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.

Simchick, Georgia M; Butts, Stefani A; Johnson, Ariana L; Pizarro Perez, Hector L; Arroyo Reyes, Jorge A; Rivera, Heriberto Cordova; Malave, Ruth Soto; Doblecki-Lewis, Susanne · Am J Public Health · 2026

other · Level V

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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. (<i>Am J Public Health</i>. 2026;116(S1):S32-S35. https://doi.org/10.2105/AJPH.2025.308320).