Evidence map›Paper›PMID 40732719›Full record

SynthesisPathogens (Basel, Switzerland)2025

Undetectable = Untransmittable: A Cross-Population Systematic Review and Meta-Analysis on Awareness and Acceptance.

Nikolaos Georgiadis, Andreas Katsimpris, Perry N Halkitis, Evridiki Kaba, Georgina Tzanakaki, Tonia Vassilakou, Apostolos Beloukas, Theodoros N Sergentanis

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Pathogens (Basel, Switzerland), 2025. 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
  2. Article
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

8 authors.

Nikolaos GeorgiadisDepartment of Public Health Policy, School of Public Health, University of West Attica, Alexandras Avenue 196, 11521 Athens, Greece.
Andreas KatsimprisPrincess Alexandra Eye Pavilion, Edinburgh EH3 9HA, UK.ORCID 0000-0002-5805-105X
Perry N HalkitisDepartment of Biostatistics & Epidemiology and Center for Health Identity, Behavior & Prevention Studies, School of Public Health, Rutgers University, Newark and New Brunswick, Piscataway, NJ 08854, USA.ORCID 0000-0002-1528-4128
Evridiki KabaDepartment of Nursing, Faculty of Health and Care Sciences, University of West Attica, 12243 Athens, Greece.ORCID 0000-0001-8253-6551
Georgina TzanakakiDepartment of Public Health Policy, School of Public Health, University of West Attica, Alexandras Avenue 196, 11521 Athens, Greece.ORCID 0000-0003-1773-2833
Tonia VassilakouDepartment of Public Health Policy, School of Public Health, University of West Attica, Alexandras Avenue 196, 11521 Athens, Greece.ORCID 0000-0002-9993-1897
Apostolos BeloukasDepartment of Biomedical Sciences, University of West Attica, 12243 Athens, Greece.ORCID 0000-0001-5639-0528
Theodoros N SergentanisDepartment of Public Health Policy, School of Public Health, University of West Attica, Alexandras Avenue 196, 11521 Athens, Greece.ORCID 0000-0002-9355-5528

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Undetectable = Untransmittable (U=U) message is a cornerstone of HIV-related public health communication, yet global levels of awareness and acceptance remain unclear across key populations. This study aimed to assess the global prevalence of awareness and acceptance of the U=U message among men who have sex with men (MSM), people living with HIV (PLWH), healthcare professionals, and the general population. A systematic review and meta-analysis was conducted using data from PubMed, Embase, and Google Scholar without language restrictions through 31 October 2023. Eligible studies included prospective cohort studies, randomized clinical trials, and cross-sectional studies reporting numerical data on U=U awareness and acceptance. From 1171 screened records, 43 studies were included. Data were analyzed using a random effects model. The findings showed that U=U awareness was high among PLWH, moderate among MSM and healthcare professionals, and low in the general population. Complete acceptance of U=U was low in MSM and the general population, and moderate in PLWH and healthcare professionals. Any acceptance was moderate among MSM and the general population, and high among PLWH and healthcare professionals. These results highlight the need for targeted education strategies to enhance understanding and reduce HIV-related stigma, particularly in populations with lower awareness and acceptance.

Indexed as

Health Knowledge, Attitudes, PracticeHIV InfectionsAwarenessHealth PersonnelHomosexuality, MaleHumansMaleSocial StigmaHIVinfectious diseasesprevalenceUndetectable = Untransmittable

Identifiers

PMID40732719
PMCPMC12298288

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.