HPV and Anal Cancer Knowledge Among HIV-Infected and Non-Infected Men Who Have Sex with Men

Fenkl, Eric A.; Jones, Sandra Gracia; Schochet, Elie; Johnson, Peter

doi:10.1089/lgbt.2015.0086

Cited by 18 publications

(13 citation statements)

References 19 publications

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“…Men's limited awareness of the sexually transmitted nature of HPV and the subsequent risk of anal cancer is also in line with a study on men's beliefs about HPV‐related disease, which found that only 24% of participants were aware that HPV can cause anal cancer . Recently, Fenkl et al showed that GBM are largely unaware of the link between HPV and anal cancer with HIV‐negative men having lower awareness . Our data do not confirm this difference.…”

Section: Discussionsupporting

confidence: 84%

“…High‐risk types of HPV cause anal squamous intraepithelial lesions (ASIL), of which low‐grade intraepithelial lesions (LSIL) are regarded as benign and high‐grade anal squamous intraepithelial lesions (HSIL) in some cases progress to anal cancer . Recent works showed that GBM are largely unaware of the link between HPV and anal cancer, with HIV‐negative men having lower awareness . Lack of knowledge and recommendations from doctors are the greatest barriers to screening for HIV‐positive men …”

Section: Introductionmentioning

confidence: 99%

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Experience and psychological impact of anal cancer screening in gay, bisexual and other men who have sex with men: a qualitative study

et al. 2017

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Objective: Human papillomavirus-related anal cancer rates are increasing and are particularly high in gay, bisexual and other men who have sex with men (GBM/MSM), especially HIV-positive individuals. Although screening programs for high-risk populations have been advocated, concerns about possible adverse psychological consequences exist. This study aimed to investigate GBM/MSM's experience, understanding and emotional response to screening techniques for anal cancer to determine how best to minimise psychological distress in future programs. Methods:In-depth qualitative face-to-face interviews were conducted with 21 GBM/MSM participating in the "Study of the Prevention of Anal Cancer" in Sydney, Australia, between June 2013 and June 2014. Nonrandom, purposive sampling was used to ensure heterogeneity with respect to HIV status and screening test results. Framework analysis method was used to organise the data and identify emerging themes.Results: Knowledge about anal cancer, human papillomavirus and the link between them was limited. Abnormal screening results affected participants' sense of well-being and were associated with anxiety and concern about developing anal cancer. HIV-negative men receiving abnormal results showed higher levels of distress compared to their HIV-positive counterparts. Consultations with general practitioners about abnormal results had an important role in increasing participants' understanding and in moderating their anxiety.Conclusion: Anal cancer screening should be accompanied by health education around anal cancer, its aetiology and the meaning of associated test results. Simple and effective communication strategies should be encouraged. Collaboration with general practitioners could assist the process of education and reporting test results. Recent works showed that GBM are largely unaware of the link between HPV and anal cancer, with HIV-negative men having lower awareness. 6 Lack of knowledge and recommendations from doctors are the greatest barriers to screening for HIV-positive men. The present study is explorative and pursues potentially fruitful lines of research rather than an overall explanation of the phenomenon. | Sample and recruitmentApproximately 600 men from community-based settings took part to SPANC study. 18 To be eligible, men were aged 35 years or over and reported sex with another man in their lifetime. 18 This age limit was based on the distribution of anal cancer among different age-groups and on the evidence that incidence of anal cancer increases exponentially with age. 19Among SPANC participants, men were purposively selected based on HIV status (positive and negative), age (>50 years and <50 years) and severity of screening results (normal, presence of LSIL or HSIL). Eligible participants were recruited via letter or e-mail by a SPANC research officer who had access to participants' information and contact details. The recruiting process was arm's length from the interviewer.Those who agreed to be contacted were telephoned by the interviewer t...

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Experience and psychological impact of anal cancer screening in gay, bisexual and other men who have sex with men: a qualitative study

et al. 2017

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“…Strong religious commitment was not associated with knowledge of HPV‐related oral and anal cancers, or herpes, and this is not unexpected. Most individuals, even those at increased risk (eg, men who have sex with men), are largely uninformed and unaware of the link between HPV and anal cancer and oral cancers . Thus, it may not be religious commitment that contribute to a lack of knowledge but a society‐wide lack of knowledge.…”

Section: Resultsmentioning

confidence: 99%

Strength of belief: Religious commitment, knowledge, and HPV vaccination adherence

et al. 2019

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Objective Human papillomavirus (HPV) infects millions of men and women annually and is a substantial contributing factor in many cancers including oral, penile, anal, and cervical. Vaccination can reduce risk but adherence nationwide and, particularly in highly religious states, is suboptimal. Religious principles of abstinence before marriage and total fidelity following marriage may create a belief of protection through adherence to religious guidelines. However, while one partner may remain monogamous, one cannot be assured of their partner's behavior both before and after marriage. These misconceptions may create a barrier to religious youth's adherence to vaccine recommendations. Methods We sampled single young adults, age 18 to 25 years, from a Christian university classified as highly religious and a university not categorized as highly religious. Results Highly religious young adults demonstrated low knowledge of HPV and HPV vaccination. High religious beliefs were associated with lower HPV vaccination adherence. Conclusions Understanding the role religious beliefs have on vaccine adherence can help in the creation of campaigns that specifically address these issues. Campaigns to increase vaccination should address misconceptions of religious youth's feelings of imperviousness to sexually transmitted diseases.

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“…In spite of efforts in recent years to raise HPV awareness, those groups most at risk appear to remain unaware of HPV and uncertain of the associated risks of a HPV infection, with the phenomenon appearing more severe in HIVinfected MSM. 20 The benefits of HPV vaccination in MSM, especially those who are HIV-infected, have been extensively validated and reported, however, studies on HPV knowledge and the willingness to accept HPV vaccination among this high-risk population have produced inconsistent results. [21][22][23] Most studies concluded that MSM have poor knowledge of HPV infection and vaccination whilst on the other hand enhanced HPV awareness and one's higher education level are factors positively influencing HPV vaccination acceptability.…”

Section: Introductionmentioning

confidence: 99%

HPV vaccination acceptability among men who have sex with men in Urumqi, China

Tian

Wang

Papamichael

et al. 2018

Human Vaccines & Immunotherapeutics

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HPV and Anal Cancer Knowledge Among HIV-Infected and Non-Infected Men Who Have Sex with Men

Abstract: In spite of efforts in recent years to raise HPV and anal cancer awareness, those groups most at risk appear to remain uncertain of risk, screening, and measures to protect themselves from the adverse implications of HPV infection.

Cited by 18 publications

References 19 publications

Experience and psychological impact of anal cancer screening in gay, bisexual and other men who have sex with men: a qualitative study

Experience and psychological impact of anal cancer screening in gay, bisexual and other men who have sex with men: a qualitative study

Strength of belief: Religious commitment, knowledge, and HPV vaccination adherence

HPV vaccination acceptability among men who have sex with men in Urumqi, China

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