LGBTQ+ Peer Advocates' Health Communication Praxis for College Student Health Outreach and Intersectional Needs.

The following essay examines health communication outreach for LGBTQ+ college students through analyzing both the design and exit evaluation of a federally funded United States public health program. SHARE-Pride was a three-year health intervention program that served LGBTQ+ students ages 18-24 at Southern University (SU)-a Hispanic and Minority Serving Institution. Because of structural barriers creating sexual health and drug and alcohol consumption risks, SHARE-Pride (SP) used a peer advocate model for students to develop mentoring relationships with LGBTQ+ peers to increase health knowledge. We first present health literature that informed SP's design and then examine research that shaped our exit study to understand advocates' intersectional identities and experiences as impacting their health communication outreach. We share rich findings from our interviews with 12 students, including communication approaches for LGBTQ+ health, increasing health communication inclusive of the full LGBTQ+ spectrum, and the role of intersectionality in LGBTQ+ health communication. We conclude with health communication praxis for future LGBTQ+ health programs and research.