Pub Date : 2024-02-02DOI: 10.1097/jnc.0000000000000451
P. N. O. Addo, Monique J Brown, C. Nkwonta, Amandeep Kaur, Titilayo A James, Shan Qiao
Undetectable = Untransmittable (U = U) means that people with HIV who achieve and maintain an undetectable viral load have effectively zero risk of sexually transmitting the virus to others. However, research on how U = U is perceived by older adults living with HIV (OAH) is currently lacking. This study explored U = U views among OAH. From October 2019 to February 2020, we conducted open-ended interviews with 24 OAH recruited at an HIV clinic in South Carolina. Interviews were audio-recorded and transcribed. We employed thematic analysis in this study. Three themes emerged from the analysis: (a) Conflicting beliefs in U = U; (b) Use condoms regardless; and (c) Fear of HIV reinfection. Despite strong scientific evidence supporting U = U, some OAH do not believe in U = U. This lack of belief could deprive OAH of the benefits U = U offers. Therefore, it is vital to educate OAH about U = U to enhance their understanding and belief in U = U.
检测不到 = 无法传播（U = U）是指达到并维持检测不到病毒载量的艾滋病病毒感染者通过性途径将病毒传播给他人的风险实际上为零。然而，目前还缺乏关于感染艾滋病毒的老年人（OAH）如何看待 U = U 的研究。本研究探讨了感染艾滋病病毒的老年人对 U = U 的看法。2019 年 10 月至 2020 年 2 月，我们在南卡罗来纳州的一家艾滋病诊所对招募的 24 名 OAH 进行了开放式访谈。我们对访谈进行了录音和转录。本研究采用了主题分析法。分析中出现了三个主题：(a) U = U 的信念冲突；(b) 无论如何都使用安全套；(c) 害怕再次感染 HIV。尽管有强有力的科学证据支持 U = U，但一些 OAH 并不相信 U = U。因此，对 OAH 进行有关 U = U 的教育至关重要，以增强他们对 U = U 的理解和信念。
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