title: Tweeting about testing: do low-income, parenting adolescents and young adults use new media technologies to communicate about sexual health?
abstract: BACKGROUND
  Little research exists about adolescents' and young adults' use of new media technologies to communicate about sexual health. Understanding how young people at high risk for STDs use these technologies can inform media-based interventions.
  
  
  METHODS
  Between October 2010 and March 2011, a sample of 94 low-income, parenting adolescents and young adults recruited at clinics in Connecticut completed an audio computer-assisted self-interview about their use of media technologies, communication with friends about sexual health and willingness to use media technologies for such communication. Descriptive statistics were calculated; characteristics of those willing and those unwilling to communicate were compared in chi-square, t and Mann-Whitney tests.
  
  
  RESULTS
  Ninety-three percent of participants had mobile phones; 71% used Facebook regularly. Participants discussed sexual health more often with close friends than with casual friends, and preferred to have such conversations in person (71% with close friends and 68% with casual friends), over the phone (52% and 45%) or via text message (30% and 28%), rather than through social networking sites (0-9% and 2-7%). Fewer than one-third reported being willing to share sexual health information with friends through a specific new media technology. Those who were willing were predominantly black (59%); of those who were unwilling, 51% were Latino. Condom self-efficacy, STD knowledge and number of Facebook friends were greater among those who were willing than among those who were unwilling.
  
  
  CONCLUSIONS
  For conversations about sexual health, young urban parents prefer private forms of communication; thus, social networking sites may not aid STD interventions.
authors.affiliation: Peer Health Exchange, San Francisco, CA, USA.
authors.forename: Zai
authors.initials: Z
authors.lastname: Divecha
authors.forename: Anna
authors.initials: A
authors.lastname: Divney
authors.forename: Jeannette
authors.initials: J
authors.lastname: Ickovics
authors.forename: Trace
authors.initials: T
authors.lastname: Kershaw
mesh_terms: D000293:Adolescent; D003237:Connecticut; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents; D011203:Poverty; D036301:Qualitative Research; D060728:Reproductive Health / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000635:transmission; D060145:Text Messaging / Q000706:statistics & numerical data*; D055815:Young Adult