Perspectives of immigrant and refugee youth in the U.S. On an interactive game for HIV prevention and sexual health

Immigrant and refugee young adults in the United States face complex sexual health challenges shaped by peer norms, gender expectations, and HIV-related stigma. Online educational tools, particularly choose-your-own-adventure games, offer a dynamic and culturally adaptable platform for engaging youth in HIV prevention. This study uses reflexive thematic analysis to examine the perspectives of U.S.-based immigrant and refugee youth (ages 18–25) who interacted with an online game designed to promote sexual health. Through an interpretative approach, the analysis identified key themes, including how peer dynamics shape decision-making, the role of gender norms in navigating sexual health, and the emotional impact of receiving an HIV diagnosis. Participants also highlighted the need for narrative attention to autonomy in disclosure, family and community support, and follow-up practices like STI testing and emotional reflection. While the game was viewed as an effective conversation starter, findings point to the importance of digital interventions that reflect the sociocultural realities of immigrant communities and support youth in making informed, relationally grounded decisions about their health.