Low Level of Accurate Knowledge of Undetectable Equals Untransmittable (U = U) Among Men Who Have Sex with Men (MSM) Challenges U = U Achievement in Chengdu, Southwestern China

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH AIDS and Behavior Pub Date : 2024-09-23 DOI:10.1007/s10461-024-04502-z
Zhengli Shi, Jinghua Li, Hao Lin, Xiaodong Wang, Wangnan Cao, Yuhui Shi
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Abstract

The introduction of the undetectable equals untransmittable (U = U) statement significantly reduces HIV stigma and provides an empirical basis for achieving “zero transmission.” U = U messaging has gained increasing support and is well-developed in several countries. However, the current status of accurate knowledge of U = U and its associated factors among men who have sex with men (MSM) in China remians unclear. We conducted a cross-sectional survey among MSM recruited in Chengdu, China, from March to May 2022 to investigate the percentage of those who knew U = U accurately and to explore associations between sexual risk behaviors, HIV testing, socio-behavioral measures, and accurate knowledge of U = U. Of 497 MSM included in our study, 23.4% (116/497) had accurate knowledge of U = U. More than half of the participants (63.2%, 314/497) reported multiple sexual partnerships, 15.7% (78/497) used substance during sex, 37.4% (186/497) reported inconsistent condom use, and 76.1% (378/497) took HIV testing in the past six months. Factors associated with accurate knowledge of U = U among MSM included substance use during sex (multivariate odds ratios ORm = 1.96; 95%CI: 1.13–3.41), HIV status tested in the last six months (ORm = 2.07; 95%CI: 1.14–3.77), HIV-related literacy (ORm = 1.41; 95%CI: 1.14–1.74) and perceived higher risk of HIV infection (ORm = 1.11; 95%CI: 1.02–1.21). The findings indicate that great challenges need to be conquered for U = U achievement among the MSM population in Chengdu, China. Intervention strategies should be prioritized in health education on high-risk behaviors such as group sex and substance use, information provision and counseling of U = U in HIV testing services, and encouraging U = U knowledge sharing among MSM with their partners in China.

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男男性行为者(MSM)对 "检测不到等于无法传播(U = U)"的准确认知水平较低,挑战中国西南部成都的 U = U 成就。
不可检测等于不可传播(U = U)声明的引入大大减少了对艾滋病毒的污名化,并为实现 "零传播 "提供了经验基础。U = U 信息已获得越来越多的支持,并在一些国家得到了很好的发展。然而,中国男男性行为者(MSM)对 U = U 及其相关因素的准确认知现状尚不清楚。我们于2022年3月至5月在中国成都招募的男男性行为者中进行了一项横断面调查,以调查准确了解U = U的比例,并探讨性危险行为、HIV检测、社会行为测量和对U = U的准确了解之间的关联。在我们研究的 497 名男男性行为者中,23.4%(116/497)准确了解 U = U。超过半数的参与者(63.2%,314/497)报告有多次性伴侣关系,15.7%(78/497)在性生活中使用药物,37.4%(186/497)报告不持续使用安全套,76.1%(378/497)在过去六个月中接受了 HIV 检测。与男男性行为者准确了解 U = U 相关的因素包括:性生活中使用药物(多变量赔率 ORm = 1.96;95%CI:1.13-3.41)、过去 6 个月中接受过 HIV 检测(ORm = 2.07;95%CI:1.14-3.77)、HIV 相关知识(ORm = 1.41;95%CI:1.14-1.74)以及认为感染 HIV 的风险较高(ORm = 1.11;95%CI:1.02-1.21)。研究结果表明,要在中国成都的男男性行为人群中实现 "U = U",还需要克服巨大的挑战。干预策略应优先考虑对高危行为(如群交和药物使用)进行健康教育,在艾滋病检测服务中提供有关U = U的信息和咨询,并鼓励中国的男男性行为者与其伴侣分享U = U知识。
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来源期刊
AIDS and Behavior
AIDS and Behavior Multiple-
CiteScore
6.60
自引率
13.60%
发文量
382
期刊介绍: AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews. provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.5 Year Impact Factor: 2.965 (2008) Section ''SOCIAL SCIENCES, BIOMEDICAL'': Rank 5 of 29 Section ''PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH'': Rank 9 of 76
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