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February 28, 20261 citations

Expanding the Test-to-PrEP Strategy: Including People With HIV in Social Network-Based HIV Testing and PrEP Outreach, Miami, Florida, and San Juan, Puerto Rico, June 2024 to February 2025.

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GSGeorgia M SimchickSBStefani ButtsAJAriana Johnson

Key Points

  • This research aims to evaluate the inclusion of people with HIV as key figures in the Test-to-PrEP strategy to enhance outreach efforts.
  • Implemented a social network-based approach for distributing HIV self-test kits and PrEP resources
  • Included people with HIV as distributors to mitigate stigma and improve access
  • Conducted assessments in Miami and San Juan to gauge acceptance and interest
  • People with HIV expressed strong interest in participating despite encountering stigma
  • Stakeholders accepted and found the strategy compatible with existing health initiatives
  • Potential for PWH-led initiative to significantly advance HIV prevention and treatment

Abstract

This study assesses expansion of the "Test-to-PrEP" (T2P) social network strategy to include people with HIV (PWH) as distributors of HIV self-test kits (HIVST) and PrEP/HIV treatment resources, in Miami and a newly introduced site in San Juan. PWH showed strong interest despite perceived barriers such as stigma. Stakeholders found the strategy acceptable and compatible. Findings highlight the potential of PWH-led T2P implementation to advance HIV prevention and treatment, underscoring the need to support scale-up and address barriers. (Am J Public Health. 2026;116(S1):S32-S35. https://doi.org/10.2105/AJPH.2025.308320).

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Cite This Study

Simchick et al. (2026) studied this question.

synapsesocial.com/papers/69a2877b0a974eb0d3c03335https://doi.org/10.2105/ajph.2025.308320
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