Now, the Boston Public Health Commission (BPHC) has incorporated these new media outlets into an ambitious campaign to educate teenagers about sexually transmitted infections, diseases such as chlamydia and gonorrhea, that affect one out of four sexually active teenagers in the U.S.
Health and new media experts said the BPHC's viral messaging approach is a step in the right direction but that it needs to be taken to the next level in order to change teenage sexual behavior.
"The underlying principle on this campaign that is different from past campaigns is that if we want to be successful, we need to be youth driven and youth appropriate," said Dr. Barbara Ferrer, executive director of the BPHC, particularly in terms of what venues are most likely to be sought after and seen by adolescents. "They have input into how messages are created that target them. The content is definitely not ours."
The youth-driven campaign, launched yesterday, utilized an interactive Facebook page where users can post anonymous health questions, YouTube video skits about STIs that also run on the cable channels MTV, BET and FX, advertisements on billboards and buses around Boston, and in-person outreach in the form of public skits performed by youth volunteers.
"In terms of today's vehicles, you have to meet teens where they're at," said Tara Cousineau, a psychologist and founder of bodimojo.com, a health site for teens, citing the Internet, Facebook, Twitter and MTV as popular information disseminators. "The part that is still a challenge is how to get the messages to sink in. ... You have to be passing the message along but engaging the kid in the message along the way."
Cousineau said using interactive Web features such as quizzes that could be completed and forwarded to friends was one way to continue spreading a message.
"Anonymity is a great idea," said Lea Guise, 20, from Milton, Mass., referring to the question-and-answer feature on the campaign's Facebook page. "It's embarrassing. ... No one really wants to ask any questions in front of their whole [health] class."
And information that comes from other peers may be valued higher than information that comes from an adult because it seems -- and often is -- more sympathetic, which is one reason the BPHC has involved so many youth leaders in their STI education campaign.
"There's no question that adolescents respect peers in regard to issues that are important to them," said Dr. Mark Goldstein, chief of the Division of Adolescent and Young Adult Medicine at Massachusetts General Hospital. "We've found that [youth] are much more comfortable talking with people their own age about STI issues rather than an adult."
Ferrer pointed out that past sexual health education methods, in which adults imparted factual information to teens in school or at home, have become increasingly unsuccessful.
"[That way] doesn't work as well and we have the statistics that show that," she said.
A 2009 report from the BPHC showed that, among Boston adolescents ages 15-19, the rate of those diagnosed with chlamydia increased 66 percent over eight years to infect 1,383 youths in 2007.