Black LGBTQ+ Health

Black LGBTQ+ people face the sharpest within-Black health disparities in the United States. Black men who have sex with men carry a lifetime-HIV-diagnosis risk of roughly 1 in 2 without PrEP access, per CDC lifetime-risk estimates, compared with 1 in 11 for Black men overall and 1 in 99 for white men overall. Black trans women have HIV incidence estimated between 10 and 14 times the incidence in Black cisgender women, per Becasen and colleagues, AJPH 2019 (PMID 31339680). The gap is not written into biology. It is written into who gets PrEP, who gets respectful gender-affirming care, and who gets turned away at the clinic door.

This pillar gathers the guides and reporting that matter for Black LGBTQ+ readers navigating care. Each guide names the evidence, cites the primary source, and ends with a specific question to bring to a clinician or a named resource to use. We link the directory filter to Black LGBTQ+-affirming providers where coverage exists, and flag the metros where our directory has gaps.