Missed opportunity: low awareness of undetectable equals untransmittable (U = U) among adolescents living with HIV

AIDS Res Ther. 2024 Oct 8;21(1):69. doi: 10.1186/s12981-024-00659-8.

Abstract

In 2022, South Africa (SA) had the second-highest HIV incidence rate among adolescents worldwide. This study's participants were boys living in SA aged 15-19 years old, in a current dating or sexual relationship, and diagnosed with HIV before the age of 10. Despite the launch of campaigns to spread awareness of Undetectable equals Untransmittable (U = U), our findings showed that a significant number of adolescents living with HIV do not demonstrate an understanding of the concept. This highlights the importance of integrating U = U messaging in ongoing conversations with healthcare workers given the potential positive impact on adolescent wellbeing, transmission risk perception, and safer sexual practices.

Keywords: Adolescents; Disclosure; HIV; Healthcare workers; Stigma; Transmission; U = U.

MeSH terms

  • Adolescent
  • HIV Infections* / epidemiology
  • HIV Infections* / psychology
  • HIV Infections* / transmission
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Sexual Behavior*
  • South Africa / epidemiology
  • Young Adult