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One randomized, controlled trial (HPTN 052) and several observational studies have demonstrated the potential for antiretroviral therapy (ART) to decrease the risk for onward HIV transmission. These findings have influenced WHO guidelines on management of serodiscordant couples and have spurred ART scale-up. Understanding the effect of treatment-as-prevention in real-world settings is critical for gauging the overall impact of this strategy in comprehensive HIV control efforts.
In the present report, investigators describe a retrospective, observational study of treated and untreated HIV-infected individuals with HIV-uninfected partners of the opposite sex who were added to the nationwide HIV epidemiology database in China between 2003 and 2…