# Online Peer Support for Youth at Higher Risk of or Living with HIV: A Qualitative Content Analysis **Authors:** Alice M. Ma, Katherine A. Lewis, Mahnoor Wani, Camellia Liu, Sabrina Ghalambor, Rhitishah Yuva Raju, Curtis Wong, Dallas Swendeman, Sue Ellen Abdalian, Elizabeth Arnold, Robert Bolan, Yvonne Bryson, Antwon Chaplin, W. Scott Comulada, Ruth Cortado, Catherine Donahue, Maria Isabel Fernandez, Risa Flynn, Jasmine Fournier, William Gertsch, Kelsey Ishimoto, Sergio Jimenez, Tara Kerin, Jeffrey Klausner, Jody Kussin, Sung-Jae Lee, Marguerita Lightfoot, Norweeta Milburn, Jasmine Mosafer, Aaron Moses, Debra A. Murphy, Karin Nielsen, Manuel A. Ocasio, Diana Polanco, Wilson Ramos, Cathy J. Reback, Panteha Hayati Rezvan, Mary Jane Rotheram-Borus, Wenze Tang, Yara Tapia, Demi Thomas, Stacey Urauchi PMC · DOI: 10.1007/s10461-025-04677-z · 2025-07-07 ## TL;DR This study explores how youth at higher risk of or living with HIV engage in an online peer support program focused on sexual health. ## Contribution The study provides insights into youth participation in digital HIV risk reduction interventions through qualitative analysis of peer support posts. ## Key findings - Youth discussed topics like risk reduction, partner navigation, and consent/harassment in online conversations. - Findings highlight the potential of digital peer support to address sexual health needs among at-risk youth. - Themes such as awareness and advocacy emerged as important aspects of youth engagement. ## Abstract With the rise of technology-based interventions for HIV risk reduction among adolescents, research is needed to assess how youth participate in these strategies. We used qualitative content analysis to examine youth’s posts in an online peer support intervention through the Adolescent Trials Network (ClinicalTrials.gov NCT03134833, registered May 1, 2017) for youth at higher risk of or living with HIV. We analyzed 308 posts across 85 conversations related to sexual health from 144 peer support participants. Conversation topics included risk reduction, partner navigation, sexual activity, awareness/advocacy, and consent/harassment. Results may inform the design, adaptation, and implementation of digital peer support interventions. ## Full-text entities - **Species:** Human immunodeficiency virus 1 (no rank) [taxon 11676] ## Figures 1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12229755/full.md --- Source: https://tomesphere.com/paper/PMC12229755