Prevalence of U = U Awareness and Its Association with Anticipated HIV Stigma Among Low-Income Heterosexually Active Black and Latino Adults in New York City, 2019.
Prevalence of U = U Awareness and Its Association with Anticipated HIV Stigma Among Low-Income Heterosexually Active Black and Latino Adults in New York City, 2019.
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DOI：
10.1089/apc.2021.0070
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发表时间：
2021-09
影响因子：
4.9
通讯作者：
Braunstein SL
中科院分区：
文献类型：
--
作者：
Rivera AV;Carrillo SA;Braunstein SL
事实上，艾滋病毒携带者（PWH）如果病毒载量检测不到，就不会通过性行为传播艾滋病毒，这一点在“检测不到=不可传播”（U=U）的信息下得到了传播。U=U消息传递旨在通过证明PWH可以拥有健康的性生活来消除艾滋病毒的污名。在低收入的异性恋活跃的黑人和拉丁美洲成年人的样本中，我们的目的是1）测量U=U意识的流行率，2）确定其与预期的艾滋病毒耻辱的关联。在纽约市，通过应答者驱动抽样招募了低收入异性恋活跃的成年人。在黑人和拉丁裔参与者中，自我报告没有艾滋病毒，多元线性回归被用来确定U=U意识与以下类型的预期艾滋病毒污名之间的关联，如主成分分析所确定的：1）一般; 2）约会相关;和3）性别相关。在485名参与者中，35%的人知道U=U。那些知道的人报告了较少的约会相关（调整后的B：-0.20; 95% CI：-0.37，-0.03）和性别相关（调整后的B：-0.15; 95% CI：-0.29，-0.002）预期艾滋病毒耻辱。虽然U=U意识的流行率远低于其他人群（例如，性别和性少数群体（PWH），在我们的样本中，流行率是中等的，因为认识工作通常不集中在异性恋活跃的成年人。我们的研究结果提供了初步证据，表明U=U意识可能会对与约会和性有关的预期艾滋病毒污名产生影响。应探讨其他方法，以传播U=U信息，并消除艾滋病毒在这一人群中的耻辱。
The fact that people with HIV (PWH) who have an undetectable viral load cannot sexually transmit HIV has been disseminated under the messaging “Undetectable = Untransmittable” (U=U). U=U messaging intends to destigmatize HIV by demonstrating that PWH can have healthy sexual lives. Among a sample of low-income heterosexually active Black and Latino adults, we aimed to 1) measure the prevalence of U=U awareness, and 2) determine its association with anticipated HIV stigma. Low-income heterosexually active adults were recruited via respondent-driven sampling in New York City. Among Black and Latino participants who self-reported not having HIV, multiple linear regression was used to determine the association between U=U awareness with the following types of anticipated HIV stigma, as determined by principal component analyses: 1) general; 2) dating-related; and 3) sex-related. Of 485 participants, 35% were aware of U=U. Those who were aware reported less dating-related (adjusted B: −0.20; 95% CI: −0.37,−0.03) and sex-related (adjusted B: −0.15; 95% CI: −0.29, −0.002) anticipated HIV stigma. Although the prevalence of U=U awareness was much lower than reported in other populations (e.g., gender and sexual minorities, PWH), prevalence was moderate in our sample, given that awareness efforts have generally not focused on heterosexually active adults. Our findings provide preliminary evidence that U=U awareness may have an impact on anticipated HIV stigma related to dating and sex. Additional methods to disseminate U=U messaging and to dismantle HIV stigma in this population should be explored.
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DOI：
10.1056/nejmoa1600693
发表时间：
2016-09-01
期刊：
The New England journal of medicine
影响因子：
--
作者：
Cohen MS;Chen YQ;McCauley M;Gamble T;Hosseinipour MC;Kumarasamy N;Hakim JG;Kumwenda J;Grinsztejn B;Pilotto JH;Godbole SV;Chariyalertsak S;Santos BR;Mayer KH;Hoffman IF;Eshleman SH;Piwowar-Manning E;Cottle L;Zhang XC;Makhema J;Mills LA;Panchia R;Faesen S;Eron J;Gallant J;Havlir D;Swindells S;Elharrar V;Burns D;Taha TE;Nielsen-Saines K;Celentano DD;Essex M;Hudelson SE;Redd AD;Fleming TR;HPTN 052 Study Team
通讯作者：
HPTN 052 Study Team
影响因子：
4.9
作者：
Golub, Sarit A.;Gamarel, Kristi E.
通讯作者：
Gamarel, Kristi E.
影响因子：
3.1
作者：
Maragh-Bass, Allysha C.;Gamble, Theresa;Tolley, Elizabeth E.
通讯作者：
Tolley, Elizabeth E.
影响因子：
4.4
作者：
Carneiro PB;Westmoreland DA;Patel VV;Grov C
通讯作者：
Grov C
影响因子：
1.7
作者：
Bond KT;Frye V;Taylor R;Williams K;Bonner S;Lucy D;Cupid M;Weiss L;Koblin BA;Straight Talk Study Team
通讯作者：
Straight Talk Study Team