One of the ASCEND grants will fund a study entitled “Intersectional Analysis of Sexual Risk Behaviors among LGBTQ Students: HBCUs vs PWIs and Implications for STIs/HIV Intervention.” The research is a collaboration between Kershaw and Dr. Zahra Fazli Khalaf, PhD, assistant professor of psychology at North Carolina Agricultural and Technical State University, a public, historically Black, land grant research university.
Kershaw said that the study is being undertaken in response to the U.S. Centers for Disease Control and Prevention (CDC) reporting that sexual risk behaviors have escalated among the emerging adult age group. This rise has contributed to over half of the new sexually transmitted illnesses and nearly 20% of new HIV cases.
“This situation disproportionately affects minorities and marginalized populations, with Black/African American and Hispanic/Latinx communities facing the highest risk,” he said. “Notably, 80% of HIV-positive cases in this age group fall within the 20-24 age range, and 81% of these cases were young gay and bisexual men, with projections showing the highest risks (50%) among Black men who have sex with men (MSM). Given that around 40% of individuals aged 18-24 are university students, STIs/HIV remain significant health concerns in these settings.”
Kershaw also said that risk factors may vary between PWIs and HBCUs due to differences in campus climate, student demographics, and social and environmental influences. “This proposal aims to develop and test innovative methods that accurately capture the complexity of the social and environmental context. We propose to address critical gaps in the existing literature,” he said.
Fazli Khalaf was made aware of the grant by a colleague early this year and contacted Kershaw, as she saw that YSPH’s SBS program aligned with her research interests in health disparities and equity.
“My focus stems from a deep concern for the health disparities that disproportionately affect marginalized communities,” she said. “This research is vital because it seeks to uncover the nuanced factors – social, environmental, and institutional – that contribute to these disparities. By understanding these complexities, we can develop more effective, targeted interventions to reduce risks and improve health outcomes for LGBTQ students, ultimately contributing to greater health equity.”
The Yale ASCEND grant, Fazli Khalaf, said, is crucial for advancing her research.
“Specifically, it enables us to explore and address the unique challenges faced by students at HBCUs, who may experience different social and structural pressures compared to their peers at PWIs,” she said. “For HBCUs, this grant represents a significant opportunity to contribute to the broader discourse on health equity by highlighting the experiences and needs of their student populations.”
“The findings from this research,” she added, “could inform campus policies and health programs, not only enhancing the well-being of students, but also positioning HBCUs as leaders in addressing public health issues within marginalized communities. This grant, therefore, has the potential to make a meaningful impact both academically and within the communities served by HBCUs.”