Acceptability of digital anal cancer screening in HIV-positive men who have sex with men attending a UK Sexual Health service

Lewis, Tamara; Samraj, S; Patel, Raj; Sundaram, Sangeetha

doi:10.1177/0956462416665288

Cited by 1 publication

(1 citation statement)

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“…Meanwhile, even if treatment of hsils is found to lower the incidence of anal cancer, a screening test must be acceptable to the population 18,19 . Despite the high acceptability of anal cancer screening reported in hiv-positive men who have sex with men [20][21][22][23][24][25][26][27] , transferability of acceptability data to women living with hiv cannot be assumed. Previous studies have assessed the willingness of women living with or without hiv to undergo anal cancer screening procedures [28][29][30][31][32] .…”

Section: Introductionmentioning

confidence: 99%

Acceptability of Anal Cancer Screening Tests for Women Living with HIV in the EVVA Study

et al. 2020

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Background Anal cancer is potentially preventable through screening. For screening to be implemented, the screening procedures must be acceptable to the affected population. The objective of the present study was to measure the acceptability of currently available anal cancer screening tests in a population of women living with hiv who had experienced the tests.Methods The evva study (“Evaluation of Human Immunodeficiency Virus, Human Papillomavirus, and Anal Intraepithelial Neoplasia in Women”) is a prospective cohort study of adult women living with hiv in Montreal, Quebec. Participants were screened with cervical or anal hpv testing and cervical or anal cytology every 6 months for 2 years. High-resolution anoscopy (hra) and digital anal rectal examination (dare) were also performed systematically, with biopsies, at baseline and at 2 years. An acceptability questionnaire was administered at the final visit or at study withdrawal.Results Of 124 women who completed the acceptability questionnaire, most considered screening “an absolute necessity” in routine care for all women living with hiv [77%; 95% confidence interval (ci): 69% to 84%]. Yearly anal cytology or anal hpv testing was considered very acceptable by 81% (95% ci: 73% to 88%); hra every 2 years was considered very acceptable by 84% (95% ci: 77% to 90%); and yearly dare was considered very acceptable by 87% (95% ci: 79% to 92%). Acceptability increased to more than 95% with a longer proposed time interval. Pain was the main reason for lower acceptability.Conclusions Most participating women considered anal cancer screening necessary and very acceptable. Longer screening intervals and adequate pain management could further increase the acceptability of repeated screening.

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