Anal Cancer Screening: Barriers and Facilitators Among Ethnically Diverse Gay, Bisexual, Transgender, and Other Men Who Have Sex With Men

Newman, Peter A.; Roberts, Kathleen Johnston; Masongsong, Emmanuel; Wiley, Dorothy J.

doi:10.1080/10538720802310733

Cited by 58 publications

(64 citation statements)

References 37 publications

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“…The impact of HPV risk perceptions, awareness and knowledge on HPV vaccine acceptability is notable given evidence of low levels of HPV knowledge and awareness among men 32 50 60. Mechanisms to foster accurate HPV risk perceptions and awareness might involve addressing the prevalence of HPV infection and its association with cancers among men, highlighting cancer prevention as a benefit of HPV vaccination for boys48 and challenging false beliefs that HPV vaccines are not relevant for men 25…”

Section: Discussionmentioning

confidence: 99%

HPV vaccine acceptability among men: a systematic review and meta-analysis

et al. 2013

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ObjectiveTo understand rates of human papillomavirus (HPV) vaccine acceptability and factors correlated with HPV vaccine acceptability.DesignMeta-analyses of cross-sectional studies.Data sourcesWe used a comprehensive search strategy across multiple electronic databases with no date or language restrictions to locate studies that examined rates and/or correlates of HPV vaccine acceptability. Search keywords included vaccine, acceptability and all terms for HPV.Review methodsWe calculated mean HPV vaccine acceptability across studies. We conducted meta-analysis using a random effects model on studies reporting correlates of HPV vaccine acceptability. All studies were assessed for risk of bias.ResultsOf 301 identified studies, 29 were included. Across 22 studies (n=8360), weighted mean HPV vaccine acceptability=50.4 (SD 21.5) (100-point scale). Among 16 studies (n=5048) included in meta-analyses, perceived HPV vaccine benefits, anticipatory regret, partner thinks one should get vaccine and healthcare provider recommendation had medium effect sizes, and the following factors had small effect sizes on HPV vaccine acceptability: perceived HPV vaccine effectiveness, need for multiple shots, fear of needles, fear of side effects, supportive/accepting social environment, perceived risk/susceptibility to HPV, perceived HPV severity, number of lifetime sexual partners, having a current sex partner, non-receipt of hepatitis B vaccine, smoking cigarettes, history of sexually transmitted infection, HPV awareness, HPV knowledge, cost, logistical barriers, being employed and non-white ethnicity.ConclusionsPublic health campaigns that promote positive HPV vaccine attitudes and awareness about HPV risk in men, and interventions to promote healthcare provider recommendation of HPV vaccination for boys and mitigate obstacles due to cost and logistical barriers may support HPV vaccine acceptability for men. Future investigations employing rigorous designs, including intervention studies, are needed to support effective HPV vaccine promotion among men.

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Section: Discussionmentioning

confidence: 99%

HPV vaccine acceptability among men: a systematic review and meta-analysis

et al. 2013

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“…26 The increased privacy, comfort, and safety of collecting the test at home may be important components of men’s willingness to self-administer an anal cancer screening test. 27 …”

Section: Discussionmentioning

confidence: 99%

Gay and Bisexual Men’s Willingness to Use a Self-Collected Anal Cancer Screening Test

Thompson¹,

Reiter

McRee

et al. 2015

Journal of Lower Genital Tract Disease

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Objective We investigated gay and bisexual men’s willingness to self-administer an anal cancer screening test at home. Methods We conducted two national, online cross-sectional surveys of self-identified gay and bisexual men: Study I in 2009 with men ages 20–59 (n=306) and Study II in 2013 with men ages 18–26 (n=428). We used multivariate logistic regression analyses to determine variables associated with willingness to self-administer the screening test. Results Most men were willing to self-administer an anal cancer screening test (78% Study I; 67% Study II). In Study I, willingness was higher among men who trusted anal Paps to find treatable cancer (adjusted odds ratio [aOR]=1.47, 95% CI 1.04–2.09) and who believed that men who have sex with men should be screened for anal cancer between one and three years vs. other intervals (aOR=2.19, 95% CI 1.17–4.10). In Study II, willingness was higher among men who perceived greater likelihood of anal cancer (aOR=1.57, 95% CI 1.12–2.20). Their most common concerns were not performing the test correctly and inaccuracy of results. Conclusions Many gay and bisexual men were willing to self-administer anal cancer screening tests at home. If routine screening is warranted, self-collected home testing could improve participation.

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“…Limited evidence suggests that psychological and physical discomfort associated with HRA and anxiety regarding the potential diagnosis of any malignancy act as barriers to HRA 22. Further community-based qualitative research could inform the development of validated surveys, as well as targeted outreach and prevention strategies.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with anal cancer screening follow-up by high-resolution anoscopy

et al. 2018

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Three-quarters of patients with HSIL did not have follow-up HRA within the clinic's recommended follow-up period of 6 months following HSIL diagnosis by HRA. Future studies ought to explore whether addressing anal health during other STI-related care helps improve adherence to recommended time intervals for follow-up HRA. Given the high prevalence of STI and PrEP use, studies might also evaluate whether integrating HRA follow-up with other sexual health screenings helps improve adherence to recommended HRA follow-up.

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Anal Cancer Screening: Barriers and Facilitators Among Ethnically Diverse Gay, Bisexual, Transgender, and Other Men Who Have Sex With Men

Cited by 58 publications

References 37 publications

HPV vaccine acceptability among men: a systematic review and meta-analysis

HPV vaccine acceptability among men: a systematic review and meta-analysis

Gay and Bisexual Men’s Willingness to Use a Self-Collected Anal Cancer Screening Test

Factors associated with anal cancer screening follow-up by high-resolution anoscopy

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