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U=U: "不可检测的等于不可传播的"与男性发生性关系的男性的看法现役服役人员:一项跨部门研究

Jessica T Campbell¹, Amanda N Gesselman, M Colten Staten

¹Jessica T. Campbell, PhD, MS, is an Assistant Research Scientist, The Center for Evaluation, Policy, and Research, Indiana University, Bloomington, Indiana, USA. Amanda N. Gesselman, PhD, MS, is a Research Scientist, The Kinsey Institute, Indiana University, Bloomington, Indiana, USA. M. Colten Staten, RN, is a Registered Nurse, Walter Reed National Military Medical Center, Bethesda, Maryland, USA. Gregory Carter, PhD, RN, AACRN, is an Assistant Professor and Assistant Dean of Research, Department of Nursing, Indiana University, Bloomington, Indiana, USA.

The Journal of the Association of Nurses in AIDS Care : JANAC

|August 29, 2024

概括

大多数与男性发生性关系的现役军人理解"无法检测"="无法传播" (U=U),这意味着艾滋病毒治疗可以防止传播. 然而,30%的人缺乏这一关键的HIV知识,这凸显了对更好的教育的需要.

科学领域:

公共卫生公共卫生
传染性疾病传染性疾病
艾滋病毒/艾滋病研究研究

背景情况:

不可检测=不可传播 (U=U) 是关于通过抗逆转录病毒疗法预防艾滋病毒的重要公共卫生信息.
在医疗保健提供者之间,U=U知识的传播有所不同,可能会造成患者知识差距.
美国军方对U=U的理解存在有限的研究,特别是与男性发生性关系的现役男性 (MSM).

研究的目的:

为了确定在美国军队的现役MSM中对U=U信息的准确知识的普遍性.
确定与有关U=U的错误信息相关的人口预测因素.

主要方法:

对222名现役MSM进行了一项横截面的在线研究.
参与者获得了暴露前预防 (PrEP) 的概述.
通过要求参与者将"不可检测等于不可传输"的陈述确定为真或假,评估了对U=U的知识.

主要成果:

大多数参与者 (70%; n = 156) 准确地理解了U=U消息.
大约30%的参与者 (n = 66) 缺乏准确的U=U知识.
后勤回归表明,较低的U=U理解与白人,双性恋者,未婚者以及在海军陆战队/海军服役有关.

结论:

尽管大多数人理解,但美国军队中很大一部分现役MSM缺乏U=U的准确知识.
针对性,标准化的U=U教育对于解决这些知识差距至关重要.
改善U=U的理解可以帮助减少这一群体中与艾滋病相关的耻辱感.

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