News
HIV/AIDS returning to the spotlight?
Following victories on marriage, advocates say decades-old issue will get renewed look
(Washington Blade file photo by Michael Key)
After years of being overshadowed by other issues like marriage equality and “Don’t Ask, Don’t Tell,” an issue that decades ago was at the center of the gay rights movement is once again moving to the forefront.
Following hard-fought victories for marriage rights at the Supreme Court, in states throughout the country and across the globe, the persistence of HIV/AIDS is grabbing new attention as recent news stories have documented progress toward a cure and the disease’s continuing impact on gay youth and people of color.
Sean Strub, founder of POZ magazine, said LGBT leadership is taking a renewed look at the issue in response to community pressure and stubbornly high infection rates among young gay men — particularly men of color — which he said are “skyrocketing and simply impossible to ignore.”
In the past week, two separate articles in the mainstream media were published following World AIDS Day that documented the persistence of the HIV/AIDS epidemic among gay and bisexual men.
One article, which appeared on the front page of the New York Times, reported the disease is “rapidly becoming concentrated” among poor, black and Latino men who have sex with men.
Jonathan Mermin, director of HIV prevention at the Centers for Disease Control, is quoted as saying reaching these men is “the Holy Grail” in confronting HIV/AIDS.
Although his agency has granted millions of dollars to local health departments, Mermin reportedly couldn’t identify any city or state that has succeeded in lowering infection rates among young men of color.
An op-ed published on CNN.com written by Perry Halkitis, associate dean of New York University’s Global Institute of Public Health, raised the question of whether there’s a “gay generation gap” with regard to the perception of HIV. Halkitis points to the growing rate with which young gay men have unprotected sex now that the disease is perceived as chronic, but not fatal.
“The disease may not be front and center — it may not be the primary presenting problem faced by young gay men, as it was for me at age 18 in 1981 — but it is a concern,” Halkitis writes. “However, it’s a concern that must be spoken about and dealt with differently for this ‘new’ AIDS generation.”
According to data from the Centers for Disease Control, gay, bisexual and other men who have sex with men remain the most profoundly affected by HIV.
In 2010, an estimated 29,800 men were infected with HIV after having sex with another man — a 12 percent increase from the 26,700 new infections among this group in 2008. In 2010, men who have sex with men accounted for 63 percent of all new HIV infections nationwide.
At the same time as the disease gets renewed attention from the gay community, Strub said young gay men infected with HIV face new challenges — even though the disease is no longer a death sentence — because of the lack of solidarity with other gay men.
“People with HIV no longer inspire a sympathetic response from the public, especially not the gay public, but are more often seen and defined — particularly by the public health and criminal justice systems — as potential threats,” Strub said. “We’re living longer so we’re around to infect longer, viral vectors, potential infectors, an inherent risk to society.”
Meanwhile, advocates working on HIV/AIDS contend the issue has always belonged to the gay community, but is rising again in prominence for various reasons.
Richard Socarides, a gay New York Democratic activist, was among those predicting HIV/AIDS will “emerge as a major issue for the gay community.”
“Especially now, as a whole new generation of young gay men face issues relating to safe sex head on for the first time,” Socarides said. “But now in a context where ‘silence’ may not equal death but instead, a long-term chronic but treatable disease.”
Mark Mazzone, a spokesperson for the LGBT military group SPART*A, said he thinks HIV will come to forefront for advocates working on LGBT military issues in the wake of “Don’t Ask, Don’t Tell” repeal and the Supreme Court ruling against the Defense of Marriage Act.
“I think this will return as an LGBT military issue simply because of the lack of education given to our service members and the high risk behaviors mostly younger LGB men engage in, which need to be mitigated through a comprehensive training and prevention program,” Mazzone said.
Mazzone said service members become non-deployable once they’re discovered to have HIV; can’t commission as an officer or warrant officer; can’t fly aircraft or work in any jobs requiring a flight physical; are restricted to stateside duty assignments (with the exception of the Navy); and are not eligible for special schools such as Ranger, Special Forces or other special ops jobs.
And the nation’s largest LGBT group says that it continues to make a priority efforts to bring the HIV/AIDS epidemic to an end.
Fred Sainz, vice president of communications for the Human Rights Campaign, said HIV/AIDS has been and continues to be at the forefront for LGBT groups like HRC.
“Until the scourge is gone, fighting HIV/AIDS has, is and will remain a top priority for the LGBT civil rights movement,” Sainz said.
Strub said in recent months he’s seen HRC devote more attention to HIV/AIDS.
“I am heartened by HRC’s outreach to HIV advocates in the last several months and am cautiously optimistic we will see a greater commitment from them in 2014, on HIV issues, than we have seen in recent years,” Strub said.
One HIV/AIDS issue that has particularly risen in prominence is the HIV criminalization laws in some states. Under such laws, an HIV-positive person can face criminal charges for failing to disclose their HIV status before engaging in sex.
LGBT and HIV/AIDS advocates have railed against the laws, saying they send an inaccurate message regarding prevention responsibility, create a disincentive to receiving testing and may discourage disclosure of HIV status. According to Lambda Legal, 39 states have HIV-specific criminal statutes or have brought HIV-related criminal charges, which have resulted in more than 160 prosecutions in the United States in the last four years.
Sen. Chris Coons (D-Del.) introduced on Tuesday legislation in the Senate known as the Repeal Existing Policies that Encourage and Allow Legal (“REPEAL”) HIV Discrimination Act, which would require an interagency review of federal and state laws that criminalize certain actions by people living with HIV.
“A disturbing number of state and local criminal laws pertaining to individuals with HIV/AIDS are rooted not in science, but in outdated fear,” Coons said in a statement. “They run counter to effective public health strategies, discourage HIV testing, and perpetuate unfair stigma and discrimination against people living with HIV/AIDS – people who are our friends, family, and neighbors.”
In May, Rep. Barbara Lee (D-Calif.) introduced the House version of the legislation along with Ileana Ros-Lehtinen (R-Fla.). According to the Library of Congress, the bill has 37 sponsors, although Ros-Lehtinen is the only Republican co-sponsor.
In Iowa, the punishment for being found guilty of violating Code 709C can be imprisonment for up to 25 years and registration as a sex offender.
Donna Red Wing, executive director of the LGBT group One Iowa, said in the wake of securing marriage equality in her state, working with local HIV groups to repeal her state’s HIV criminalization law has become the No. 1 legislative priority for the organization.
“Over the years, I’ve been troubled that as the face of AIDS changes, fewer and fewer LGBT organizations are engaging in this struggle,” Red Wing said. “It seems like the right thing to do, you know? Because in the early days, if it wasn’t for our people, if it wasn’t for the LGBT communities, we would not be where we are today.”
Although the Iowa Legislature is no longer in session, Red Wing said efforts are underway to move forward legislation with lawmaker reconvene in January.
“We already have laws that deal with communicable diseases, and the fact that HIV/AIDS gets this special treatment and these enhanced sentences is so draconian,” Red Wing said. “A communicable disease is a communicable disease is a communicable disease, and there should be nothing special and no enhanced sentences for people living with AIDS/HIV.”
The potential for discovering a cure for the disease has also received significant attention amid new developments from the Obama administration as part of the goal of achieving an “AIDS-free generation.”
Last week, President Obama announced he’s redirecting $100 million over the course of three years at the National Institutes for Health to an initiative with the goal of developing a cure for the disease.
“The United States should be at the forefront of new discoveries in how to put HIV into long-term remission without requiting live-long therapies, or better yet, eliminate it completely,” Obama said.
A NIH official later clarified for the Blade the $100 million will be on top of another $60 million previously directed toward the effort and comes from grants for other initiatives that have expired at the agency.
But the prospects for a cure were dealt a blow last week, following media reports that two men who had hoped they were cured of HIV after bone marrow transplants found they still had the virus.
After the two men underwent life-threatening procedures intended for cancer, they initially were virus-free as of July in four months in one case and two months in another and stopped taking their HIV medication. But doctors announced last week that virus has reemerged in their systems.
Despite the reemergence of the virus in the systems of the two men, doctors said they learned from the procedure that even if you make HIV seemingly disappear, it can hide in the body — possibly held up in the organs and inside the intestines — and reactivate.
Strub said while efforts to eliminate the disease are important, changing the way society looks at HIV/AIDS should also be a priority.
“The advocacy needs are immense, but one of the most important — to which we in the LGBT community can contribute to greatly — is in reducing stigma by supporting and empowering people with HIV and refocusing on the human rights approach, rather than just a biomedical approach, to HIV prevention.”
New York
NYC lawmakers seek to repeal bathhouse ban
Current policy enacted in 1980s in response to AIDS crisis
New York City lawmakers are pushing to repeal a decades-old prohibition on adult bathhouses, arguing the regulation was created during the height of the AIDS crisis and no longer reflects modern science or public health practices.
Erik Bottcher, the openly gay New York state senator who represents the 47th District that includes the Upper West Side, Chelsea, Hell’s Kitchen and portions of the West Village in Manhattan, is leading the charge to remove the decades-old ban. (Openly gay state Assemblymember Tony Simone has sponsored the repeal bill in the New York State Assembly.) Bottcher sat down with the Washington Blade to discuss why he is advocating for more bathhouses in New York City.
“This is simply about ensuring that our public health policy is in line with today’s science,” he told the Blade. “The prohibition on adult bathhouses was put into place in 1985 at the height of the the AIDS epidemic, when there was very little information, very little treatment options, few treatment options, and great deal of fear. Science has changed. Treatment has changed, and the laws need to change too.”
The proposed legislation would direct the New York State Department of Health to repeal the 1985 regulation and establish a new framework for regulating bathhouses.
“Municipalities around the country and all around the world allow for adult bathhouses. There’s no reason why New York City alone needs to maintain this outdated prohibition. Our bill orders the New York State Department of Health to strike the 1985 regulation and replace it with a regulated public health framework that’s grounded in science.”
Under the proposal, bathhouses would operate as licensed and regulated facilities subject to health and safety standards. Backers of the proposal say that framework could also give public health officials greater access to people who may otherwise be difficult to reach through traditional health care settings.
“What the Department of Health would do is work with public health experts and advocates to develop a regulatory framework that allows licensed regulated facilities to operate under clear health and safety standards — and under this — it would allow public health agencies to have greater opportunities to provide STI and HIV prevention resources, connect people to testing and treatment, conduct instructions, and address legitimate health concerns.”
Supporters of the repeal also argue banning bathhouses does not eliminate the sexual activity that takes place in them or elsewhere. Instead, they say, it pushes those activities into the shadows, where public health officials have fewer opportunities to provide life-saving services that include STI and HIV testing.
“This is also about a safer alternative than pushing activity into unregulated settings where there’s little opportunity for public health engagement because these activities are happening, but they’re happening in the shadows,” Bottcher continued. “We know that the best public health policy is to establish clear public safe public health guidelines that allow for public health intervention.”
Demetre Daskalakis, a physician and longtime HIV prevention advocate who has worked to create sexual healthcare opportunities in bathhouses, also worked with Bottcher on the proposal.
Daskalakis was a high level Centers for Disease Control and Prevention employee until 2025, when he left federal health landscape after the Trump-Vance administration ousted then-CDC Director Susan Monarez. There he worked as director of the National Center for Immunization and Respiratory Diseases and was director of the Division of HIV Prevention at the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention.
Daskalakis explained his experience has shown him the potential for these spaces to become points of contact for people who do not regularly access traditional health care.
“I’ve seen what happens when you push sex into the underground,” he said. “From my perspective, this is a great opportunity to be able to reach people who really will not come to normal clinical care and won’t go to normal routine places for testing or screening.”
“As a public health person, I look at it as a great opportunity,” added Daskalakis. “If there’s like regulation of those venues, and if there’s like a prevention plan that sort of sprouts in those places with really solid public health and clinical partners, I think it’s a great opportunity for public health good.”
Daskalakis said a regulated bathhouse could offer more than HIV and STI testing, potentially creating spaces where people could access prevention medications and other health services.
“The bottom line is if there is a good relationship between the government and the venues, we can develop spaces in the venues to actually deliver services,” he said. “It’s not just infectious disease services — I mean yes, you can do HIV testing, STI testing. You can provide doxypep and pre-exposure prophylaxis for people who are HIV negative and at risk for HIV.
“As an example, at Callen-Lorde Community Health Center (in New York City), where I’m the chief medical officer, we developed a prevention pack in a very low threshold way. We gave people enough doxypep and prep to get through Pride. You can also have Narcan and other things to reduce the risk of overdose.”
Daskalakis said that approach reflects what public health should be striving for: meeting the community where they are.
“If you have this sort of relationship with the government that’s not antagonistic, and the government, as New York is one to do, provides some regulatory oversight to these venues, I think what you’re going to have is a place that supports LGBTQ culture — which also which does include sexuality, and also creates a platform to be able to do like very solid prevention work.”
The public health landscape surrounding HIV has changed dramatically since the bathhouse regulation was adopted, Daskalakis said, pointing to advances in treatment and prevention.
“The bottom line is that HIV treatment and prevention have really converged. If you are someone living with HIV and you’re on HIV medicines and your viral load is undetectable, you don’t transmit HIV. That’s called undetectable is equal to untransmittable, or U = U. People who are on prep also have very low risk of acquiring HIV, and so you know the world is very different,” he said.
“Back in the 80s, when there was no way to impact transmission of HIV because we didn’t have effective ways to prevent it — or didn’t know very much about it at that point. It’s a very different world where we know a lot about HIV and have a lot of tools to be able to prevent transmission. Same with STIs,” added Daskalakis. “If you create a holistic strategy for prevention that is sex positive and aligned to these venues, you’re going to prevent HIV and STIs. Period.”
For supporters of the legislation, that public health argument is central to the effort to repeal the ban. Bottcher also sees the proposal as a way to restore LGBTQ community spaces at a time when many queer venues have disappeared and social interaction increasingly takes place online.
“In this era of social isolation created by social media and streaming services, people are desperate for third spaces,” Bottcher said. “Places for people to come together in person, to be together in person. That’s what this would help provide.”
Daskalakis echoed Bottcher’s point that bathhouses could transform from underground, tabooed spaces into venues that combine sexual health services with broader LGBTQ culture.
“When you make them illegal, they become seedy and dark. When you make them something that is allowed, they actually then become sites that may have sex on premises but also support other sorts of cultural things, and in a universe where people are trying to make LGBT folks seem invisible, creating a safe space for them is exactly what we need right now.”
That community-space argument is also tied to health disparities, Bottcher said, arguing that greater access to health education and prevention services could help people who are less likely to seek care through traditional medical settings.
“Creating opportunities for in-person public health education, prevention, treatment that will help improve health outcomes when you push people into less safe settings without any opportunities for education, prevention tools, or treatment. That’s when we see these disparities, these health disparities grow. So it’s very important that we be laser focused on opportunities to address these disparities and reduce them.”
He continued, explaining the proposed change is ultimately about updating public health policy as medical science evolves, just as other practices are updated when new information comes out.
“This is a matter of an outdated public health regulation and the government has a responsibility to continually revisit its public health regulation and ensure that they’re in line with modern day science,” Bottcher said. “Science and healthcare are continually evolving, and the HIV/AIDS prevention and treatment landscape has changed tremendously in the last few years. Our public health regulations need to keep pace with science.”
For LGBTQ New Yorkers who lived through the AIDS crisis, however, changing the policy could carry a different meaning.
Bottcher says the experiences of those who lived through the epidemic — one that killed nearly 300,000 gay men since the 1980s — should inform how any new system is implemented, rather than being dismissed.
“These are in order to help prevent the spread of HIV and AIDS and other STIs,” Bottcher said. “We have to bring people engaging in these activities out of the shadows and into safe settings that provide the opportunity for public health entities to engage with education, treatment, prevention — that’s what this would do.”
Daskalakis said those concerns should be approached through what he described as trauma-informed care.
“My response is that of trauma-informed care,” Daskalakis said. “We have totally been through it, but we need to sort of move past the trauma and realize that the science has changed. I’s not it’s not the ’80s anymore, but we definitely need to look at those folks who have gone through the experience (of the HIV/AIDS crisis) to make sure that what we’re building, from a public health perspective, are effective programs.”
“There’s a great opportunity to learn from folks with experience rather than to alienate them,” he added.
Bottcher also pointed out this policy revision and effort to bring regulations in line with modern science is not only happening in New York. Multiple other cities across the U.S. have moved away from bathhouse prohibitions.
“Minneapolis just passed their ordinance in June,” he said. “San Francisco, despite the fact that they repealed their prohibition some years ago, they are still working to change the policy … However, around the country, even in red states, they have bathhouses … and they haven’t presented a detriment to public health in any way.”
The proposed change could also revive a part of New York’s LGBTQ cultural history, Bottcher said.
“Bathhouses were a big part of gay culture for decades. We all know the legendary stories of Bette Midler and Barry Manilow performing at the Continental Baths. I envision a resurgence of bathhouse culture that includes things like live music, arts, and entertainment. So it’s exciting to think about.”
And if that resurgence happens, Bottcher already has a dream performer in mind to be the first to take the stage.
“Oh, that’s such a good question … Cher.”
Daskalakis picked a similarly essential female singer of gay culture that he’d like to see in the bathhouses of today.
“I feel like my list could be so long, but I think that would be a great place for Madonna.”
The debate over New York’s bathhouse regulation ultimately reflects a broader question about how public health policy should respond as science, medicine, and LGBTQ communities change.
For Bottcher, regulation, rather than prohibition, would give health officials more opportunities to provide prevention and treatment while allowing LGBTQ people to gather openly.
For Daskalakis, the central lesson from his extensive healthcare work in bathhouses is that pushing sexual activity underground will make public health outreach more difficult — the opposite of what the government and healthcare providers should be doing.
“The opportunity to create safe spaces means that we’ll have more opportunities to reach people, not just for public health, but for so many other things … The strategy of banning things that are natural really doesn’t tend to help you very much. It ends up creating misalignment between the community and policymakers.”
U.S. Military/Pentagon
Hegseth uses transphobic slur while campaigning for Iowa congressman
Defense Secretary was speaking in support of Republican Zach Nunn
Defense Secretary Pete Hegseth on Monday used an anti-transgender slur while campaigning for U.S. Rep. Zach Nunn (R-Iowa), drawing attention to the Trump-Vance administration’s ongoing efforts to restrict trans people from serving in the military.
“At the Department of War, we do training, not t***nies,” Hegseth said, according to the Iowa Capital Dispatch, which first reported the remarks.
Hegseth made the comment at JR’s SouthPork Ranch at the Iowa State Fair, where he joined Nunn for a rally. The remark came as Hegseth discussed his priorities for the military and argued that the department’s focus should be on military readiness rather than issues of race or gender.
In the same speech, Hegseth claimed that the military operates without regard to race or gender.
“Training, lethality, accountability, discipline, readiness — the bedrock of what it means to be an American warrior — is the only focus of our department,” Hegseth said. “Colorblind, gender-neutral, merit-based. That’s it.”
Hegseth’s remarks come as the Trump-Vance administration continues its efforts to restrict trans people from serving in the military.
Since President Donald Trump returned to the White House, his administration has moved to remove trans service members from the military while also taking steps to prevent trans people from joining.
Trump signed “Prioritizing Military Excellence and Readiness” in January 2025, which attempts to bars trans individuals from serving or enlisting in the U.S. military, citing “military readiness” as the reason, despite there being no factual basis for the ban. The policy has been challenged by LGBTQ advocates and military service members, who argue there is no evidence that trans service members undermine military readiness.
Earlier this year, Hegseth made headlines again over the administration’s contradictory approach to hormone therapy, as the military moved to restrict gender-affirming hormone treatment for trans service members while encouraging cisgender military members to receive hormone therapy for “low T,” or testosterone.
The administration’s policy has faced a series of legal challenges from trans service members and advocacy groups.
In June, a federal appeals court panel ruled the administration could not discharge the trans service members who brought one of the lawsuits challenging the ban while their case continues, providing a moment of relief amid the administration’s ongoing efforts to restrict trans military service. The Trump-Vance administration has asked the U.S. Supreme Court to review that ruling and, in the meantime, keep it from taking effect.
The Washington Blade reached out to the Pentagon for comment on Hegseth’s use of the slur, but the department did not push back on his choice of words.
“We have nothing further to add beyond the secretary’s remarks,” the statement read.
Illinois
Chicago’s LGBTQ+ youth: Why their zip code still matters
South and West side residents face longer commutes to access affirming services
On Chicago’s West Side, the ballroom scene doubles as a lifeline for LGBTQ+ youth.
Every week, teens are drawn into TaskForce Prevention & Community Services for its popular Vogue School. Once there, they then have access to a variety of resources like housing support, a food pantry, fresh produce, and mental health services.
For many, it’s the only affirming environment in their neighborhood.
“We’re located here in Austin, and there isn’t really any other LGBTQ+ youth program like us on the West Side,” said Reyna Ortiz, program director at the nonprofit. “It’s special because young people don’t have to go Downtown or to the North side to feel like they belong here.”
Ortiz’s perspective underscores a long-standing reality that access to LGBTQ+ youth resources often depends on your zip code.
The city’s largest LGBTQ+ institutions have a prominence on the North Side, which is home to LGBTQ+ enclaves like Northalsted and Andersonville. This can leave queer youth on the South and West sides having to face longer commutes and other barriers when trying to access affirming services.
And when queer youth don’t have these kinds of resources nearby, it can create gaps that shape their health, education and economic futures. But North Side-based institutions—as well as smaller LGBTQ+ orgs on the South and West sides and some citywide organizations—are working to fill these gaps.
Two of Chicago’s largest LGBTQ+ organizations, the Center on Halsted and Howard Brown Health’s Broadway Youth Center, are both situated on the North Side.
At Center on Halsted, 3656 N. Halsted St., youth and family programming spans drop-in spaces, leadership and mentoring opportunities and support groups for LGBTQ+ youth. statewide LGBTQ+ hotline provides additional access for young people beyond its Lakeview base.
CEO Joli Robinson said the Center has been intentional about expanding youth programming beyond the North Side through partnerships with other LGBTQ+ organizations and by introducing programs to its South Side location, the Center on Cottage Grove, 6323 S. Cottage Grove Ave.
“A week or so ago, we started our first drop-in space at the Center on Cottage Grove, which has been a priority for us over the past year and a half that I’ve been with the organization,” Robinson said. “We also partner with organizations like Chicago House and Life is Work, … and work to strengthen relationships with the GSAs in schools and PFLAG organizations that exist on the South and West sides.”
These kinds of collaborations are crucial to reaching LGBTQ+ youth in all neighborhoods of Chicago, Robinson said.
“These are organizations that they may already have a strong relationship with, and by deepening our partnerships with them, we’re leveraging the expertise of people who are in these neighborhoods to make sure we’re working in collaboration,” Robinson said.
The Broadway Youth Center, 1023 W. Irving Park Road, serves LGBTQ+ youth ages 12 to 24, particularly those experiencing homelessness or housing instability. It provides integrated medical and mental health care, sexual and reproductive health services, case management and mental wellness support.
The Broadway Youth Center’s drop-in space also offers meals, clothing, showers and other essentials, while cultural programming like art and dance provides additional affirming outets.
Both organizations state their programs are open to youth citywide and emphasize outreach through hotlines, housing services and broader support networks.
Still, their physical bases on the North Side mean that young people in other parts of the city often face barriers to access them.
“And we don’t want transportation to be a barrier for individuals,” Robinson said. “We don’t want location to be a barrier for individuals to participate in some of our programming, so it really is incumbent upon us to be very strategic and think creatively about how we engage the full city.”
TaskForce is among the organizations working to fill these gaps.
Based in Austin on the West Side, the nonprofit offers youth services that are culturally specific, including housing support, food access, and sexual health testing.
Equally as important is TaskForce’s Vogue School, which uses voguing and ballroom culture to strengthen community and encourage self expression.
“Ballroom is important because it’s the one place where they can showcase their talents, where they can showcase who they are without any type of restrictions, without any type of judgment,” Ortiz said. “Ballroom and vogue are how our kids see themselves celebrated. It’s culture, it’s community, and it’s also leadership development.”
Ortiz said TaskForce also provides a steady presence in a neighborhood where resources are limited.
“We are consistent, we are here, we are present and we are open,” Ortiz said.
TaskForce is also home to PrEP 4 Teens, a citywide program focused on HIV prevention and sexual health among youth. While it’s open to teens across Chicago, staff said they are especially focused on reaching those on the South and West Sides who often face the steepest barriers to access.
“We’re looking to collaborate more with agencies, both in the south and west side of Chicago,” said program lead David Gauna. “We know those are the young people who need us most.”
That focus reflects the larger imbalance in the city.
“It’s about equitable access,” said Jim Pickett, one of the program’s organizers. “And so there’s a real lack of equity throughout Chicago, and we could certainly have a much more equitable distribution of opportunities.”
PrEP4Teens was shaped by youth themselves, Gauna added.
“Young people created this,” Gauna said. “They decided the colors, the imagery, the language. They said, ‘We don’t want this to be medical. We want this to be something fun. We want this to be engaging.’”
That youth-driven design is what makes it resonate, said Skai Underwood, who also runs PrEP4Teens.
“We try to meet youth where they are, and culture is part of that,” Underwood said.
Schools can also play a part in filling these gaps on the South and West sides.
“I think that there’s a great opportunity for schools to be like the glue that brings everything together,” said Julio Flores, program director for the Alliance, which promotes school safety for LGBTQ+ youth through advocacy, education, youth programming and research.
For some students, he said, school-based GSAs are the only affirming space they have.
“A GSA can be the only affirming space a young person has,” Flores said.
And those spaces can change a student’s trajectory, he added.
“When young people can lead a GSA, they’re not just building community, they’re building the skills they’ll use in college, in jobs and in life,” Flores said.
The gaps in geography don’t just shape whether young queer people can find community. They also shape whether they’re set up to succeed.
At TaskForce, Ortiz said success often begins with visibility. Young people who first came in for the Vogue School or drop-in services have gone on to train as medical assistants and phlebotomists.
“Some of our youth that frequent the Vogue School start to volunteer. Then we hire and train them, and now they’re building careers,” Ortiz said.
For youth involved with PrEP 4 Teens, growth is just as tangible.
Gauna said teens were engaged in a program that empowered them to build the look, feel and voice of a PrEP awareness campaign. By the end of the cohort, youth who had once been too shy to speak were leading workshops, presenting artwork and giving speeches.
“They started off super shy… and by the end they were showcasing what this program had done for them — not just to take charge of their sexual health, but to feel a lot more confident in themselves,” Gauna said.
Pickett tied those individual transformations back to the bigger picture.
“So many queer young people of color don’t necessarily have many safe spaces throughout the day in their lives,” he said. “Providing these opportunities to engage with other young people and develop their skills and have fun and be fully who they are is so empowering. It sets them up for success.”
Robinson of Center on Halsted said the link between geography and opportunity often comes down to whether young people have their most immediate needs met close to home. Without food, shelter or a safe place to connect, long-term success could remain out of reach.
“For people to really have the safety and security they need to think about economic development or to be provided with a stronger footing and foundation to focus on maybe college or career, they need to have some of their most basic needs met,” Robinson said.
This article was originally published by the Windy City Times and is part of a national initiative exploring how geography, policy, and local conditions influence access to opportunity. Find more stories at economicopportunitylab.com/
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