalized social positions. Building on literature
revealing HIV disparities adversely and disproportionately affecting youth, SGM and racially/ethnically diverse
communities, the proposed supplement will expand our existing R01 to address the following HIV/AIDS-
specific research questions regarding SGM adolescents (13-19 years old): 1) What are differences in HIV
testing, HIV status, PrEP experience and attitudes, and high-risk sexual behaviors among youth with different
social positions (i.e. racial/ethnic groups, immigrant experiences, and native language)? 2) How do differences
in protective factors and other characteristics explain differences in these outcomes among youth with different
social positions? and 3) What positive and negative experiences are particularly relevant to the overlapping,
simultaneous production of inequalities by SGM identity, race/ethnicity, immigration experiences, and native
language? We will answer these questions through two study aims: First, conduct analysis of the 2022 wave
of the LGBTQ National Teen Survey (expected N~17,000) to investigate disparities in HIV/AIDS-preventive
behaviors, risk, and protective factors among adolescents with intersecting social positions. We will test
multiple hypotheses using novel methods designed for studies grounded in an intersectional framework.
Second, conduct qualitative interviews with 24-32 SGM youth from different social positions to more deeply
understand quantitative findings and generate concrete, valid intervention recommendations. Interviews will
focus on exploring how experiences of stigma affect HIV preventive behaviors and what supports youth
describe as protective against HIV/AIDS risk. ...

## Key facts

- **NIH application ID:** 10450345
- **Project number:** 3R01MD015722-01S1
- **Recipient organization:** UNIVERSITY OF MINNESOTA
- **Principal Investigator:** Marla E. Eisenberg
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $352,440
- **Award type:** 3
- **Project period:** 2021-02-05 → 2024-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10450345

## Citation

> US National Institutes of Health, RePORTER application 10450345, Adolescent health at the intersections of sexual, gender, racial/ethnic, immigrant identities and native language: a supplementary study of HIV/AIDS preventive behaviors (3R01MD015722-01S1). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10450345. Licensed CC0.

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