Websites and Apps used to meet Sex Partners, North Carolina 2013-2018 The proportion of people diagnosed with HIV or Syphilis meeting sex partners online or on apps is increasing Met sex partners online or on apps in the past 12 months, 2013-2018 30% HIV Syphilis 25% 20% 15% 10%

Diagnosed Diagnosed Patients 5% - 0%

2013 2014 2015 2016 2017 2018

Newly Proportion of Interviewed of Interviewed Proportion Year at Diagnosis Top 10 hookup websites & apps used by people diagnosed with either HIV or syphilis, 2018 >130 Grindr Jack'd different websites Adam4Adam & apps to meet Facebook sexual partners Craigslist have been reported Tinder by people newly Scruff Instagram diagnosed with HIV PlentyofFish or syphilis since SnapChat 2013 0% 5% 10% 15% 20% Proportion of Interviewed Patients Proportion of people diagnosed with HIV or syphilis who met partners online or on apps in past 12 month by gender, 2018 8% 8% 47%

Men who report sex Women Men who report sex with men with women only Contact Us: Mailing Address: Communicable Disease Branch Epidemiology Section North Carolina DHHS 1902 Mail Service Center Communicable Disease Branch Raleigh, NC 27699-1902 Phone: (919) 733-3419 Created by the HIV/STD/Hepatitis Surveillance Unit 08/22/2019 Websites and Apps used to meet Sex Partners, North Carolina 2013-2018

Most popular website/apps to meet sex partners varies by gender and gender of sex partners Men reporting sex with men Women Men reporting sex with women 40% 5% 5% 2018 32.5% 2018 2018 4.1% 4% 3.5% 3.3% 4% 23.5% 2.9% 3% 3% 1.9% 20% 2% 10.1% 1.3% 2% 1% 1% 0% 0% 0% Facebook Plenty of Fish Tinder Grindr Jack'd Adam4Adam Plenty of Fish Facebook Tinder

How to use apps for communication

Identify geographic priorities Work with community to and reach users within a identify messages defined area

Design communications to work Identify evaluation goals across platforms ✓ Do you want to count impressions? ✓ Or actions, like entering a zip code to find services?

Additional Resources ➢ Building Healthy Online Communities (https://www.bhocpartners.org/): Provides multiple evidence- based resources for public health professionals to conduct HIV & STD prevention activities online for men who have sex with men. Resources include online ad campaigns, messaging, and recommendations for creating an online public health presence on dating apps & websites. ➢ Centers for Disease Control & Prevention (CDC) Toolkit for Internet Partner Services (https://www.cdc.gov/std/program/ips/default.htm): A general resource for health departments and community based organizations to use mobile phones, the Internet, and social networking sites to find and contact people potentially exposed to HIV & STDs.

State of North Carolina• Roy Cooper, Governor www.ncdhhs.gov • www.publichealth.nc.gov NC DHHS • Mandy Cohen MD, MPH, Secretary NC DHHS is an equal opportunity employer and provider NC DPH• Mark T. Benton, Assistant Secretary for Public Health Created by the HIV/STD/Hepatitis Surveillance Unit HIV/STD/Hepatitis Surveillance Unit • Erika Samoff, MPH, PhD 08/22/2019