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We collected electronic daily journals and conducted surveys and focus groups with 22 black MSM (age 18-30) at three sites in North Carolina to inform the development of a mobile phone-based intervention. Sixteen out of 22 of participants completed all seven daily e-journal responses and all men completed the pre-focus group survey. The results show that a large majority of the 190 respondents reported actual encounters as well as sex with men who were initially met through chatting. These results suggest that chatters on the Internet may be a new target group for HIV prevention. Finally, for the purpose of HIV prevention research, we propose to expand Brown’s(15) typology to differentiate between behaviors with varying levels of HIV transmission risk. Further study is needed to gain insight into the feasibility of prevention efforts for this target group. It also asserted the company’s place among a small group of marketers such as Apple, Nike and Target that can go by visual symbols alone—and as Apple did when it issued its own credit card later in the year. 11,000 per year (Table 2). Although smartphone ownership was not an inclusion criterion, all participants had smartphones, with 15 out of 22 using Android platforms

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Among these 14 screened men who reported sex with both men and women, 11 attended the focus group, 5 of whom reported using mobile MSM Internet sites to find male sex partners (Adam4Adam, Black Gay Chat, Grindr, Jack’d). According to a national study, being black and gay is a relatively rare combo in the U.S. For young black MSM in this qualitative study, mobile technologies were a widely used, acceptable means for HIV intervention. Phones were integral to participants’ lives and were a primary means of Internet access. Men on chat boxes were asked to complete a brief questionnaire on the Internet. Almost 30% of the respondents who engaged in sex with chat dates reported inconsistent safe sexual behaviour. For an HIV-related app, participants requested user-friendly content about test site locators, sexually transmitted diseases, symptom evaluation, drug and alcohol risk, safe sex, sexuality and relationships, gay-friendly health providers, and connection to other gay/HIV-positive men. Health care professionals and educators, parents and media need to be aware of the existence, nature and real life dynamics of these online relationships among adolescents. Rapid expansion of mobile technologies, including smartphone applications (apps), provides a unique opportunity for outreach and tailored health messaging. Future research is needed to measure patterns and preferences of mobile technology use among broader samples

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