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Expanding the Test-to-PrEP Strategy: Including People With HIV in Social Network-Based HIV Testing and PrEP Outreach,
Georgia M Simchick1, Stefani A Butts1, Ariana L Johnson1
1Georgia M. Simchick is with the Department of Medical Education, University of Miami Miller School of Medicine, Miami, FL. Stefani A. Butts is with the Division of Infectious Diseases, University of Miami Miller School of Medicine. Ariana L. Johnson is with the Department of Public Health Sciences, University of Miami Miller School of Medicine. Hector L. Pizarro Perez, Jorge A. Arroyo Reyes, Heriberto Cordova Rivera, and Ruth Soto Malave are with the Puerto Rico Community Network for Clinical Research on AIDS, San Juan.
None:
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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