Situation of trust in"U=U"and influencing factors among people living with HIV
Objective To assess the level of trust in"U=U"(Undetectable=Untransmittable)among people living with HIV(PLWH)and analyze the factors influencing their trust.Methods From May to September 2022,HIV-positive individuals receiving antiretroviral therapy in the Luzhou region were selected for this study.A questionnaire was utilized to collect data regarding demographics,sexual behavior,HIV-related knowledge,attitudes,behaviors,and trust in"U=U".Logistic regression models were applied to identify factors influencing trust in"U=U"among participants.Results Of the 296 HIV-positive individuals surveyed,37.8％were aware of the criteria for effective viral suppression,and 94.6％believed they could adhere to medication as prescribed.In the past six months,27.0％of the participants had engaged in sexual activity with a steady partner.A total of 115 individuals(38.9％)expressed trust in"U=U".Multivariate logistic regression analysis revealed that participants aged 50 years and above(OR=2.653,95％CI:1.225-5.746)and those who were married(OR=2.373,95％CI:1.185-4.751)exhibited higher levels of trust in"U=U"compared to those under 50 and those who were divorced or widowed.Additionally,participants who had never heard of"U=U"demonstrated significantly lower levels of trust(OR=0.244,95％CI:0.129-0.460)compared to those who were aware of it.Conclusions Trust in"U=U"among HIV-positive individuals in the Luzhou region remains relatively low.It is recommended to prioritize promoting"U=U"awareness,particularly among individuals under 50,those who are divorced or widowed,and those who have not previously heard of"U=U",to increase both knowledge and trust in this concept.
people living with HIV(PLWH)"U=U"trustinfluencing factors
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