Reni Forer, MD(c)
Nominated From:University of Michigan
Research Site: Centro de Investigaciones Tecnológicas Biomédicas y Medioambientales (CITBM)
Research Area: HIV, sexual health
Primary Mentor: Dr. Ann Duerr
Research Project
Understanding the Relationship between U=U Knowledge and Sexual Behavior Among Men Who Have Sex with Men (MSM) Living with HIV
Despite the high prevalence of HIV among men who have sex with men (MSM) in Perú, there is a lack of understanding regarding people’s knowledge of and attitudes about the concept behind the public health slogan “Undetectable=Untransmittable” (U=U), namely, that a person with an undetectable viral load cannot transmit the virus, and its impact on sexual behaviors and experiences, important factors that may contribute to onward HIV transmission. This research proposal aims to explore the complex interplay between knowledge of U=U and higher-risk sexual behaviors, particularly chemsex, among MSM living with HIV in Perú. This mixed-methods study will employ a sequential explanatory approach, incorporating cross-sectional surveys and qualitative interviews to investigate the relationship between U=U knowledge, self-reported viral load suppression, engagement in higher-risk sexual behaviors, and sexual pleasure/satisfaction. By gathering data on the knowledge, beliefs, and experiences related to U=U among MSM living with HIV, the study aims to provide insights into the factors influencing ART adherence and sexual behavior.
Research Significance
This research addresses a critical knowledge gap by examining knowledge of U=U in Perú, a concept with the potential to help decrease HIV transmission but that remains mistrusted among MSM. Additionally, it will shed light on the prevalence and characteristics of chemsex, a rising global phenomenon that is associated with positive HIV status and STI transmission. Finally, this research explores implications of the role of sexual pleasure related to both. The findings have the potential to contribute to education materials for practitioners and community members and to guide future interventions for people living with HIV, especially given the collaboration with Epicentro, an organization that does lots of community education and outreach. The significance of this study lies in its comprehensive exploration of the complex interplay between these topics (i.e. U=U knowledge, sexual behaviors such as chemsex, and sexual pleasure) among MSM living with HIV. Given the rising prevalence of HIV in Perú and the concentration of HIV within MSM populations, understanding the factors contributing to ongoing HIV transmission and potential barriers to effective treatment and prevention is paramount.
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