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

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

AIDS and behavior, 2024-04 [Periódico revisado por pares]

United States

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  • Título:
    Awareness of U = U among Sexual and Gender Minorities in Brazil, Mexico, and Peru: Differences According to Self-reported HIV Status
  • Autor: Konda, K A ; Qquellon, J ; Torres, T S ; Vega-Ramirez, E H ; Elorreaga, O ; Guillén-Díaz-Barriga, C ; Diaz-Sosa, D ; Hoagland, B ; Guanira, J V ; Benedetti, M ; Pimenta, C ; Vermandere, H ; Bautista-Arredondo, S ; Veloso, V G ; Grinsztejn, B ; Caceres, C F
  • É parte de: AIDS and behavior, 2024-04
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: 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.
  • Editor: United States
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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