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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

Bibliographic Data

ID19442811
AuthorsAntonella Cingolani (0000-0002-3793-2755, Università Cattolica del Sacro Cuore, corresponding author), Alessandro Tavelli (0000-0001-5899-451X, Icona Foundation, Milan, Italy), G V Calvino (ANLAIDS Onlus, Rome, Italy), Franco Maggiolo (0000-0002-9791-0072, Ospedale Papa Giovanni XXIII), Enrico Girardi (0000-0001-8182-5896, Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani), Alessandro Cozzi‐Lepri (0000-0002-6339-919X, University College London), A Cozzi-Lepri (Istitute for Global Health UCL, CREME, London, UK), A Perziano (0000-0002-3452-8124, Associazione Arcobaleno AIDS, Torino, Italy), P Meli (Associazione Comunità Emmaus, Bergamo Fast Track City, Italy), A Camposeragna (Coordinamento Nazionale Comunita’ di Accoglienza (CNCA), Roma, Italy), Sandro Mattioli (0000-0002-0392-3156, Associazione Italiana Vulvodinia Onlus), D Calzavara (Arcigay Milano Check Point, Milano, Italy), Roberta Gagliardini (0000-0002-6351-2623, Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani), Silvia Nozza (0000-0002-2673-2731, Vita-Salute San Raffaele University), Andrea Antinori (0000-0003-2121-4684, Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani), Antonella d’Arminio Monforte (0000-0003-0073-1789, University of Milan)
Year2023
Volume35
Issue6
Pages923-933
Publication date2023-06-03
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2022.2074960
PMID35579404
OpenAlexW4280584829
LanguageEN
Citations received3
References cited14

Evidences on the absence of risk of sexual transmission of HIV by persons living with HIV/AIDS (PLWHA) with undetectable plasma HIV-RNA (HIV-RNA <200 copies/ml) led to the worldwide campaign "U = U" (undetectable = untransmittable). The purpose of this study was to evaluate the perceived accuracy of this message among PLWHA, HIV-negative people having unprotected sex (PHUS) and infectious diseases' (ID) physicians in Italy. A nationwide survey has been conducted using three different anonymous questionnaires (for ID physicians, PLWHA and PHUS). A total of 1121 participants filled the questionnaires: 397 PLWHA; 90 physicians; 634 PHUS. Awareness of U = U message has been reported in 74%, 92% and 47% of PLWHA, ID physicians and PHUS, respectively. The perception of accuracy of the U = U message among those aware was reported as high in 80.4%, 79.5% and 67.3% of PLWHA, ID physicians and PHUS, respectively. Physicians perceived that 11% of PLWHA have a high rate of perception of U = U, whereas among PLWHA, only 34% reported definitive positive messages from physicians. Discrepancies between awareness and perception of accuracy of the message U = U in PLWHA and physicians have been found, suggesting still low confidence in the community regarding the message itself

Family medicine · Perception · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology

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    Open Access•Florian Thanasko, Maria Nikoloudi et al.•AIDS Care•2026

  • U=U Awareness, Belief and Understanding and Well-Being Among People Living with HIV, and Correct Communication Among Healthcare Providers in Thailand

    Open Access•Reshmie Ramautarsing, Napon Pungpapong et al.•AIDS and Behavior•2025

  • Awareness of U = U among Sexual and Gender Minorities in Brazil, Mexico, and Peru

    Open Access•Kelika A Konda, Jazmin Qquellon et al.•AIDS and Behavior•2024

  • Sexual Activity Without Condoms and Risk of HIV Transmission in Serodifferent Couples When the HIV-Positive Partner Is Using Suppressive Antiretroviral Therapy

    Alec Rodger, Alison J Rodger et al.•JAMA•2016

  • Decreases in Community Viral Load Are Accompanied by Reductions in New HIV Infections in San Francisco

    Open Access•Moupali Das, Priscilla Lee Chu et al.•PLoS ONE•2010

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    Suzanna Attia, Matthias Egger et al.•AIDS•2009

  • The Opposites Attract Study of viral load, HIV treatment and HIV transmission in serodiscordant homosexual male couples

    Open Access•Benjamin R Bavinton, Fengyi Jin et al.•BMC Public Health•2014

  • Increasing Belief in the Effectiveness of HIV Treatment as Prevention

    Open Access•Martin Holt, Toby Lea et al.•AIDS and Behavior•2016

  • Awareness and Acceptability of Undetectable = Untransmittable Among a U.S. National Sample of HIV-Negative Sexual and Gender Minorities

    Open Access•Pedro B Carneiro, Drew A Westmoreland et al.•AIDS and Behavior•2020

Unique citing works3
Citations per year1,5
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2
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