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Sex on tap Engaging MSM in the sexual media landscape. Ben Tunstall Head of Health Promotion (Terrence Higgins Trust). Current challenges in HIV prevention (UK). Undiagnosed & late diagnosed HIV, esp among Africans
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Sex on tapEngaging MSM in the sexual media landscape Ben Tunstall Head of Health Promotion (Terrence Higgins Trust)
Current challenges in HIV prevention (UK) • Undiagnosed & late diagnosed HIV, esp among Africans • MSM STI transmission trends; Gonorrhoea (61% 2010 to 2011), LGV, Syphilis, Shigella • Increase in levels of HIV/HCV co-morbidity • Risk behaviours amongst HIV +ve MSM sub groups • Social trends, especially growth in sexual media • Sustained levels of MSM serodiscordant unprotected anal sex • Threats to funding for local HIV prevention work
MSM and HIV in the UK • In 2010, of the recent HIV infections acquired in the UK 1/3 were among gay men under the age of 25, suggesting risk taking is increasing among this group. • Increase in HIV diagnoses among MSM from 2780 (2009), 2880 (2010), 3000 (2011). • Gay men ever taking an HIV test increased from 59% in 2003 to 75% in 2008. • It’s estimated that 1/4 of gay men with HIV in the UK remain undiagnosed.
What we know • Sexual media provides more opportunities for MSM to look for sex but this doesn’t mean MSMs are having more sex partners (analysis of Gay Men’s Sex Survey data suggests that between 2001 and 2008 there was a significant drop in partner numbers among gay men) • In 2012 MSM are spending more time looking for sex in the sexual media landscape than they were in 2002 (memberships have increased across all sexual media sites) • 8000 new men join the Grindr network daily (Grindr 2011) • Opportunities to engage MSM using sexual media has increased
Netreach history • In 2005 the Gay Men’s Sex Survey found that 48.7% of gay male respondents in England had an active (currently in use) internet profile on Gaydar. (All England summary report, Vital Statistics, Gay Men’s Sex Survey 2005, Sigma Research, 2006, p.33) • In response THT developed a online outreach pilot with QSoft Consulting Ltd (Gaydar) in 2005 - Netreach.
Social responsibility ‘We see it as our responsibility to provide accurate sexual health information to our customers’. Gaydar
The original aims of Netreach • To provide a re-active information based service on HIV, STIs and general sexual health issues. • To signpost to relevant agencies / websites. • To provide an opportunity for a counsellor to conduct an online assessment and refer as appropriate.
New platforms In 2010 THT extended it’s Netreach programme to new platforms; • Squirt (2010) • BBRT (2011) • Grindr (2011) • Thingbox (2012)
Netreachcoverage Glasgow Edinburgh Fife South Yorkshire Wirral Liverpool London Coventry Warwickshire Birmingham Solihull Chelmsford Canterbury Maidestone Peterborough Southend on Sea Swansea Cardiff Bournemouth Torquay Brighton Southhampton Eastbourne Hastings
Number of interactions across new platforms(Jan – May 2012 Brighton)
Age range of clients across all platforms(January – May 2012)
Score your sex life – online risk assessment • A first for the UK, this online survey gave men instant feedback on their HIV risk factors - and, if they left an email address, a detailed personalised breakdown of the risk profile over the last year. • 12 weeks into the campaign over 8000 had taken part. • Over 2000 men asked for a detailed breakdown of their risk factors to be emailed to them. • Over 17,000 men have visited the website • 40% recognition (Sigma panel) on a £65k advertising spend
Online outreach guidelines / protocols • US National Guidelines for Internet-based STD/HIV Prevention – March 2008 (National Coalition of STD Directors) • Scottish Netreach Network • Terrence Higgins Trust Netreach Protocols