Table 1

Survey results

Question 1.wheredid you first hear aboutU=U?
Answer choicesNumber of responses (total 270)
BHIVA members’ email/website/Twitter48 (17.8%)
BHIVA conference34 (12.6%)
Other conference42 (15.6%)
Another internet source/email/Twitter55 (20.4%)
Colleagues52 (19.3%)
People living with HIV10 (3.7%)
I have not heard of U=U3 (1.1%)
Other26 (9.6%)
Question 2. When do you discuss U=U with people living with HIV? (Please tick all that apply)
Answer choicesNumber of responses (total 255)
On HIV diagnosis176 (69.0%)
I raise it when a person becomes undetectable122 (47.8%)
I raise it when a person is adherent to their treatment98 (38.4%)
I only discuss it if I am asked about it7 (2.8%)
I don’t usually discuss U=U6 (2.4%)
I raise the subject of U=U routinely182 (71.4%)
I raise it when a person is starting treatment141 (55.3%)
I raise it when a person is planning to conceive122 (47.8%)
Other30 (11.8%)
Question 3. When discussing U=U, what do you say?
Answer choicesNumber of responses (total 253)
The risk of transmission is extremely low21 (8.3%)
The risk of transmission is next to zero55 (21.7%)
The risk of transmission is zero94 (37.2%)
The risk of transmission is virtually impossible25 (9.9%)
The risk of transmission is negligible28 (11.1%)
Other (please state)30 (11.9%)
Multiple free-text comments were submitted by those who selected ‘Other’ along the following theme: ‘I tell them the risk is zero except if other STIs are present, as this may increase risk of HIV transmission’
Question 4. When discussing U=U, I inform everyone about the evidence base.
Answer choicesNumber of responses (total 254)
Always158 (62.2%)
Sometimes86 (33.9%)
Rarely8 (3.2%)
Never2 (0.8%)
Question 5. There is printed and/or video information about U=U available in my consultation room, waiting room or reception area.
Answer choicesNumber of responses (total 249)
Always87 (34.9%)
Sometimes59 (23.7%)
Rarely25 (10.0%)
Never78 (31.3%)
Question 6. What are the criteria for U=U?
Answer choicesNumber of responses (total 249)
A viral load of <20 copies/mL and adherence to treatment for 12 months4 (1.6%)
A viral load of <200 copies/mL and adherence to treatment for 6 months or more84 (33.7%)
An undetectable viral load and adherence to treatment for 6 months or more131 (52.6%)
A viral load of <40 copies/mL and adherence to treatment for 3 months14 (5.6%)
I am not sure16 (6.4%)
Question 7. Do you advise people who fulfil the U=U criteria to talk about HIV to their sexual partners?
Answer choicesNumber of responses (total 245)
No15 (6.1%)
Yes209 (85.3%)
I am not sure21 (8.6%)
CommentsMultiple free-text comments were submitted along the following three themes: ‘I do, but I no longer tell them that they have to disclose their status’,
‘Not all the time, but I think disclosure is important if you are in a long-term relationship. It is not about transmission but trust and not having to keep HIV a secret’,
‘I advise discussing with regular partners, but not always with casual partners’.
Question 8. Do you advise people who fulfil the U=U criteria to use condoms?
Answer choicesNumber of responses (total 239)
Yes134 (56.1%)
No59 (24.7%)
I am not sure46 (19.3%)
CommentsMultiple free-text comments were submitted along the following theme: ‘Depends on the type of relationship—if sole partner and both checked for STIs then I advise that they can take/leave condoms as they wish—if having sex with others etc then I recommend condoms for STI prevention generally’,
‘I ask them if they are using condoms and then talk about the benefits of that that is, other STIs/pregnancy’.
Question 9. If a woman with HIV asks if the U=U statement with regards to transmission for breastfeeding, what would you advise?
Answer choicesNumber of responses (total 233)
No166 (71.2%)
Yes18 (7.7%)
I am not sure49 (21.0%)
Question 10. If a man living with HIV fulfilling the U=U criteria wanted to father a baby with an HIV negative woman, would you recommend sperm washing?
Answer choicesNumber of responses (total 238)
Yes5 (2.1%)
No229 (96.2%)
I am not sure4 (1.7%)
  • BHIVA, British HIV Association; U=U, Undetectable=Untransmittable.