Evidence map›Paper›PMID 39307895›Full record

ArticleAIDS and behavior2024

Low Level of Accurate Knowledge of Undetectable Equals Untransmittable (U = U) Among Men Who Have Sex with Men (MSM) Challenges U = U Achievement in Chengdu, Southwestern China.

Zhengli Shi, Jinghua Li, Hao Lin, Xiaodong Wang, Wangnan Cao, Yuhui Shi

Abstract read
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In one paragraph

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Zhengli ShiSchool of Public Health, Peking University, Beijing, 100191, China.
Jinghua LiSchool of Public Health, Sun Yat-Sen University, Guangzhou, 510000, China.
Hao LinSchool of Public Health, Peking University, Beijing, 100191, China.
Xiaodong WangChengdu Tongle Health Counselling Service Centre, Chengdu, 610021, China.
Wangnan CaoSchool of Public Health, Peking University, Beijing, 100191, China. wangnancao@bjmu.edu.cn.
Yuhui ShiSchool of Public Health, Peking University, Beijing, 100191, China. yuhuishibmu@bjmu.edu.cn.ORCID http://orcid.org/0000-0002-6549-3438

Funding

Peking University Health Science Center Discipline Construction Project Talent Project BMU2022RCZX032
6 · The paper itself

Abstract

The introduction of the undetectable equals untransmittable (U = U) statement significantly reduces HIV stigma and provides an empirical basis for achieving "zero transmission." U = U messaging has gained increasing support and is well-developed in several countries. However, the current status of accurate knowledge of U = U and its associated factors among men who have sex with men (MSM) in China remians unclear. We conducted a cross-sectional survey among MSM recruited in Chengdu, China, from March to May 2022 to investigate the percentage of those who knew U = U accurately and to explore associations between sexual risk behaviors, HIV testing, socio-behavioral measures, and accurate knowledge of U = U. Of 497 MSM included in our study, 23.4% (116/497) had accurate knowledge of U = U. More than half of the participants (63.2%, 314/497) reported multiple sexual partnerships, 15.7% (78/497) used substance during sex, 37.4% (186/497) reported inconsistent condom use, and 76.1% (378/497) took HIV testing in the past six months. Factors associated with accurate knowledge of U = U among MSM included substance use during sex (multivariate odds ratios ORm = 1.96; 95%CI: 1.13-3.41), HIV status tested in the last six months (ORm = 2.07; 95%CI: 1.14-3.77), HIV-related literacy (ORm = 1.41; 95%CI: 1.14-1.74) and perceived higher risk of HIV infection (ORm = 1.11; 95%CI: 1.02-1.21). The findings indicate that great challenges need to be conquered for U = U achievement among the MSM population in Chengdu, China. Intervention strategies should be prioritized in health education on high-risk behaviors such as group sex and substance use, information provision and counseling of U = U in HIV testing services, and encouraging U = U knowledge sharing among MSM with their partners in China.

Indexed as

Health Knowledge, Attitudes, PracticeHIV InfectionsHomosexuality, MaleRisk-TakingSexual PartnersSocial StigmaAdolescentAdultChinaCondomsCross-Sectional StudiesHIV TestingHumansMaleMiddle AgedSexual BehaviorAIDSChinaHIVMen who have sex with men (MSM)Sexual risk behaviorsUndetectable Equals Untransmittable (U = U)

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Registered trials

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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.