{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T03:08:17Z","timestamp":1786417697173,"version":"build-2736575974"},"reference-count":30,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:00:00Z","timestamp":1755216000000},"content-version":"vor","delay-in-days":801,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010230","name":"Queensland Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010230","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009287","name":"NSW Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009287","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Department of Health and Ageing, South Australia"},{"DOI":"10.13039\/501100003747","name":"Department of Health, State Government of Victoria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003747","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006065","name":"Department of Health, Western Australia","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006065","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Department of Health and Human Services, Tasmania"},{"DOI":"10.13039\/501100001139","name":"ACT Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001139","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Northern Territory Department of Health"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,18]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>By reducing HIV viral load to undetectable levels, HIV treatment slows disease progression and eliminates the possibility of sexual transmission. The promotion of undetectable viral load has also been accompanied by expectations of reducing HIV-related stigma, including self-stigma. Drawing on accounts of people recently diagnosed with HIV, we explored experiences of both detectable and undetectable viral load.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between January 2019 and November 2021, semi-structured interviews were conducted with 35 people living with HIV (PLHIV) who had received an HIV diagnosis in Australia from 2016 onward. Of these participants, 24 completed follow-up interviews approximately 12\u00a0months later. Interviews were transcribed verbatim, entered into NVivo (software v12), and thematically analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Reflecting on the period in which their viral load was detectable, some participants described feeling \u2018dirty,\u2019 \u2018viral,\u2019 and \u2018a risk\u2019 to sexual partners. During this period, some participants minimised or ceased having sex, sometimes despite being in ongoing romantic relationships. Reaching undetectable viral load was commonly characterised as an important goal in HIV care and signalled a marker of good health and enabled a return to sexual relationships. However, the psychosocial benefits of undetectable viral load were not universally experienced, with some participants highlighting ongoing challenges of living with HIV long term.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Increasing awareness of the benefits of undetectable viral load is an important and powerful tool for improving the health and wellbeing of PLHIV; however, the period in which one\u2019s HIV viral load is detectable can be challenging, particularly as feelings of being \u2018unclean\u2019 and \u2018a risk\u2019 may be internalised. Ensuring PLHIV are appropriately supported during periods of viral detectability is necessary.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh23044","type":"journal-article","created":{"date-parts":[[2023,6,5]],"date-time":"2023-06-05T23:17:52Z","timestamp":1686007072000},"page":"195-201","source":"Crossref","is-referenced-by-count":13,"title":["\u2018It\u2019s like I have this weird superpower\u2019: experiences of detectable and undetectable viral load among a cohort of recently diagnosed people living with HIV"],"prefix":"10.1071","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2827-8480","authenticated-orcid":true,"given":"Nathanael","family":"Wells","sequence":"first","affiliation":[{"name":"AKirby Institute, University of New South Wales, Kensington, NSW 2033, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Philpot","sequence":"additional","affiliation":[{"name":"AKirby Institute, University of New South Wales, Kensington, NSW 2033, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2752-7091","authenticated-orcid":true,"given":"Dean","family":"Murphy","sequence":"additional","affiliation":[{"name":"AKirby Institute, University of New South Wales, Kensington, NSW 2033, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanne","family":"Ellard","sequence":"additional","affiliation":[{"name":"BAustralian Research Centre in Sex, Health and Society, La Trobe University, Bundoora, Vic., Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Howard","sequence":"additional","affiliation":[{"name":"CQueensland Positive People, Brisbane, Qld, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garrett","family":"Prestage","sequence":"additional","affiliation":[{"name":"AKirby Institute, University of New South Wales, Kensington, NSW 2033, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2023,6,6]]},"reference":[{"key":"2025102615390089400_R1","unstructured":"Department of Health. Eighth national HIV strategy: 2018\u20132022. Canberra: Australian Government; 2018. Available at https:\/\/www.health.gov.au\/resources\/publications\/eighth-national-hiv-strategy-2018-2022#:~:text=This%20strategy%20is%201%20of,to%20access%20downloads%20and%20media [cited 7 February 2022]."},{"key":"2025102615390089400_R2","unstructured":"World Health Organization. Global health sector strategy on HIV 2016-2021. Towards ending AIDS. Report No.: WHO\/HIV\/2016.05. World Health Organization; 2016. Available at https:\/\/apps.who.int\/iris\/handle\/10665\/246178 [cited 1 October 2021]."},{"issue":"4","key":"2025102615390089400_R3","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1080\/01459740.2014.890618","article-title":"A disease unlike any other? 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Defining sexual health \u2013 report of a technical consultation on sexual health 28\u201331 January 2002. 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