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

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dc.contributor.affiliationKeck School of Medicine, University of Southern California, 1845 N Soto St, Los Angeles, CA, 90032, USA
dc.contributor.emailkelikako@usc.edu (K. A. Konda)
dc.creatorKonda, K. A.
dc.creatorQquellon, J.
dc.creatorTorres, T. S.
dc.creatorVega-Ramirez, E. H.
dc.creatorElorreaga, O.
dc.creatorGuillén-Díaz-Barriga, C.
dc.creatorDiaz-Sosa, D.
dc.creatorHoagland, B.
dc.creatorGuanira, J. V.
dc.creatorBenedetti, M.
dc.creatorPimenta, C.
dc.creatorVermandere, H.
dc.creatorBautista-Arredondo, S.
dc.creatorVeloso, V. G.
dc.creatorGrinsztejn, B.
dc.creatorCaceres, C. F.
dc.date2024
dc.date.accessioned2026-05-29T18:43:29Z
dc.date.issued2024
dc.date.published2024
dc.descriptionThe 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.
dc.formatPDF
dc.identifierJC23DIEP24
dc.identifier.doi10.1007/s10461-024-04336-9
dc.identifier.eissn1573-3254
dc.identifier.issn1090-7165
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.placeEstados Unidos
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/38
dc.identifier.urihttps://doi.org/10.1007/s10461-024-04336-9
dc.language.isoeng
dc.publisherSpringer
dc.relation28(7):2391-2402
dc.relation.jnabreviadoAIDS BEHAV
dc.relation.journalAIDS and Behavior
dc.rightsAcceso Cerrado
dc.subject.kwLatin America
dc.subject.kwU = U
dc.subject.kwSexual and Gender Minorities
dc.subject.kwHIV
dc.titleAwareness of U = U among Sexual and Gender Minorities in Brazil, Mexico, and Peru: Differences According to Self-reported HIV Status
dc.typeArtículo

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