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Partner-oriented services and Health Information and Communication technology HICT in the forms of mHealth eg, smartphone applicationseHealth eg, interactive websitestelemedicine, and social media play an important and growing role in HIV prevention.

Overall, partner-oriented services were limited and only 1 couples-based service was currently being offered.

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Technology, namely social media, was used by 14 organizations, primarily to increase HIV awareness and advertise events. These findings may inform how best to adapt and better leverage the use of innovative technological tools to help expand access to HIV testing and counseling, sexual health education, and case management services for gay male couples and other MSM populations in the state. Since the HIV epidemic began over three decades ago, a of approaches have been developed to help prevent the acquisition and transmission of HIV across a wide variety of at-risk groups, including MSM.

These prevention services can broadly be categorized as either primary or secondary prevention.

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Non-occupational PEP is a day course of 3 antiretroviral medications that should be taken within 72 hours after a potential exposure to HIV. Efficacy trials have demonstrated that use of PrEP can greatly reduce the risk of sexual acquisition of HIV infection. These services include partner notification services, management of ART, case management, HIV counseling, and support groups.

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HIV counseling for PLWHA can include discussion of sensitive issues, such as lack of social support, isolation, low self-esteem, and trauma associated with diagnosis. In case management, a case manager connects PLWHA with community resources for medical and dental care, health insurance programs, financial resources, food stamps, housing, and other support services. A burgeoning body of evidence has identified relationship partners as important influencers in promoting positive health behaviors and influencing health behavior change, including reducing HIV risk and onward transmission among MSM.

A term, eHealth, coined to bridge the gap between technology and health care, provides health care that is accessible, entertaining, and made available in a variety of different environments, from homes to clinics. Also, mHealth can also be used in a variety of ways for HIV prevention.

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We then assessed which of the prevention services are currently available for gay male couples, including whether services for the influence that sex and romantic partners may have on an individual's prevention behaviors. Next, we assessed which of the prevention services use HICT, and in what specific ways. Four of the five team members collected data for one specific county; the fifth member collected data about the HDOH.

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The data collection phase for this study occurred between September and November For each organization within a specific county, data collected were categorized by type of prevention service s primary, secondary provided, population s targeted eg, MSM, gay male couplesand what types of technology and social media were used. Once data were collected and organized into a table format, the lead and senior authors fact checked the data collected by visiting each organization's website and calling the organization.

Overall, nineteen organizations in the state provide primary prevention services Table 1.

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The majority are available to the general population. However, some services appear to be targeted for at-risk MSM, PWID persons who inject drugsheterosexual women, and transgender individuals based on either the type of services provided eg, syringe exchange program or the content provided on the organization's website. These organizations also offer additional services including HIV education, safe sex education, condom distribution, and STI testing.

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According to one organization, these services are offered to help prevent onward transmission of HIV and to help partners get earlier access to individualized counseling, HIV testing, medical treatment, and other prevention activities. Many organizations use social media to increase awareness of services they offer and to promote events in their communities. Specifically, 15 organizations in the state use social media, with Facebook being the most popular platform used, followed by Twitter, Instagram, and mobile dating apps.

Lastly, one organization uses public service announcements on the radio to raise awareness about HIV prevention and their community events. One organization uses a text system to provide clients with appointment reminders, while the other organization uses a text system for test result notifications.

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Based on the information provided by the organizations' websites, no services were being offered via eHealth or telemedicine. There are several examples in which prevention services could be adapted to better serve this particular population in the state.

research has found that social support received from sex and romantic partners helps with secondary HIV prevention efforts, namely ART initiation and adherence, 4142 and thus helps to reduce transmission within the relationship.

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Thus, these individuals could also benefit from accessing prevention services via mHealth, eHealth, or telemedicine. Although several examples of HIV prevention and sexual health programs that use eHealth are currently in development in the U. These programs may soon become available to a variety of MSM populations throughout the U. The premise of the toolkit is to provide gay male couples with informational modules about sexual health and HIV prevention strategies eg, testing, PrEPand help them form and adhere to a sexual agreement that meets the needs of both men of the couple.

Sexual agreements are the explicit conversations that couples have that lead them to creating a mutual decision about which sexual and other relational behaviors are allowed to occur within their relationship and if applicable, with outside sex partners.

Findings from this study indicate that gay male couples who received the toolkit were more likely to form and adhere to their sexual agreement and were also more likely to not engage in condomless anal sex with casual sex partners, thereby reducing their risk for HIV compared to couples in the control arm. Another on-going eHealth project is called the myDex Project: A six session 10 minute per session sexual health education program that provides interactive storytelling, case scenarios, information about HIV risk reduction strategies, graphics and videos for young MSM YMSM.

These two examples provide ideas of how eHealth could help expand current primary prevention services in the areas of sexual health and HIV education with current in-person HIV prevention efforts. Some prevention services are limited, such as partner-notification, and may benefit from expansion. These changes could help expand prevention services to reach additional at-risk individuals throughout the state, especially to those who are located in more rural areas.

However, ASOs and CBOs must first consider their ability and capacity to make such changes in the Gay sex Hawaii craigslist they provide. While the use of technology for HIV prevention may help reduce geographical or logistical barriers to healthcare 50 and alleviate privacy concerns for Hawai. National Center for Biotechnology InformationU. Hawaii J Med Public Health.

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Author information Copyright and information Disclaimer. Abstract Partner-oriented services and Health Information and Communication technology HICT in the forms of mHealth eg, smartphone applicationseHealth eg, interactive websitestelemedicine, and social media play an important and growing role in HIV prevention.

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Keywords: HIV prevention, men who have sex with men, gay male couples, technology, eHealth, mHealth, telehealth. Open in a separate window. References 1.

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Hawaii State Department of Health, author. Centers for Disease Control and Prevention, author. Antiretroviral postexposure prophylaxis after sexual, injection drug use, or other nonoccupational exposure to HIV in the United States: Recommendations from the U.

Department of Health and Human Services.

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Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Engl J Med. Antiretroviral preexposure prophylaxis for heterosexual HIV transmission in Botswana. Antiretroviral prophylaxis for HIV prevention in heterosexual men and women.

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Effectiveness and safety of tenofovir gel, an antiretroviral microbicide, for the prevention of HIV infection in women. Celum C, Baeten JM. Tenofovir-based pre-exposure prophylaxis for HIV prevention: Evolving evidence.

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Curr Opin Infect Dis. Food and Drug Administration, author. Truvada for PrEP fact sheet: Ensuring safe and proper use.

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Partner Services, author. Support: People who care. Malama Pono Health Services.

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The Impact of support groups for People living with HIV on clinical outcomes: a systematic review of the literature. J Acquir Immune Defic Syndr. Reczek C. The promotion of unhealthy habits in gay, lesbian, and straight intimate partners.

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Soc Sci Med. Incorporating couples-based approaches into HIV prevention for gay and bisexual men: opportunities and challenges. Arch Sex Behav.

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Safety and acceptability of couples HIV testing and counseling for US men who have sex with men: a randomized prevention study. Mitchell JW. Gay male couples' attitudes toward using couples-based voluntary HIV counseling and testing.

Attitudes towards couples HIV testing and counseling among Latino men who have sex with men in the Seattle area. AIDS Care. PLoS One. Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities.

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Health information and communication technology in healthcare communication: the good, the bad, and the transformative. Patient Educ Couns. Akter S, Ray P. Eysenbach G. What is e-health?

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