Abstract Introduction The sexual and reproductive health of the LGBTI+ community in Kosovo faces numerous challenges stemming from stigma, discrimination, and a lack of tailored services. These barriers negatively impact access to healthcare and increase the risk of sexually transmitted infections (STIs) and mental health issues. This study aims to deepen understanding of sexual practices and the use of protective measures within this community. Objective To analyze sexual practices, protective interventions, and the experiences of LGBTI+ individuals regarding sexual health, while identifying the key challenges and opportunities for improving access to healthcare services for this community in Kosovo. Methods The study was conducted during January - Maj 2025 period, through a structured questionnaire, distributed in close collaboration with organizations that provide services to the LGBTI+ community. A total of 99 respondents from across Kosovo participated. Results Findings indicate a diversity in sexual practices and a moderate level of awareness about STIs. However, the use of protective measures such as condoms and preventive methods like PrEP and PEP is limited and inconsistent. Testing for STIs remains low, particularly in rural areas. Participants reported experiences of discrimination and a lack of adapted healthcare services, which negatively influenced both access to and satisfaction with healthcare. Moreover, there was a strong interest in participating in awareness-raising and educational initiatives, which can serve as a foundation for inclusive policies and improved healthcare for the LGBTI+ community. Conclusions This study highlights the urgent need for coordinated efforts in education, inclusive policies, and sensitive services that genuinely address the needs of the LGBTI+ community-paving the way for more equitable and stigma-free healthcare. Disclosure No
Fejza et al. (Mon,) studied this question.