Targeted Communities: Suburban Cook County and Collar Counties
Important Points of Consideration:
Because of the disproportionate impact and inequities in HIV transmission specifically seen among the transgender and Black and Latino men who have sex with men (MSM) communities in Illinois, providers are strongly encouraged to give special consideration to those communities within any of the risk groups identified below to reflect the urgency of their need for services.
HIV positive individuals falling within any of the risk groups identified below should be a top priority within each risk category.
Transgender individuals may be included within any priority population based on personal risk history and current gender identification. Transgender identity does not mean an individual engages in risk behaviors. Gender reassignment surgery should not be assumed, and unless a transgender client opts to disclose an operative status, risk assessment should assess sexual risks inclusive of the possibilities for male and female anatomy. Transgender females are a high priority for HIV prevention services. The positivity rate among transgender women tested by all IDPH and DASA funded project throughout Illinois between 2008 and 2013 was 1.9%, falling between the HIV seropositivity rates for African American MSM (2.8%) and Latino MSM (1.8%).
Persons made vulnerable by circumstances such as incarceration or domestic violence may be prioritized in any risk group when their individual risk and biomedical histories include prioritized risks defined below.
Young adults with any of the risks identified below should be prioritized within each subpopulation category.
1. HIV positive and HIV negative Men Who Have Sex with Men (MSM):
A high-risk MSM is defined as:
Any male (cis- or transgender) aged 12 years or older who has ever had anal sex with a male (cis- or transgender).
The following risk subgroup is also prioritized but solely for Risk Reduction Activities:
A same sex attracted adolescent male (SSAAM) is a potentially high-risk MSM adolescent defined as any male (cis- or transgender), age 13-19 years, who reports ever having had oral sex with a male (cis- or transgender) or who states he is sexually attracted to males (cis- or transgender).
2. HIV positive and HIV negative High Risk Heterosexuals (HRH):
A HRH is defined as a person lacking IDU or MSM risk who meet at least one of the criteria below:
Transgender Females who have ever had vaginal or anal sex with a male (cis- or
Males (cis- or transgender) who have ever had vaginal or anal sex with an HIV-positive female (cis- or transgender)
Females (cis- or transgender) who have ever had vaginal or anal sex with an HIV-positive male (cis- or transgender)
3. HIV positive and HIV negative People who Inject Drugs (PWID):
A high-risk PWID is defined as a person of any gender who:
does not meet the MSM definition, and
discloses ever injecting non-prescribed drugs or drugs not as prescribed
4. HIV positive and HIV negative MSM/WID:
A high risk HIV positive and HIV negative MSM/WID is defined as any male (cis- or transgender) who meets the definitions of both MSM and PWID who discloses:
ever having anal sex with a male (cis- or transgender), and
ever injecting non-prescribed drugs or drugs not as prescribed
5. HIV positive persons with “Other Risk” are prioritized for biomedical interventions intended to link or re engage them into HIV medical treatment and to strengthen their treatment adherence:
Population Definition: HIV positive person with “Other Risk” is defined as a person of any gender who is not known to meet the MSM, HRH, PWID, or MSM/WID definitions, and who:
- Never had anal sex with a male (cis- or transgender) in their lifetime
- Never had vaginal sex with a female (cis- or trans gender) in their lifetime
- Never injected non-prescribed drugs or drugs not as prescribed in their lifetime HIV positive persons disclosing no sexual or injection risk are not prioritized for Behavioral Interventions to reduce sexual or injection risk until such a relevant risk disclosure is made. They are prioritized for biomedical interventions until that time. HIV positive persons with MSM, HRH, PWID, MSM/WID or Other Risk are prioritized for Surveillance-Based Services if the person has been reported as confirmed HIV+ to IDPH Surveillance and meeting one of the following criteria:
• HIV-diagnosed within the past 12 months OR
• No CD4 or VL reported within the past 12 months OR
• An STI Co-infection reported within the past 12 months OR
• Unsuppressed Viral Load above 10,000 copies per milliliter OR
• Member of a fast-growing cluster identified through molecular surveillance
Our goal is to reduce the number of HIV transmissions by:
Promoting/distributing cost efficient preventative care such as free internal & external condoms, lube and dental dams
Providing free HIV testing and counselling
Promoting PrEP, nPEP, and free sterile syringes from other health organizations we are connected with such as Point2Point and Live4Lali
Providing comprehensive sexual health education in physical and virtual platforms
Providing linkage to holistic care
Providing peer support and outreach
Partnering with local establishments and/or online spaces where our audience gathers in order to provide or promote HIV prevention services
Reimagining/implementing programming and event planning within our space and other community spaces while prioritizing COVID-19 precautions
Social media campaigns/outreach through platforms like Twitter, Instagram, Facebook, TikTok, Snapchat
Outreach via queer dating sites such as Grindr, Jack'd, SCRUFF, Adam4Adam and morem4Adam & Growlr
These services are funded in full or in part through the Region 8 HIV Prevention Services: IDPH Regional Implementation Group Grant provided by PHIC and the Illinois Public Health Association’s (IPHA) SFY21 Region 7 HIV prevention grant contract.