2023 Undetectable = Untransmittable global policy roundtable report: a multistakeholder perspective on Undetectable = Untransmittable research and policy priorities.

IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES
Sexual health Pub Date : 2024-05-01 DOI:10.1071/SH24017
N Wells, B Richman, D Grace, B Riley, C Hui, L Vojnov, L Stackpool-Moore, J J Ong, A Dowell-Day, B Allan
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引用次数: 0

Abstract

Background Launched in 2016 by Prevention Access Campaign, the 'Undetectable=Untransmittable' (U=U) campaign empowers people living with HIV to live full social, sexual and reproductive lives, dismantle stigma, promote increased treatment access, and advocate for updated HIV guidelines. Methods Key priorities for promoting improvements to community-centred, evidence-informed U=U policy and research were the focus of a half-day global roundtable held in 2023 alongside the 12th International AIDS Society Conference in Brisbane, Australia. After a series of presentations, experts in U=U research, policymaking, advocacy and HIV clinical care participated in facilitated discussions, and detailed notes were taken on issues related to advancing U=U policy and research. Results Expert participants shared that knowledge and trust in U=U remains uneven, and is largely concentrated among people living with HIV, particularly those connected to gay and bisexual networks. It was agreed that there is a need to ensure all members of priority populations are explicitly included in U=U policies that promote U=U. Participants also identified a need for policymakers, healthcare professionals, advocates and researchers to work closely with community-based organisations to ensure the U=U message is relevant, useful, and utilised in the HIV response. Adopting language, such as 'zero risk', was identified as crucial when describing undetectable viral load as an effective HIV prevention strategy. Conclusion U=U can have significant benefits for the mental and physical wellbeing of people living with HIV. There is an urgent need to address the structural barriers to HIV care and treatment access to ensure the full benefits of U=U are realised.

2023 年 "检测不到 = 无法传播 "全球政策圆桌会议报告:多方利益攸关方对 "检测不到 = 无法传播 "研究和政策优先事项的看法。
背景 "检测不到=无法传播"(U=U)运动由预防艾滋病运动于 2016 年发起,旨在增强艾滋病病毒感染者的能力,使他们能够过上充实的社会生活、性生活和生育生活,消除污名化,促进增加治疗机会,并倡导更新艾滋病指南。方法 2023 年,在澳大利亚布里斯班举行第 12 届国际艾滋病学会大会的同时,还举行了为期半天的全球圆桌会议,会议重点讨论了促进改善以社区为中心、以证据为依据的 U=U 政策和研究的关键优先事项。在一系列发言之后,U=U 研究、政策制定、宣传和艾滋病临床护理方面的专家参与了主持讨论,并就推进 U=U 政策和研究的相关问题做了详细记录。成果 与会专家一致认为,对 U=U 的了解和信任仍然参差不齐,主要集中在艾滋病毒感染者中,尤其是那些与男同性恋和双性恋网络有联系的人。与会者一致认为,有必要确保将所有重点人群明确纳入促进 U=U 的政策中。与会者还指出,政策制定者、医疗保健专业人员、倡导者和研究人员需要与社区组织密切合作,以确保 U=U 信息在艾滋病毒应对工作中具有相关性、实用性并得到利用。在将检测不到病毒载量描述为一种有效的艾滋病预防策略时,采用 "零风险 "等语言被认为是至关重要的。结论 U=U 对艾滋病毒感染者的身心健康大有裨益。目前迫切需要解决艾滋病毒护理和治疗的结构性障碍,以确保实现 U=U 的全部益处。
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来源期刊
Sexual health
Sexual health 医学-传染病学
CiteScore
2.30
自引率
12.50%
发文量
121
审稿时长
6-12 weeks
期刊介绍: Sexual Health publishes original and significant contributions to the fields of sexual health including HIV/AIDS, Sexually transmissible infections, issues of sexuality and relevant areas of reproductive health. This journal is directed towards those working in sexual health as clinicians, public health practitioners, researchers in behavioural, clinical, laboratory, public health or social, sciences. The journal publishes peer reviewed original research, editorials, review articles, topical debates, case reports and critical correspondence. Officially sponsored by: The Australasian Chapter of Sexual Health Medicine of RACP Sexual Health Society of Queensland Sexual Health is the official journal of the International Union against Sexually Transmitted Infections (IUSTI), Asia-Pacific, and the Asia-Oceania Federation of Sexology.
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