Factors associated with perceived accuracy of the Undetectable = Untransmittable slogan among men who have sex with men: Implications for messaging scale-up and implementation.
Factors associated with perceived accuracy of the Undetectable = Untransmittable slogan among men who have sex with men: Implications for messaging scale-up and implementation.
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DOI：
10.1002/jia2.25055
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发表时间：
2018-01
影响因子：
6
通讯作者：
Parsons JT
中科院分区：
文献类型：
--
作者：
Rendina HJ;Parsons JT
最近的研究表明，艾滋病毒治疗在降低性伴侣感染艾滋病毒的风险方面具有很高的功效。随着治疗即预防（TasP）的有效性激增，一个新的信息传递活动，不可检测=不可传播，已经越来越受欢迎。本文的目的是评估在同性恋、双性恋和其他男男性行为者（GBMSM）的大量不同样本中，与这种TasP消息传递策略的感知准确性相关的因素，以便为随后的大规模工作和艾滋病毒预防信息的实施提供信息。我们在美国进行了一项全国性的GBMSM调查，从一个在线社交网站和一个移动的性网络应用程序中招募。我们分析了12,222名GBMSM的数据，分别按艾滋病毒状态分析了与无法检测=无法传播的信息准确性评级相关的社会人口统计学和行为因素，其中包括表示不理解“无法检测”含义的选项。在HIV阴性和未知的男性中，多变量线性回归表明，正在接受暴露前预防（PrEP），确定为同性恋或同性恋（相对于双性恋或异性恋），最近血清不一致的无避孕套肛交（CAS），每六个月或更频繁地检测一次，较少关注性传播感染（STI）感染，和较低的艾滋病毒感染风险是对“无法检测=无法传播”这一说法更准确的评级具有最大独立影响的因素。在艾滋病毒阳性参与者中，与准确性评级相关的因素较少-报告无法检测到的病毒载量、终生获得性免疫缺陷综合症（艾滋病）诊断以及对性传播感染的担忧较低是与将该声明评为更准确最密切相关的因素。当前研究的结果强调了不可检测=不可传输信息的感知准确性的变化，这表明可能受益于有针对性的教育活动的潜在亚组，可能利用性网络应用程序进行广播。许多因素，特别是在HIV阴性和未知的GBMSM中，与将消息评为更准确相关。特别是，接受PrEP和定期检测是与HIV阴性GBMSM的准确率较高最密切相关的两个变量，这表明艾滋病毒预防服务是增加艾滋病毒知识和减少艾滋病毒污名的潜在干预点。
Recent research has shown high efficacy of HIV treatment for reducing the risk of HIV transmission to sexual partners. As the efficacy of treatment as prevention (TasP) has proliferated, a new messaging campaign, Undetectable = Untransmittable, has been gaining popularity. The purpose of this paper was to assess factors associated with the perceived accuracy of this TasP messaging strategy among a large and diverse sample of gay, bisexual, and other men who have sex with men (GBMSM) in order to inform subsequent efforts at large‐scale and implementation of the HIV prevention message. We conducted a nationwide survey of GBMSM in the U.S. recruited from an online social networking site and a mobile sexual networking app. We analysed data from 12,222 GBMSM separately by HIV status to examine sociodemographic and behavioural factors associated with ratings of the accuracy of the Undetectable = Untransmittable message, which included the option to indicate not understanding what “undetectable” meant. Among HIV‐negative and unknown men, multivariable linear regression indicated that being on pre‐exposure prophylaxis (PrEP), identifying as gay or queer (versus bisexual or straight), recent serodiscordant condomless anal sex (CAS), testing every six months or more often, less concern about sexually transmitted infection (STI) infection, and lower perceived risk of HIV infection were the factors with the largest independent effect on rating the Undetectable = Untransmittable statement as more accurate. Fewer factors emerged as associated with accuracy ratings among HIV‐positive participants—reporting an undetectable viral load, a lifetime acquired immune deficiency syndrome (AIDS) diagnosis, and lower concern about STI infection were the factors most strongly associated with rating the statement as more accurate. The findings of the current study highlight variability in the perceived accuracy of the Undetectable = Untransmittable message, suggesting potential subgroups who might benefit from targeted educational campaigns, perhaps broadcast utilizing sexual networking apps. Numerous factors, particularly among HIV‐negative and unknown GBMSM, were associated with rating the message as more accurate. In particular, being on PrEP and testing regularly were two of the variables most strongly associated with higher accuracy ratings among HIV‐negative GBMSM, suggesting HIV prevention services as potential points of intervention for increasing HIV knowledge and decreasing HIV stigma.
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DOI：
10.1097/qai.0000000000001251
发表时间：
2017-03-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Parsons JT;Rendina HJ;Lassiter JM;Whitfield TH;Starks TJ;Grov C
通讯作者：
Grov C
影响因子：
3.7
作者：
Prati G;Zani B;Pietrantoni L;Scudiero D;Perone P;Cosmaro L;Cerioli A;Oldrini M
通讯作者：
Oldrini M
影响因子：
15.8
作者：
Liu A;Cohen S;Follansbee S;Cohan D;Weber S;Sachdev D;Buchbinder S
通讯作者：
Buchbinder S
影响因子：
3.7
作者：
Bavinton, Benjamin R.;Holt, Martin;Prestage, Garrett P.
通讯作者：
Prestage, Garrett P.
影响因子：
4.2
作者：
Newcomb, Michael E.;Mustanski, Brian
通讯作者：
Mustanski, Brian