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BackgroundSocial media platforms such as Facebook, Instagram, and Twitter, which have millions of users who interact and communicate every day, have been effective in promoting sexual health interventions and in disseminating reproductive health education. They have also been shown to be useful in health promotion and have been used to track several key metrics (eg, comments, posts) among users of all demographics. However, there is a lack of research on the impact and reach of these social media platforms as a community-based tool for disseminating sexual health information and for increasing engagement among Black adolescents and young adults, which is a targeted high-risk population. ObjectiveThe purpose of this study was to determine the social media platforms and banner advertisements that affected engagement among Black male adolescents and young adults in participating in web-based health surveys. MethodsA web-based survey was conducted from March 2019 to July 2019 to assess sexual health and health behaviors in a convenience sample of Black male adolescents and young adults in the age range of 18-24 years (N=170). Social media metrics from Facebook, Instagram, and Twitter were monitored. This cross-sectional survey comprised several categories, including basic personal information, drug-related risk behaviors, health care, sexual reproductive health questions, attitudes, norms, and perceived control, mental health, violence-related risk behaviors, and social media preferences. ResultsSocial media advertisements on the Black Male Opinion survey reached approximately 146,412 individuals. Our primary finding of the web-based survey engagement was that referral (eg, group chat, indirect social media sharing) led to as the greatest proportion of recruitment, with Twitter and YouTube as the preferred sites to receive sexual health information. ConclusionsRecognizing the variety of technologies being used among Black male young adults and adolescents can help the community, researchers, and health care providers understand the web-based engagement of this high-risk population. This information may also promote culturally sensitive, customized marketing on sexual health information for this population.

Objective. Human Papillomavirus (HPV) is the most common sexually transmitted infection and the leading cause of cervical and oropharyngeal cancers. Vaccination can prevent over 90% of HPV-attributed cancers among those aged 9-26. Rural populations are less likely to receive the complete HPV protocol than urban; rates have further declined post-COVID. The aim of this scoping review is to evaluate multilevel (patient/young person, parent/caregiver, physician/team, healthcare organization, community, and policy) influences on HPV vaccine hesitancy in rural communities. Study Design and Analysis. An informationist conducted a systematic search of published empirical studies between 20102021 across 7 databases, resulting in 915 publications. Using pre-specified criteria, the team reviewed 33 full texts. With a standard codebook, two reviewers independently coded the studies; discrepancies were resolved by a third reviewer. A mixed methods analysis was conducted to integrate quantitative and qualitative data. Setting. Rural US communities. Population Studied. Empirical studies of rural HPV vaccination hesitancy. Instrument. Standard codebook. Outcome Measures. By the frequency cited, HPV vaccine prevalence, awareness, knowledge, attitudes/beliefs toward HPV vaccine hesitancy. Results. The modal publication year was 2020 (N=7 studies). Primary care provider recommendation strongly influenced parents' decisions to vaccinate their children. Prescriptive provider communication approaches were less common but more influential than consultative. Multilevel interventions, although rarely applied, were effective in reducing HPV vaccine hesitancy. Adolescents themselves were the most common foci of change. Barriers to rural HPV uptake included; limited vaccine awareness, few primary care sites, the stigma of STI's, and strict religious values. Most studies were observational (85% of studies); interventions included; educational materials or training (75%), media (12.5%), and a free HPV vaccine (12.5%). Conclusions. Tailored interventions to rural parents/caregivers, particularly of marginalized youth (e.g., LGBT+) could increase awareness and knowledge about the vaccine. Provider training increases HPV vaccine recommendations; programs should also be targeted to rural school nurses and dental care providers. Linking primary care practices and public health dissemination strategies on college campuses, secondary schools, and community sites, are key., Presenters Sherri Sheinfeld Gorin, PhD, FSBM, Angela Kuznia, MD, MPH, Meghann Lewis, Cornelius Jamison, MD, MS, MSPH, Rebecca [...]