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New Technologies Help MSM Prevent STD Transmission

Another technology is the Keep It Up! 2.0 (KIU! 2.0) online self-service STI prevention app, which is designed to encourage young MSM to reduce their unprotected anal sex activity and decrease SDI transmission. The study has enrolled around 900 young MSM between 18 and 24 years of age in Atlanta, New York, New York, and Chicago, Illinois who have recently tested negative for HIV.
KIU! 2.0, developed by Brian Mustanski, PhD, of Northwestern University in Chicago, contains games and videos that cover hooking up online, negotiating safer sex, condom use, HIV facts and myths, and risks for HIV and other STIs.
Participants answer questions about their sexual orientation and experiences, health knowledge and practices, use of drugs, and emotions. Urine and rectal tests for chlamydia and gonorrhea are mailed to them; they collect their own samples and mail them to a lab for testing.
"Young people's follow-through on long-term tasks can be shaky, but in this cohort, 94% young men returned the specimen kit," Dr. Sullivan, a co-investigator, said in his talk.
KIU! 2.0 is has completed enrollment and is now conducting followup.
The final technology discusses, the PrEP@Home study, with around 60 participants in Boston, Massachusetts, San Francisco, California, St. Louis, Missouri, and Atlanta, enables men who are stably on PrEP to be mailed an at-home testing kit every three months so they can monitor themselves without visiting the doctor if they so choose.
"Once men are established on PrEP, their routine and repeat visits to the doctor for ongoing screening creates a burden for healthcare systems and may deter guys who are on PrEP from staying on it," Dr. Sullivan, the study's principal investigator, said in his talk.
The men use the PrEP@Home app to answer a survey that indicates their risk and they learn the likelihood of qualifying to receive PrEP. They also provide pharyngeal and rectal swabs, urine and blood samples, with help from a video, and they mail the samples to a lab.

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