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The objective of this research was to determine the reach of a public health HIVST program, characterize the HIV prevention continuum following self-testing, and identify correlates associated with obtaining post-test care and discussing PrEP. We prospectively recruited individuals who obtained an HIVST through a municipal program in Philadelphia, a metropolitan area with high burden of HIV. We examined factors associated with seeing a provider after self-testing, and among those who saw a provider, factors associated with discussing PrEP. Between October 2022 and March 2024, 282 people met inclusion criteria. Men who have sex with men (MSM) comprised 28% of the study sample, 22% identified as Black cis-gender women, and 22% reported no prior HIV test. At one-month follow-up, 53% of respondents with HIV-negative\/unknown status saw a provider, but less than a quarter of those discussed PrEP. Black individuals were more than twice as likely to see a provider compared with White individuals. Among those who saw a provider, MSM and Latinx\/e individuals were more likely to discuss PrEP, while those assigned female at birth were less likely to discuss PrEP. Implementation of a municipal HIVST program can advance health equity by reaching priority populations, including previously untested persons. Although over half of participants saw a provider after self-testing, very few discussed or initiated PrEP. Interventions to promote linkage to care and PrEP uptake are needed to maximize the impact of HIVST.<\/jats:p>","DOI":"10.1007\/s10461-025-04842-4","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T03:54:19Z","timestamp":1755143659000},"page":"14-23","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["HIV Prevention Continuum Outcomes Following Implementation of a Municipal HIV Self-Testing Program"],"prefix":"10.1007","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0182-5680","authenticated-orcid":false,"given":"Cedric H.","family":"Bien-Gund","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Knashawn","family":"Morales","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javontae","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Hernandez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon","family":"Ptak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"Brady","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Gross","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,8,14]]},"reference":[{"issue":"9","key":"4842_CR1","doi-asserted-by":"publisher","first-page":"844","DOI":"10.1001\/jama.2019.1343","volume":"321","author":"AS Fauci","year":"2019","unstructured":"Fauci AS, Redfield RR, Sigounas G, Weahkee MD, Giroir BP. 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