PrEP was Food and Drug Administration approved as an HIV prevention medication around the start of the trial, so the team moved quickly to add content on PrEP into the booster sessions of the intervention. Also, I liked that the content dealt with real-world situations like meeting at clubs or online." "I had waited two years because I was afraid of the result, so without Keep It Up I would still be in the dark. "It motivated me to get tested," another man wrote about participating in the program. When I saw those characters, I was judging them, but then I realized I was doing the same (risky) thing." One commented, "I didn't really think about my own behavior until I watched the soap opera. Participants said they learned a lot from the games and soap opera. The video emphasizes the importance of regular HIV testing and skills negotiating condom use. It's really important to have everyone take responsibility for those conversations," Mustanski said. "It shows you can't assume it's your partner's job to disclose their HIV status. "We know that the majority of HIV transmissions in young gay/bisexual guys occur in a serious relationship, so it is important for them to have explicit discussions about whether their relationship is open or closed and that both partners get tested for HIV and share their status," Mustanski said.Īnother man in the video assumes his partner is HIV negative while the partner assumes he is positive. In fact, his partner was dating a few people," Mustanski said. "One guy assumes the guy he is dating is monogamous, but he never talked to the guy about it. "The game let them see 'what are things I can do that are pleasurable but wouldn't put me at risk?'" Mustanski said.Ī soap opera tracks a group of young men who make assumptions about their partners. In one of the interactive games, men could look at different sexual behaviors and rate them on a "thermometer of risk." Then the game tells them if they got it right.
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In that episode, men learned the benefits of avoiding substance use in sexual situations and how to reduce their risk when they do use substances (e.g., making sure to bring a condom with them, so they don't need to navigate obtaining and deciding to use a condom while intoxicated). One is about going to a bar and using drugs and alcohol.
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Instead of the typical HIV prevention approach, which provides facts about how HIV is transmitted and how to use a condom, Keep It Up! focuses on the lives of young gay men and weaves HIV prevention information into their typical experiences.Įach of the program's modules targets a particular setting that is relevant to the men such as dating and starting new relationships. Participants who used Keep It Up! had a 40 percent lower incidence of sexually transmitted disease - specifically chlamydia and gonorrhea - compared with the control group at 12 months. Mustanski and colleagues developed the program called Keep it Up! The study included 901 participants primarily from the Atlanta, Chicago and New York City study sites. A biological outcome is often considered more trustworthy," Mustanski said. "People can sometimes forget or may not always tell the truth. Prior studies using eHealth HIV prevention programs used self-reports to determine their effectiveness. The study will be published June 28 in the American Journal of Preventive Medicine. "The CDC estimates that without an intervention half of young black gay men and a quarter of Latino gay men will get HIV at some point in their lives." "The numbers are alarming," Mustanski said. Their rate of new HIV diagnoses is 44 times higher than that of other men.
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but account for almost 70 percent of HIV diagnoses, according to the Centers for Disease Control and Prevention (CDC). These young men represent 2 percent of young people in the U.S.
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The results show the effectiveness of an online program to promote safe sex in this highest risk group. It is targeted to young men ages 18 to 29 who have sex with men, who have the highest rate of HIV infections in the U.S. This is the first online HIV prevention program to show effects on a biological outcome. "That is a huge effect," said lead author Brian Mustanski, director of The Institute for Sexual and Minority Health and Wellbeing at Northwestern University Feinberg School of Medicine.