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Publication Profiles

Feasibility and Acceptability of HIV Self-Test Kit Distribution Through PrEP Clients’ Social and Sexual Networks to Increase HIV Testing and PrEP Information

Citation

King K, Balan S, Kanamori M, et al. Feasibility and Acceptability of HIV Self-Test Kit Distribution Through PrEP Clients’ Social and Sexual Networks to Increase HIV Testing and PrEP Information. J Acquir Immune Defic Syndr. 2022;90(S1):S105-S113. doi:10.1097/QAI.0000000000002970

Implementation stage:

Implementation

Implementation outcomes reported:

Feasibility, Acceptability

Continuum target addressed:

HIV testing, Linkage to preventative care

Geography:

Miami-Dade County-FL

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers examined whether people using a mobile PrEP service would accept HIV self-test kits, distribute them to people they knew, and discuss HIV prevention medication with their networks.

Plain Language Abstract

HIV self-tests can reduce barriers related to convenience, privacy, and discomfort with testing sites. Researchers offered up to four self-test kits, along with PrEP information and brief training, to 81 Mobile PrEP clients in Miami-Dade County. Fifty clients (62%) accepted kits. Overall, 44% of offered kits were reported as distributed, and among clients who completed follow-up, 77% distributed at least one. Of the 65 reported network members, 56 (86%) were Latino and nine (14%) were Black. About three-quarters of PrEP clients who answered the relevant question reported discussing PrEP with network members. Participants cited convenience, confidentiality, privacy, and discomfort with testing locations as reasons for using self-tests; COVID-19 affected distribution. The study measured reported distribution and implementation, not whether every recipient tested or entered care. The authors concluded that PrEP clients could extend HIV testing and information through their networks, while work to expand the approach should continue to assess reach and follow-up.

Key Takeaways

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