  In this position paper, we explore the potential of generative AI (GenAI)
tools in supporting HIV prevention initiatives among LGBTQ+ adolescents. GenAI
offers opportunities to bridge information gaps and enhance healthcare access,
yet it also risks exacerbating existing inequities through biased AI outputs
reflecting heteronormative and cisnormative values. We advocate for the
importance of queer adolescent-centered interventions, contend with the promise
of GenAI tools while addressing concerns of bias, and position participatory
frameworks for empowering queer youth in the design and development of AI
tools. Viewing LGBTQ+ adolescents as designers, we propose a community-engaged
approach to enable a group of queer teens with sexual health education
expertise to design their own GenAI health tools. Through this collaborative
effort, we put forward participatory ways to develop processes minimizing the
potential iatrogenic harms of biased AI models, while harnessing AI benefits
for LGBTQ+ teens. In this workshop, we offer specialized community-engaged
knowledge in designing equitable AI tools to improve LGBTQ+ well-being.
