The psychological impact of anal cancer screening on HIV‐infected men

Landstra, Jodie; Ciarrochi, Joseph; Deane, Frank P.; Botes, Leon P.; Hillman, Richard J.

doi:10.1002/pon.3040

Cited by 19 publications

(39 citation statements)

References 37 publications

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“…Study 1 found those with anal intraepithelial neoplasia (AIN) 2/3; high grade precancerous lesions were no more impacted than others with lesser results 6 . In contrast study 2 found that being referred for HRA led to higher worry and subsequently those with high grade anal intraepithelial neoplasia (HGAIN; equal to AIN 2/3) continued to be worried 31 . The time of most negative impact in study 1 was waiting for results to be given 6 .…”

Section: Psychosocial Impact Of Screeningmentioning

confidence: 73%

“…The patients who participated in regular follow up (RF) were two times more likely to agree that 'finding out I had HPV made me feel promiscuous' 30 . Those who were recalled for further investigation rated their anal health lower than those who did not need further investigation 31 .…”

Section: Sexualitymentioning

confidence: 97%

“…In contrast, study 2 31 demonstrated a more common, two stage screening process, where swab results determined who was recalled for HRA, thereby requiring some participants to return and wait for results twice. Both studies found no general impact on psychological health in terms of depression or anxiety 6,31 , nor effects on stress or QOL 31 using GPQ's.…”

Section: Psychosocial Impact Of Screeningmentioning

confidence: 99%

“…Tinmouth et al 6 (study 1) used 4 time points over 6 months and Landstra et al 31 (study 2) used 3 time points over 3 months. These studies had different time lines for medical procedures with study 1 occurring in a research context.…”

Section: Psychosocial Impact Of Screeningmentioning

confidence: 99%

“…The time of most negative impact in study 1 was waiting for results to be given 6 . In study 2 waiting for further investigation by HRA was the time of most impact 31 . These differences may be due to study 1 using GPQ's and study 2 using TSPQ's.…”

Section: Psychosocial Impact Of Screeningmentioning

confidence: 99%

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Psychosocial aspects of anal cancer screening: a review and recommendations

Landstra¹,

Ciarrochi²,

Deane³

2012

Sex. Health

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Cancer screening programs have the potential to decrease psychosocial wellbeing. This review investigates the evidence that anal cancer screening has an impact on psychosocial functioning and outlines considerations for supporting participants. The review suggested that screening has no significant effect on general mental health but may increase cancer-specific worry. Having worse anal or HIV symptoms, being younger, higher baseline distress or worse histology results were predictive of greater worry. The findings suggest the need to increase education campaigns, particularly targeting those with HIV infection and men who have sex with men. There is a need to develop a consensus on measuring the psychosocial impact of screening and stepped care approaches for responding to any resulting distress. Abstract:Cancer screening programs have the potential to decrease psychosocial well-being. This review investigates the evidence for anal cancer screening having an impact on psychosocial functioning and outlines considerations for supporting participants. The review suggested that screening has no significant effect on general mental health but may increase cancer-specific worry. Having worse anal or HIV symptoms, being younger, higher baseline distress or worse histology results were predictive of greater worry. The findings suggest the need to increase education campaigns particularly targeting those with HIV infection and men who have sex with men. There is a need to develop a consensus on measuring psychosocial impact of screening and stepped care approaches for responding to resulting distress.3

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Section: Psychosocial Impact Of Screeningmentioning

confidence: 73%

Section: Sexualitymentioning

confidence: 97%

Section: Psychosocial Impact Of Screeningmentioning

confidence: 99%

Section: Psychosocial Impact Of Screeningmentioning

confidence: 99%

Section: Psychosocial Impact Of Screeningmentioning

confidence: 99%

See 3 more Smart Citations

Psychosocial aspects of anal cancer screening: a review and recommendations

Landstra¹,

Ciarrochi²,

Deane³

2012

Sex. Health

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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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Screening for precancerous anal lesions linked to human papillomaviruses: French recommendations for clinical practice

Spindler,

Etienney,

Abramowitz

et al. 2024

Tech Coloproctol

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In France, about 2000 new cases of anal cancer are diagnosed annually. Squamous cell carcinoma is the most common histological type, mostly occurring secondary to persistent HPV16 infection. Invasive cancer is preceded by precancerous lesions. In addition to patients with a personal history of precancerous lesions and anal cancer, three groups are at very high risk of anal cancer: (i) men who have sex with men and are living with HIV, (ii) women with a history of high-grade squamous intraepithelial lesions (HSILs) or vulvar HPV cancer, and (iii) women who received a solid organ transplant more than 10 years ago. The purpose of screening is to detect HSILs so that they can be treated, thereby reducing the risk of progression to cancer. All patients with symptoms should undergo a proctological examination including standard anoscopy. For asymptomatic patients at risk, an initial HPV16 test makes it possible to target patients at risk of HSILs likely to progress to cancer. Anal cytology is a sensitive test for HSIL detection. Its sensitivity is greater than 80% and exceeds that of proctological examination with standard anoscopy. It is indicated in the event of a positive HPV16 test. In the presence of cytological abnormalities and/or lesions and a suspicion of dysplasia on clinical examination, high-resolution anoscopy is indicated. Performance is superior to that of proctological examination with standard anoscopy. However, this technique is not widely available, which limits its use. If high-resolution anoscopy is not possible, screening by a standard proctological examination is an alternative. There is a need to develop high-resolution anoscopy and triage tests and to evaluate screening strategies.

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The psychological impact of anal cancer screening on HIV‐infected men

Abstract: Anal cancer specific worry increases throughout the screening process. Clear communication prior to procedures about the procedure itself, potential adverse events, the recovery process and non-technical explanations of results should be implemented in anal screening programmes.

Cited by 19 publications

References 37 publications

Psychosocial aspects of anal cancer screening: a review and recommendations

Psychosocial aspects of anal cancer screening: a review and recommendations

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

Screening for precancerous anal lesions linked to human papillomaviruses: French recommendations for clinical practice

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