"A study like this is an urgent call to action for greater collaboration around education to address the health needs of men who have sex with men.

There are 45 well spaced gravel sites suitable for tents, trailers, and RV’s.

Electrical hookups are not available; water is available from the various shared spigots throughout the campground.

"On these online hookup sites, many young MSM are meeting sex partners.

It's really an under recognized and under utilized approach we should be using to reach out to and engage this group." To date, public health officials have struggled to sustain informational campaigns on sites and apps that charge for advertising, either because they have no discounts for non-profits or don't discount enough, Chan said.

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The research team interviewed 70 of the state's 74 newly diagnosed people for the study.

"This is a statewide study that included nearly all individuals newly diagnosed with HIV across an entire state," said Amy Nunn, associate professor of Public Health and Medicine at Brown University and director of the Rhode Island Public Health Institute.

In 2013, 74 Ocean State residents were newly diagnosed with HIV.