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In-office HIV prevention interventions, while generally effective [50], are not preferred by many MSM, who are more likely to delay or avoid seeking health services compared to heterosexual men due to perceived provider bias and a relative lack of visibility of competent services for this population [51].

In-office health promotion interventions may not be highly desirable for YMSM in particular given that they rely heavily on the internet for health information and as a primary source of socialization, communication, and learning [44].

Young men who have sex with men (YMSM) represent the group with the highest incidence of new HIV infections in the U. Further, sexual risk behaviors among MSM are driven by experiences of gay-, race-, and HIV-related stigma and discrimination [5, 24–26] and poor mental health [27–34] Thus, effective HIV prevention approaches for YMSM might benefit from simultaneously addressing these determinants of sexual health and co-occurring health outcomes [27, 35], some of which we apply in the current intervention.

Virtual social and sexual networking venues are increasingly important in the lives of many YMSM [45], with social media especially forming a core component of young cohorts’ social and sexual development.You can withdraw consent at any point if you feel uncomfortable.It’s important to clearly communicate to your partner that you are no longer comfortable with this activity and wish to stop.In fact, YMSM report strong willingness to receive health promotion intervention services online [52].They indicate significant openness to engaging in health-related online communication with providers about mental, sexual, and relationship health, in addition to discussing substance use, HIV risk reduction, and developmental influences on both [52].

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