Peer Power in Rural America: Community-Led HIV Prevention Strategies from Appalachia and Beyond

Additional Authors

Richard Kilonzo, Weston Sircy

Abstract

This abstract explores how peer and community-led HIV prevention strategies are transforming access, engagement, and equity in rural America, with a focus on Appalachia. Drawing on findings from a systematic review of 15 peer-reviewed studies (2014–2025), we highlight effective models like peer navigation, social network recruitment, mobile outreach, and community mobilization that have increased HIV testing, PrEP uptake, and care linkage among rural and underserved populations. The session will showcase evidence from programs led by and for marginalized communities such as GBQMSM, TGNB individuals, people who use drugs, and youth in regions historically excluded from mainstream HIV efforts. Participants will learn about practical, replicable interventions that address social and structural barriers through trusted community relationships. We will also share policy implications, focusing on how localized, peer-anchored solutions can be supported through legislation, funding, and advocacy. The workshop will include interactive dialogue, visual data summaries, and a participatory policy-action mapping exercise to prepare participants for AIDSWatch Advocacy Day.

Start Time

15-4-2026 11:00 AM

End Time

15-4-2026 12:00 PM

Room Number

304

Presentation Type

Oral Presentation

Presentation Subtype

Grad/Comp Orals

Presentation Category

Health

Student Type

Graduate

Faculty Mentor

Mickey White

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Apr 15th, 11:00 AM Apr 15th, 12:00 PM

Peer Power in Rural America: Community-Led HIV Prevention Strategies from Appalachia and Beyond

304

This abstract explores how peer and community-led HIV prevention strategies are transforming access, engagement, and equity in rural America, with a focus on Appalachia. Drawing on findings from a systematic review of 15 peer-reviewed studies (2014–2025), we highlight effective models like peer navigation, social network recruitment, mobile outreach, and community mobilization that have increased HIV testing, PrEP uptake, and care linkage among rural and underserved populations. The session will showcase evidence from programs led by and for marginalized communities such as GBQMSM, TGNB individuals, people who use drugs, and youth in regions historically excluded from mainstream HIV efforts. Participants will learn about practical, replicable interventions that address social and structural barriers through trusted community relationships. We will also share policy implications, focusing on how localized, peer-anchored solutions can be supported through legislation, funding, and advocacy. The workshop will include interactive dialogue, visual data summaries, and a participatory policy-action mapping exercise to prepare participants for AIDSWatch Advocacy Day.