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

Thompson, Joshua A.; Reiter, Paul L.; McRee, Annie-Laurie; Moss, Jennifer L.; Brewer, Noel T.

doi:10.1097/lgt.0000000000000118

Cited by 11 publications

(20 citation statements)

References 29 publications

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“…Similar to home-based, self-sampling for precancerous colorectal polyps, individuals could use anal dysplasia self-screening kits to avoid the embarrassment of having a health care professional conduct the screening. 27 However, most MSM infected with HIV described their willingness to screen for anal dysplasia. 24 Among those who had never been screened, they said they were willing to undergo screening once they learned more about the procedure for the anal Pap smear.…”

Section: Discussionmentioning

confidence: 99%

Exploring the Perceptions of Anal Cancer Screening and Behaviors among Gay and Bisexual Men Infected with HIV

2016

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Background The incidence of anal cancer is on the rise among HIV-infected men who have sex with men (MSM). Given the increasing availability of screening, this study explored anal cancer screening awareness and behaviors among MSM infected with HIV. Methods In-depth interviews were conducted with 58 MSM infected with HIV. Results Other than 2 participants treated for anal cancer and 3 treated for precancerous anal lesions, the majority of participants had never heard of anal cancer. Men reported lack of awareness and recommendations from their health care professionals as the greatest barriers to screening. Upon learning about their risk for anal cancer and the availability of screening, the men were eager to discuss screening with their physicians. Participants provided numerous recommendations for future interventions, including training health care professionals to promote screening, disseminating information pertaining to anal cancer through social networks, and creating media campaigns to raise awareness about the need to screen for this type of cancer. Conclusions Future intervention work should focus on ensuring that health care professionals, particularly among HIV/primary care specialists, promote screening for anal dysplasia. It is critical that intervention methods use a community-based approach to raise awareness about the need to screen for anal cancer, especially among MSM infected with HIV.

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Section: Discussionmentioning

confidence: 99%

Exploring the Perceptions of Anal Cancer Screening and Behaviors among Gay and Bisexual Men Infected with HIV

2016

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“…A total of nine articles met the inclusion criteria: six articles pertained to knowledge of hpv and anal cancer among hiv-positive msm, and the remaining three articles related to acceptability of self-sampling among msm. Four studies were conducted in the United States [19][20][21][22] , three in Australia [23][24][25] , and the remaining two in Canada 26 and Serbia 27 , respectively. All articles related to hpv and anal cancer knowledge were quantitative, utilizing self-administered questionnaires for data collection.…”

Section: Resultsmentioning

confidence: 99%

“…One article reporting on two national online surveys investigating the acceptability of self-collected anal cancer screening tests among msm indicated self-sampling to be widely acceptable 22 ; 90% of 51 hiv-positive msm were willing to self-administer an anal cancer screen test in Study I, and 72% of 18 hivpositive msm in Study II were willing to self-collect 22 . Factors found to be associated with acceptability included greater knowledge of hpv, greater perceived risk of developing anal cancer, belief that hiv infection increased risk of getting anal cancer, being hiv-positive, having multiple (five or more) sexual partners, having higher education, being older, and being non-Hispanic white when compared with other races/ethnicities 22 . Similarly, a qualitative study in Australia investigating attitudes of hiv-positive msm (n=20) towards conducting a self-digital anal rectal exam (dare) to screen for abnormal growths related to anal cancer found that most men were willing to perform a DARE despite discomfort 25 .…”

Section: Acceptability and Feasibility Of Anal Cancer Self-samplingmentioning

confidence: 99%

“…Similarly, a qualitative study in Australia investigating attitudes of hiv-positive msm (n=20) towards conducting a self-digital anal rectal exam (dare) to screen for abnormal growths related to anal cancer found that most men were willing to perform a DARE despite discomfort 25 . Both of these studies found that willingness to self-screen was greater if participants believed in the benefits of early detection of hpv and anal cancer 22,25 .…”

Section: Acceptability and Feasibility Of Anal Cancer Self-samplingmentioning

confidence: 99%

“…Several barriers to self-sampling were reported in the two studies on acceptability of self-sampling related to hpv and anal cancer. One of the prominent concerns expressed was fear of not being able to conduct the self-sampling test accurately 22,25 . Participants also expressed preference for a health care provider to collect the specimen for hpv or anal cancer 22,25 .…”

Section: Barriers To Self-samplingmentioning

confidence: 99%

See 2 more Smart Citations

HIV-Positive MSM’s Knowledge of HPV and Anal Cancer Self-Sampling: A Scoping Review

Poon

Wong

et al. 2018

Current Oncology

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Human papillomavirus (hpv) infection is the cause of anal squamous cell cancer (ascc) in 80% of cases. Available research has also shown high prevalence of anal hpv infection among men who have sex with men (msm). However, hpv vaccination is low among msm in Canada. In light of this information, we conducted a scoping review with the aim of exploring (1) the knowledge of hpv and anal cancer among hiv-positive msm and (2) the acceptability of hpv and anal cancer self-sampling in this population. In conducting the review, we searched five electronic databases for peer-reviewed articles and abstracts published in English, between 2007 and 2017. A total of 803 articles were retrieved; after accounting for duplicates (40) and unmet criteria (754), a total of 794 articles were excluded. A final total of nine articles were used in this review. Results of this review show that hiv-positive msm have limited knowledge regarding the risks of anal cancer associated with hiv and hpv coinfection. Furthermore, there is limited research on hpv and anal cancer self-sampling in this population. However, the review of available studies suggested that hiv-positive msm were open to anal cancer self-sampling. It also identified potential barriers to self-sampling. In conclusion, we provide suggestions and future directions for policy-makers and educators to develop inclusive and accessible strategies to reach hiv-positive msm regarding anal cancer education and self-screening.

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Monitoring the impact of HPV vaccine in males—Considerations and challenges

Brotherton

Giuliano

Markowitz

et al. 2016

Papillomavirus Research

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In this article, we examine the issues involved if national or sub-national programs are considering extending post HPV vaccine introduction monitoring to include males. Vaccination programs are now being extended to include males in some countries, in order to improve population level HPV infection control and to directly prevent HPV-related disease in males such as anogenital warts and anal cancers. Coverage and adverse events surveillance are essential components of post-vaccination monitoring. Monitoring the impact of vaccination on HPV infection and disease in men raises some similar challenges to monitoring in females, such as the long time frame until cancer outcomes, and also different ones given that genital specimens suitable for monitoring HPV prevalence are not routinely collected for other diagnostic or screening purposes in males. Thus, dedicated surveillance strategies must be designed; the framework of these may be country-specific, dependent upon the male population that is offered vaccination, the health care infrastructure and existing models of disease surveillance such as STI networks. The primary objective of any male HPV surveillance program will be to document changes in the prevalence of HPV infection and disease due to vaccine targeted HPV types occurring post vaccination. The full spectrum of outcomes to be considered for inclusion in any surveillance plan includes HPV prevalence monitoring, anogenital warts, potentially pre-cancerous lesions such as anal squamous intraepithelial lesions (SIL), and cancers. Ideally, a combination of short term and long term outcome measures would be included. Surveillance over time in specific targeted populations of men who have sex with men and HIV-infected men (populations at high risk for HPV infection and associated disease) could be an efficient use of resources to demonstrate impact.

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

Cited by 11 publications

References 29 publications

Exploring the Perceptions of Anal Cancer Screening and Behaviors among Gay and Bisexual Men Infected with HIV

Exploring the Perceptions of Anal Cancer Screening and Behaviors among Gay and Bisexual Men Infected with HIV

HIV-Positive MSM’s Knowledge of HPV and Anal Cancer Self-Sampling: A Scoping Review

Monitoring the impact of HPV vaccine in males—Considerations and challenges

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