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Open Access 25-04-2024 | Human Immunodeficiency Virus | Original Paper

Awareness of U = U among Sexual and Gender Minorities in Brazil, Mexico, and Peru: Differences According to Self-reported HIV Status

Authors: K. A. Konda, J. Qquellon, T. S. Torres, E. H. Vega-Ramirez, O. Elorreaga, C. Guillén-Díaz-Barriga, D. Diaz-Sosa, B. Hoagland, J. V. Guanira, M. Benedetti, C. Pimenta, H. Vermandere, S. Bautista-Arredondo, V. G. Veloso, B. Grinsztejn, C. F. Caceres

Published in: AIDS and Behavior

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Abstract

The slogan Undetectable equals Untransmittable (U = U) communicates that people living with HIV (PLHIV) who are on antiretroviral therapy (ART) will not transmit HIV to their sexual partners. We describe awareness of U = U among sexual and gender minorities (SGM) living in Brazil, Mexico, and Peru by self-reported HIV status (PLHIV, negative, unknown) during 2021 using an online survey. We estimated two models using Poisson regression for each population group: Model A including socio-demographic factors (country, gender, age, race, education, and income), and then Model B including taking ART (for PLHIV) or risk behavior, ever-taking PrEP, and HIV risk perception (for HIV-negative or of unknown HIV status). A total of 21,590 respondents were included (Brazil: 61%, Mexico: 30%, Peru: 9%). Among HIV-negative (74%) and unknown status (12%), 13% ever used PrEP. Among PLHIV (13%), 93% reported current use of ART. Awareness of U = U was 89% in both Brazil and Mexico, which was higher than in Peru 64%. Awareness of U = U was higher among PLHIV (96%) than HIV-negative (88%) and HIV-unknown (70%). In multivariate models, PLHIV with lower education were less aware of U = U, while those taking ART were more aware. Among HIV-negative, non-cisgender, lower income, and those with lower education had lower awareness of U = U, while individuals ever using PrEP had higher awareness. In conclusion, awareness of U = U varied by HIV status, socio-demographic characteristics, and HIV risk behavior. The concept of U = U should be disseminated through educational strategies and include a focus on SGM to combat HIV stigma.
Literature
10.
go back to reference Sauermilch D, Siegel K, Hoppe T, Roth G, Meunier É. Attitudes toward HIV-Positive Status Disclosure among U = U-Aware sexual and Gender Minority Individuals in the USA: a consensual qualitative Research Approach. Sex Res Soc Policy. 2022;1–13. https://doi.org/10.1007/s13178-022-00710-1. Sauermilch D, Siegel K, Hoppe T, Roth G, Meunier É. Attitudes toward HIV-Positive Status Disclosure among U = U-Aware sexual and Gender Minority Individuals in the USA: a consensual qualitative Research Approach. Sex Res Soc Policy. 2022;1–13. https://​doi.​org/​10.​1007/​s13178-022-00710-1.
23.
go back to reference Avelino-Silva VI, Vasconcelos R, Cerqueira NB, Marcus U, Schmidt AJ, Veras MA. Predictors of knowledge of and access to biomedical prevention among MSM and transgender men in Latin America: results from the latin American internet survey. HIV Med. 2022;23:764–73. https://doi.org/10.1111/hiv.13238.CrossRefPubMed Avelino-Silva VI, Vasconcelos R, Cerqueira NB, Marcus U, Schmidt AJ, Veras MA. Predictors of knowledge of and access to biomedical prevention among MSM and transgender men in Latin America: results from the latin American internet survey. HIV Med. 2022;23:764–73. https://​doi.​org/​10.​1111/​hiv.​13238.CrossRefPubMed
29.
go back to reference Cingolani A, Tavelli A, Calvino GV, Maggiolo F, Girardi E, Cozzi-Lepri A, et al. Awareness and perception of accuracy of the undetectable = untransmittable message (U = U) in Italy: results from a survey among PLWHA, infectious-diseases physicians and people having unprotected sex. AIDS Care. 2023;35:923–33. https://doi.org/10.1080/09540121.2022.2074960.CrossRefPubMed Cingolani A, Tavelli A, Calvino GV, Maggiolo F, Girardi E, Cozzi-Lepri A, et al. Awareness and perception of accuracy of the undetectable = untransmittable message (U = U) in Italy: results from a survey among PLWHA, infectious-diseases physicians and people having unprotected sex. AIDS Care. 2023;35:923–33. https://​doi.​org/​10.​1080/​09540121.​2022.​2074960.CrossRefPubMed
30.
go back to reference Reyes-Diaz M, Schmidt AJ, Veras MA, Stuardo V, Casabona J, Caceres CF. Undetectable = untransmissible (U = U) knowledge and sexual behavior during the most recent sexual encounter with non-steady partners among MSM in the Latin-American MSM Internet Survey (LAMIS). Virtual; 2020. Reyes-Diaz M, Schmidt AJ, Veras MA, Stuardo V, Casabona J, Caceres CF. Undetectable = untransmissible (U = U) knowledge and sexual behavior during the most recent sexual encounter with non-steady partners among MSM in the Latin-American MSM Internet Survey (LAMIS). Virtual; 2020.
33.
go back to reference Agarwal H, Yeatts K, Chung S, Harrison-Quintana J, Torres TS. Perceived accuracy around Undetectable = Untransmitable among sexual and gender minorities using smartphones in India. AIDS Behav. 2023;In Press. Agarwal H, Yeatts K, Chung S, Harrison-Quintana J, Torres TS. Perceived accuracy around Undetectable = Untransmitable among sexual and gender minorities using smartphones in India. AIDS Behav. 2023;In Press.
38.
go back to reference Veloso VG, Cáceres CF, Hoagland B, Moreira RI, Vega-Ramírez H, Konda KA, et al. Same-day initiation of oral pre-exposure prophylaxis among gay, bisexual, and other cisgender men who have sex with men and transgender women in Brazil, Mexico, and Peru (ImPrEP): a prospective, single-arm, open-label, multicentre implementation study. Lancet HIV. 2022;10:e84–96. https://doi.org/10.1016/S2352-3018(22)00331-9.CrossRefPubMedPubMedCentral Veloso VG, Cáceres CF, Hoagland B, Moreira RI, Vega-Ramírez H, Konda KA, et al. Same-day initiation of oral pre-exposure prophylaxis among gay, bisexual, and other cisgender men who have sex with men and transgender women in Brazil, Mexico, and Peru (ImPrEP): a prospective, single-arm, open-label, multicentre implementation study. Lancet HIV. 2022;10:e84–96. https://​doi.​org/​10.​1016/​S2352-3018(22)00331-9.CrossRefPubMedPubMedCentral
Metadata
Title
Awareness of U = U among Sexual and Gender Minorities in Brazil, Mexico, and Peru: Differences According to Self-reported HIV Status
Authors
K. A. Konda
J. Qquellon
T. S. Torres
E. H. Vega-Ramirez
O. Elorreaga
C. Guillén-Díaz-Barriga
D. Diaz-Sosa
B. Hoagland
J. V. Guanira
M. Benedetti
C. Pimenta
H. Vermandere
S. Bautista-Arredondo
V. G. Veloso
B. Grinsztejn
C. F. Caceres
Publication date
25-04-2024
Publisher
Springer US
Published in
AIDS and Behavior
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-024-04336-9
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