PDF(Pubmed)
Abstract：
UNASSIGNED: Undetectable = Untransmittable (U = U) means that people with HIV who achieve and maintain an undetectable viral load have effectively zero risk of sexually transmitting the virus to others. However, research on how U = U is perceived by older adults living with HIV (OAH) is currently lacking. This study explored U = U views among OAH. From October 2019 to February 2020, we conducted open-ended interviews with 24 OAH recruited at an HIV clinic in South Carolina. Interviews were audio-recorded and transcribed. We employed thematic analysis in this study. Three themes emerged from the analysis: (a) Conflicting beliefs in U = U; (b) Use condoms regardless; and (c) Fear of HIV reinfection. Despite strong scientific evidence supporting U = U, some OAH do not believe in U = U. This lack of belief could deprive OAH of the benefits U = U offers. Therefore, it is vital to educate OAH about U = U to enhance their understanding and belief in U = U.
摘要：
■无法检测=无法传播（U=U）是指达到并保持无法检测的病毒载量的HIV感染者将病毒性传播给他人的风险实际上为零。然而,目前缺乏关于艾滋病毒感染者（OAH）的老年人如何感知U=U的研究。本研究探讨了OAH中的U=U观点。从2019年10月到2020年2月，我们对南卡罗来纳州一家艾滋病毒诊所招募的24名OAH进行了开放式采访。访谈是录音和转录的。我们在这项研究中采用了主题分析。分析中出现了三个主题：（a）U=U的信念冲突；（b）无论如何使用避孕套；（c）对艾滋病毒再次感染的恐惧。尽管有强有力的科学证据支持U=U，一些OAH不相信U=U。这种缺乏信念可能会剥夺OAHU提供的好处。因此,对OAH进行U=U的教育至关重要，以增强他们对U=U的理解和信念。
