Hyper-Local, Place-Based Strategies to Increase PrEP Uptake Among Black Sexual Minority Men in Alabama.

We describe a community-academic pilot to strengthen pre-exposure prophylaxis (PrEP) outreach for Black sexual minority men (BSMM) in Birmingham, Alabama, using hyper-local, place-based digital advertising delivered in two micro-settings. Brief formative interviews with BSMM and local consensus discussions with a trusted community partner informed two tailored advertisements. Using platform metrics and routine program data, we assessed feasibility and pre/post changes in HIV testing and PrEP continuum indicators. The campaign achieved strong reach and engagement and coincided with increased testing and modest improvements in PrEP awareness and initiation among Black men, though tailored advertisement performance did not differ by setting.