{"id":1469,"date":"2020-11-24T18:05:31","date_gmt":"2020-11-24T18:05:31","guid":{"rendered":"https:\/\/blogs.bmj.com\/sti\/?p=1469"},"modified":"2020-11-25T09:52:22","modified_gmt":"2020-11-25T09:52:22","slug":"british-medical-journal-commemorate-world-aids-day","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/sti\/2020\/11\/24\/british-medical-journal-commemorate-world-aids-day\/","title":{"rendered":"STI highlights U=U for World AIDS Day!"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/sti\/files\/2020\/11\/sti.png\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1470 aligncenter\" src=\"https:\/\/blogs.bmj.com\/sti\/files\/2020\/11\/sti-300x169.png\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/blogs.bmj.com\/sti\/files\/2020\/11\/sti-300x169.png 300w, https:\/\/blogs.bmj.com\/sti\/files\/2020\/11\/sti-1024x576.png 1024w, https:\/\/blogs.bmj.com\/sti\/files\/2020\/11\/sti-768x432.png 768w, https:\/\/blogs.bmj.com\/sti\/files\/2020\/11\/sti-640x360.png 640w, https:\/\/blogs.bmj.com\/sti\/files\/2020\/11\/sti.png 1440w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>We bring you a 3-part series of <a href=\"https:\/\/soundcloud.com\/bmjpodcasts\/sets\/sti\">podcasts<\/a> dedicated to the World AIDS Day 2020 where we address the topic of U=U \u2013 an undetectable viral load equals untransmittable infection. We ask the question: Does the way we choose to inform people with HIV about U=U improve their quality life? What other research is needed about how we communicate the U=U message?<\/p>\n<p>The <a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2533066\">PARTNER-1<\/a> and <a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(19)30418-0\/fulltext\">PARTNER-2<\/a> studies provided some of the key evidence that people with HIV who receive effective antiretroviral therapy and have a suppressed viral load do not transmit the virus even if they choose to engage in condomless sexual intercourse. But has this ground-breaking discovery effectively reached people living with HIV around the globe? How do they find out about the U=U message? Does this information improve their wellbeing? Is there an opportunity for health care providers to be more effective when they communicate research outcome to their patients?<\/p>\n<p>A recent multi-centre study by Chinyere Okoli and co-authors titled <a href=\"https:\/\/sti.bmj.com\/content\/early\/2020\/09\/16\/sextrans-2020-054551\"><em>Undetectable equal untransmittable (U=U): awareness and associations with health outcomes among people living with HIV in 25 countries<\/em><\/a> examines these relevant questions.<\/p>\n<p>We use the podcast series to delve into the greater meaning of U=U with Fabiola Martin, Chinyere Okoli, Brent Allan, and Paul Volberding, going beyond the mere concept of suppressing viral load with antiretroviral therapy. Join us!<\/p>\n<p><a href=\"https:\/\/soundcloud.com\/bmjpodcasts\/sti-podcast-u-u-message-ep1-of-3-chinyere-okoli?in=bmjpodcasts\/sets\/sti\"><strong>Episode 1:<\/strong><\/a> \u201cAn introduction to <em>Undetectable equal untransmittable (U=U): awareness and associations with health outcomes among people living with HIV in 25 countries\u201d <\/em><\/p>\n<p>Interview with Chinyere Okoli<\/p>\n<p><strong>Highlights:<\/strong><\/p>\n<ul>\n<li>A new target needs to follow the UNAIDS 90-90-90 diagnosis-treatment-suppression targets: 90% of people living with HIV who have an undetectable viral load should enjoy a good quality of health and life.<\/li>\n<li>Discussing U=U with a healthcare provider is beneficial: the discussion brings about a significant association between HIV virological suppression and optimal mental, physical and sexual health.<\/li>\n<li>How we talk about U=U matters: there is a need for further research into how the conversations around U=U are conducted, especially with young people .<\/li>\n<\/ul>\n<p><strong>Episode 2: <\/strong>\u201c<em>Living Positive<\/em>\u201d<\/p>\n<p>Interview with Brent Allan<\/p>\n<p><strong>Highlights:<\/strong><\/p>\n<ul>\n<li>U=U has the power to change negative perspectives on HIV infection and empowers people living with HIV to become \u201c\u2026ambassadors for health safety and security\u201d.<\/li>\n<li>HIV status discordant couples report to be less afraid of intimacy with their partners; knowing of the U=U message decreases stress and increases quality of life.<\/li>\n<li>All people with HIV need to have access to the U=U message, including women and heterosexual couples, and those who would like to become pregnant.<\/li>\n<\/ul>\n<p><strong>Episode 3: <\/strong>\u201cFuture research\u201d<\/p>\n<p>Interview with Paul Volberding<\/p>\n<p>Highlights:<\/p>\n<ul>\n<li>The study by Okoli et al. provides us with a global perspective on how U=U is communicated with with HIV.<\/li>\n<li>The U=U message may not be getting through to some populations including heterosexual couples and certain regions of the world<\/li>\n<li>There is a need for a clear and global consensus on how an undetectable viral load is determined.<\/li>\n<\/ul>\n<p><strong>Remember to subscribe to STI podcasts on <\/strong><a href=\"https:\/\/podcasts.apple.com\/gb\/podcast\/sti-podcast\/id356342980\"><strong>Apple podcasts<\/strong><\/a><strong>, <\/strong><a href=\"https:\/\/podcasts.google.com\/feed\/aHR0cDovL2ZlZWRzLmJtai5jb20vc3RpL3BvZGNhc3Rz\"><strong>Google podcasts<\/strong><\/a><strong>, <\/strong><a href=\"https:\/\/www.stitcher.com\/show\/sexually-transmitted-infections-podcast\"><strong>Stitcher<\/strong><\/a><strong>, and <\/strong><a href=\"https:\/\/open.spotify.com\/show\/09IMBVmCcQnT7CzvMhq9PM\"><strong>Spotify<\/strong><\/a><strong>!<\/strong><\/p>\n<p><strong>Additional Resources:<\/strong><\/p>\n<p><em><a href=\"https:\/\/sti.bmj.com\/content\/early\/2020\/09\/16\/sextrans-2020-054551\">Undetectable equal untransmittable (U=U): awareness and associations with health outcomes among people living with HIV in 25 countries<\/a><\/em><\/p>\n<p><em><a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(19)30418-0\/fulltext\">Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy (PARTNER): final results of a multicentre, prospective, observational study<\/a><\/em><\/p>\n<p><em><a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2533066\">Sexual Activity Without Condoms and Risk of HIV Transmission in Serodifferent Couples When the HIV-Positive Partner Is Using Suppressive Antiretroviral Therapy<\/a><\/em><\/p>\n<p><em><a href=\"https:\/\/bmcmedicine.biomedcentral.com\/articles\/10.1186\/s12916-016-0640-4\">Beyond viral suppression of HIV \u2013 the new quality of life frontier<\/a><\/em><\/p>\n<p><em><a href=\"https:\/\/sti.bmj.com\/content\/early\/2020\/03\/05\/sextrans-2020-054462\">Implementing U=U in clinical practice: results of a British HIV association members survey<\/a><\/em><\/p>\n<p><em><a href=\"https:\/\/sti.bmj.com\/content\/95\/Suppl_1\/A33.1\">Criminalisation of HIV transmission in the era of U=U<\/a><\/em><\/p>\n<p><em><a href=\"https:\/\/sti.bmj.com\/content\/94\/8\/582\">Person-centred care and HIV: challenges and solutions<\/a><\/em><\/p>\n<h1><\/h1>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; We bring you a 3-part series of podcasts dedicated to the World AIDS Day 2020 where we address the topic of U=U \u2013 an undetectable viral load equals untransmittable infection. We ask the question: Does the way we choose to inform people with HIV about U=U improve their quality life? What other research is [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/sti\/2020\/11\/24\/british-medical-journal-commemorate-world-aids-day\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":440,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16525],"tags":[],"class_list":["post-1469","post","type-post","status-publish","format-standard","hentry","category-unaids-90-90-90-2"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>STI highlights U=U for World AIDS Day! - Sexually Transmitted Infections<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/sti\/2020\/11\/24\/british-medical-journal-commemorate-world-aids-day\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"STI highlights U=U for World AIDS Day! - Sexually Transmitted Infections\" \/>\n<meta property=\"og:description\" content=\"&nbsp; We bring you a 3-part series of podcasts dedicated to the World AIDS Day 2020 where we address the topic of U=U \u2013 an undetectable viral load equals untransmittable infection. 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