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Who knows about U = U? Social positionality and knowledge about the (un)transmissibility of HIV from people with undetectable viral loads

Bibliographic Data

ID19439655
AuthorsKiffer G Card (0000-0001-6545-1249, Community-based Research Centre, Vancouver, BC, Canada, corresponding author), Finn St Denis (Community-based Research Centre, Vancouver, BC, Canada), Rob Higgins (Faculty of Human and Social Development, Social Dimensions of Health, Victoria, BC, Canada), Ben Klassen (0000-0002-8203-724X, Community Based Research Centre), Benjamin Klassen (Community-based Research Centre, Vancouver, BC, Canada), Aidan Ablona (0000-0003-1436-6276, British Columbia Centre for Disease Control, Vancouver, BC, Canada), Leo Rutherford (Faculty of Human and Social Development, Social Dimensions of Health, Victoria, BC, Canada), Jody Jollimore (0000-0002-6005-9720, Community-based Research Centre, Vancouver, BC, Canada), Francisco Ibáñez-Carrasco (0000-0002-3667-6411, University of Toronto), Nathan Lachowsky (0000-0002-6336-8780, Community-based Research Centre, Vancouver, BC, Canada)
Year2022
Volume34
Issue6
Pages753-761
Publication date2022-06-03
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2021.1902928
PMID33739198
OpenAlexW3138379429
LanguageEN
Citations received8
References cited33

"U = U" is the principle that HIV is untransmittable from people living with an undetectable HIV viral-load. Wide-spread knowledge about U = U is believed to produce public health benefit by reducing HIV-related stigma - promoting wellbeing for people living with HIV. Therefore, we examined the diffusion of U = U with respect to the social position of sexual and gender minority men (SGMM). Participants were SGMM recruited from 16 LGBTQ2S+ pride festivals across Canada. Social position was measured using an index assessing whether participants were (a) trans, (b) a person of colour, (c) Indigenous, (d) born abroad, (e) bisexual or straight, (f) not out, (g) struggling with money, (h) not college educated, (i) and not participating in LGBTQ2S+ Organizations, Queer Pop-ups, or HIV advocacy organizations. Multivariable logistic regression tested whether Index Scores were associated with knowledge about U = U. Among 2681 participants, 72.6% knew about U = U. For HIV-negative/unknown status SGMM, each 1-point increase in Social Positionality Index Scores was associated with a 21% reduction in the odds that they knew about U = U (aOR: 0.79 [0.73, 0.85], per 1-point increase). Results indicate that social marginalization harms the diffusion of HIV-related biomedical knowledge, independent of risk-taking behaviour and other factors

Acoustics · Physics · Sociology · Theology · Viral load · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Philosophy · Sex work and related issues · Virology

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Unique citing works8
Citations per year2
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 8

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