![]() 13, 14 The content can be personalised for different genders and ethnic groups. Behaviour change techniques (BCTs) used in effective face-to-face interventions can be modified for delivery via text message. 12 Interactive support can be delivered at any time and in any location, ensuring privacy, which is especially important for young people. Mobile phones are able to provide confidential and non-judgemental support, which is essential for a sexual health intervention. ![]() 9– 11 Support via text message is likely to be acceptable to young people and might increase safer sexual health behaviours. Mobile phones provide a broad-reach delivery mechanism for effective, low-cost health behaviour support. 6, 7 Strategies to increase partner notification that can be delivered in primary care settings have been elusive. Existing interventions delivered face to face or in the media are limited in their appeal or effects or are too costly for widespread application. ![]() Safer sex behaviours such as condom use, notifying partner(s) about an existing STI and STI testing reduce the risk of STIs but young people can lack the knowledge, confidence and skills needed to adopt these behaviours. 4, 5 Those with a STI are more likely to acquire human immunodeficiency virus (HIV), if exposed. ![]() 1 Reinfection rates following treatment are high, with reinfection rates of 30% for chlamydia and 12% for gonorrhoea at 1 year. ![]() 1, 3 The highest prevalence of STIs is in those from socioeconomically deprived areas and those with higher numbers of sexual partners. 1, 2 Young people are most likely to report having at least two sexual partners in the last year with whom no condom was used. Younger people bear the heaviest burden of sexually transmitted infections (STIs) such as chlamydia and gonorrhoea, which can cause long-term adverse health effects including ectopic pregnancy and subfertility, especially in those with repeated infections. ![]()
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