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<p>This study evaluates the level of knowledge and the influencing factors related to the U = U (undetectable = untransmittable) concept among residents of Henan Province, China, using an online questionnaire. Among 700 participants whose responses met the inclusion criteria—namely, completion time between 90 and 600&#xa0;s, consistent answers, and IP addresses located in Henan Province—only 29.86% had a basic understanding of U = U. Many participants held misconceptions, such as believing that individuals who achieve U = U status can discontinue medication or are completely cured of HIV. Descriptive statistics and multivariate logistic regression were used to analyze the data. Multivariate analysis revealed that knowledge of U = U was significantly associated with age, education level, medical background, and sexual orientation. Younger participants, those with higher education, and those with medical training exhibited a better understanding of U = U. These findings highlight the urgent need for targeted health education initiatives, especially for older and less-educated populations, to improve awareness and reduce misinformation.</p>

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Assessment of U = U knowledge and influencing factors among the population in Henan Province China based on an internet-based survey

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月4日

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  • Bowen Zhao,
  • Yuan Hu,
  • Qiongqiong Huang,
  • Jialing Peng,
  • Ruiling Li

摘要

This study evaluates the level of knowledge and the influencing factors related to the U = U (undetectable = untransmittable) concept among residents of Henan Province, China, using an online questionnaire. Among 700 participants whose responses met the inclusion criteria—namely, completion time between 90 and 600 s, consistent answers, and IP addresses located in Henan Province—only 29.86% had a basic understanding of U = U. Many participants held misconceptions, such as believing that individuals who achieve U = U status can discontinue medication or are completely cured of HIV. Descriptive statistics and multivariate logistic regression were used to analyze the data. Multivariate analysis revealed that knowledge of U = U was significantly associated with age, education level, medical background, and sexual orientation. Younger participants, those with higher education, and those with medical training exhibited a better understanding of U = U. These findings highlight the urgent need for targeted health education initiatives, especially for older and less-educated populations, to improve awareness and reduce misinformation.