ArticleAIDS and behavior2024
The Potential Role of Undetectable = Untransmittable (U = U) in Reducing HIV Stigma among Sexual Minority Men in the US.
Article in AIDS and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Digitally Adapting LGBTQ-Affirmative Cognitive Behavioral Therapy for Chinese Men Who Have Sex With Men Living With HIV: User-Centered Design Approach.Journal of medical Internet research · 2026Article
- Varied Knowledge of HIV Transmission and Prevention Among Gay, Bisexual, and Heterosexual Men Who Have Sex with Men in Australia: Results of a National Online Survey.AIDS and behavior · 2026Article
- Joint Associations of Undetectable=Untransmittable Awareness and Social Proximity with Sexual Decision-Making With People Living With HIV: A Cross-Sectional Study in Japan.AIDS and behavior · 2026Article
- U=U Awareness, Belief and Understanding and Well-Being Among People Living with HIV, and Correct Communication Among Healthcare Providers in Thailand: A Survey.AIDS and behavior · 2026Article
- The HIV-treatment-as-prevention adoption cascade among U.S. men and gender-minority individuals who have sex with men.medRxiv : the preprint server for health sciences · 2026Article
- Article
- Suboptimal Patient-Provider Communication About Undetectable = Untransmittable and HIV Transmission Risk in Australia and the US.AIDS and behavior · 2025Article
- Daily Factors Associated with Antiretroviral Therapy Adherence Among Young Latino Sexual Minority Men with HIV: A 28-Day Daily Diary Study.AIDS and behavior · 2025Article
- Discrimination and misconceptions about human immunodeficiency virus among gay and bisexual men.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- The Implications of HIV Biomedical Prevention for Perceived HIV Risk and Psychosexual Health among Sexual Minority Men in the United States.Archives of sexual behavior · 2025Article
- Exploring Stigma and Self-Image: Mixed-Methods Insights from HIV Cure-Related Research Participants Undergoing Analytical Treatment Interruptions.AIDS patient care and STDs · 2025Observational
- Social and sexual networks of newly diagnosed people living with HIV: a qualitative social network analysis.BMC public health · 2025Article
- Article
- Undetectable=Untransmittable Perception and Its Association with Sexual Risk Behaviors and Potential Physical and Psychological Benefits Among People Living with HIV/AIDS in Hunan, China.Patient preference and adherence · 2025Article
- Health Literacy, Knowledge of HIV/AIDS, and Public Stigma Among General Citizens of Japan: An Online Cross-Sectional Survey.Journal of the International Association of Providers of AIDS CareArticle
- The Impact of Socioeconomic Factors on the HIV-Related Stigma of People Living With HIV in Turkey.Inquiry : a journal of medical care organization, provision and financingArticle
- "The First Thing I Must do is Become Undetectable": Examining U=U Awareness and the HIV Care Continuum Among Gay, Bisexual, and Other Men Who Have Sex With Men Living With HIV in Lima, Peru.Journal of the International Association of Providers of AIDS CareArticle
- Lack of Knowledge and Understanding of Undetectable Equals Untransmittable (U = U) Among People Living with HIV in the United States: Results from a Cross-Sectional Survey.Journal of the International Association of Providers of AIDS CareArticle
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
The Undetectable = Untransmittable (U = U) message and its scientific underpinnings have been widely suggested to reduce HIV stigma. However, misunderstanding and skepticism about U = U may prevent this destigmatizing potential from being fully realized. This cross-sectional study examined associations between U = U belief (belief that someone with a sustained undetectable viral load has zero risk of sexually transmitting HIV) and HIV stigma among US sexual minority men. Differences by serostatus and effects of brief informational messaging were also explored. The survey was completed online by 106 men living with HIV and 351 HIV-negative/status-unknown men (2019-2020). Participants were 18-83 years old (M[SD] = 41[13.0]). Most were non-Hispanic White (70.0%) and gay (82.9%). Although nearly all participants (95.6%) were aware of U = U, only 41.1% believed U = U. A greater percentage of participants living with HIV (66.0%) believed U = U compared with HIV-negative/status-unknown participants (33.6%). Among participants living with HIV, U = U belief was not significantly associated with perceived, internalized, or experienced HIV stigma or with viral load prejudice (prejudice against people who have a detectable HIV viral load). Among HIV-negative/status-unknown participants, U = U belief was associated with less frequently enacted HIV discrimination, more positive feelings toward people with an undetectable viral load, and lower personal endorsement of stigmatizing beliefs. Brief informational messaging about U = U did not affect most stigma dimensions and did not favorably affect any. Interventions are needed to correct commonly held, outdated misconceptions about HIV transmission risk. Such initiatives must not only engage people living with HIV but also engage HIV-negative/status-unknown people to maximize the destigmatizing potential of U = U.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.