无法检测=无法传播:对意识和接受的跨人群系统审查和元分析
Nikolaos Georgiadis1, Andreas Katsimpris2, Perry N Halkitis3
1Department of Public Health Policy, School of Public Health, University of West Attica, Alexandras Avenue 196, 11521 Athens, Greece.
Pathogens (Basel, Switzerland)
|July 30, 2025
概括
在全球范围内,对不可检测=不可传播 (U=U) 艾滋病毒信息的认识和接受程度各不相同. 需要有针对性的教育,特别是对于较低U=U理解和接受率的人群来说,以减少耻辱感.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 不可检测=不可传播 (U=U) 信息对于艾滋病毒公共卫生传播至关重要.
- 关键人群对U=U的全球意识和接受程度尚不清楚.
- 艾滋病毒污名化仍然是一个重大的全球健康挑战.
研究的目的:
- 评估全球对U=U信息的认识和接受的普遍程度.
- 分析与男性发生性关系的男性 (MSM),艾滋病毒感染者 (PLWH),医疗保健专业人员和普通人群之间的U=U意识和接受程度.
主要方法:
- 来自PubMed,Embase和Google Scholar的研究的系统审查和元分析.
- 包括前性队列研究,随机临床试验和横截面研究.
- 使用随机效应模型分析的数据.
主要成果:
- 在PLWH中,U=U意识高,在MSM和医疗保健专业人员中中度,在一般人群中低.
- 在MSM和普通人群中,完全U=U的接受率较低,在PLWH和医疗保健专业人员中适度.
- 任何U=U接受度在MSM和普通人群中均为中度,在PLWH和医疗保健专业人员中则较高.
结论:
- 在不同的人群中,U=U意识和接受度存在显著差异.
- 有针对性的教育策略对于改善U=U理解至关重要.
- 提高U=U知识可以帮助减少与艾滋病毒有关的耻辱感.
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