Test-to-PrEP: An Egocentric Approach to Promoting HIV Discussions and Resource Sharing in PrEP Clients' Social Networks

Test-to-PrEP, a bundled HIV self-test (HIVST) and PrEP educational kit was distributed to the social networks (SN) of PrEP clients using social network strategies (SNS). PrEP clients (n = 100) distributed kits to their SN members (n = 415). Multilevel analysis assessed the relationship between demographic/network characteristics and likelihood of PrEP discussions. Higher network density (e.g., the level of linkage among network members) and daily contact were associated with having previously talked about PrEP. Networks that were denser (more ties/connections), more frequently in contact, and had a relationship type that assumes greater closeness (proximal relations) resulted in greater likelihood of having had PrEP conversations. This work demonstrates the feasibility of using SNS to increase routine HIV testing and PrEP knowledge. The Test-To-PrEP SNS strategy is a promising tool to increase HIV prevention and care access to all who may benefit.