Kirby Institute, University of NSW, Sydney, NSW, Australia.
Prevention Access Campaign, New York, NY, USA.
Sex Health. 2024 May;21. doi: 10.1071/SH24017.
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.
背景 2016 年，预防获取运动发起了“检测不到=无法传播”（U=U）运动，旨在赋予艾滋病毒感染者充分的社交、性和生殖生活，消除污名，促进更多的治疗机会，并倡导更新的艾滋病毒准则。
方法 促进以社区为中心、以证据为基础的 U=U 政策和研究改进的重点是 2023 年在澳大利亚布里斯班举行的第十二届国际艾滋病协会会议期间举行的为期半天的全球圆桌会议。在一系列演讲之后，U=U 研究、政策制定、宣传和艾滋病毒临床护理方面的专家参与了小组讨论，并详细记录了与推进 U=U 政策和研究相关的问题。
结果 专家参与者表示，U=U 的知识和信任仍然参差不齐，而且主要集中在艾滋病毒感染者中，特别是那些与男同性恋和双性恋网络有关的人。大家一致认为，需要确保所有重点人群的成员都明确包含在促进 U=U 的政策中。参与者还指出，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，确保 U=U 信息在艾滋病毒应对中具有相关性、有用性和可利用性。确定采用“零风险”等语言来描述检测不到的病毒载量作为有效的艾滋病毒预防策略是至关重要的。
结论 U=U 可以对艾滋病毒感染者的身心健康产生重大影响。现在迫切需要解决艾滋病毒护理和治疗机会的结构性障碍，以确保充分实现 U=U 的全部益处。
