Sexual/gender identity, Trauma and HIV/AIDS: Intersecting risk for LGBTQ Homeless Youth

Homeless LGBTQ youth are at high risk for STI infections including HIV. Many of these young people are alienated from their natal environments because of their LGBTQ identity and have endured extreme levels of trauma. These individuals are a hard to reach population and consequently have limited access to appropriate services, scant social support and an increasing prevalence of HIV/AIDS. This study aimed to explore this population further, seeking to discern the specific social factors that motivated these individuals to find social service assistance. We examined their HIV risk behaviors, trauma histories and self-reported needs at time of program intake. We conducted a secondary data analysis of intake data collected at a homeless service organization. Data was collected using the Homeless Management Information System database, then exported into SPSS for descriptive statistical analysis. We found high rates of childhood trauma, including 60% (n=140) of participants reporting physical abuse, 52% reporting childhood sexual abuse and 64% experienced domestic violence. Participants were disconnected from their families – 85% stated that family reunification was not an option. Participants reported infrequent condom use and low HIV testing rates. 54% reported never using a latex barrier for oral sex. For anal or vaginal sex, 34% reported inconsistent condom use and 14% reported never using condoms. They sought services primarily for housing and employment assistance, though identified needs included identification, showers, and love. They are a diverse group with numerous unmet needs.