MEDLINE Journals

    Gay and bisexual men's willingness to receive anal Papanicolaou testing.

    Reed AC, Reiter PL, Smith JS, et al. 
    Am J Public Health 2010 Jun; 100(6) :1123-9.

    We assessed the willingness of gay and bisexual men, who have high rates of anal cancer that might be prevented through regular screening, to receive anal Papanicolaou tests.We surveyed a national sample of men aged 18 to 59 years who self-identified as gay (n = 236) or bisexual (n = 70).Most respondents were willing to accept free screening (83%), but fewer would pay for the test (31%; McNemar's chi(2) = 158.02; P < .001). Willingness to pay for screening was higher among men who reported greater worry about getting anal cancer (OR [odds ratio] = 1.70; 95% confidence interval [CI] = 1.06, 2.72), higher perceived likelihood of anal cancer (OR = 1.88; 95% CI = 1.18, 2.99), and higher income (OR = 2.17; 95% CI = 1.18, 3.98), in adjusted analyses. Only 33% (17 of 51) of HIV-positive respondents, who have the highest risk for anal cancer, had received anal Papanicolaou tests.Anal cancer screening was highly acceptable to gay and bisexual men, although cost was a major barrier. Efforts to reduce anal cancer disparities should target beliefs about anal cancer and barriers to anal Papanicolaou testing in this population.

    Anus Neoplasms
    Confidence Intervals
    Costs and Cost Analysis
    HIV Seropositivity
    Health Knowledge, Attitudes, Practice
    Health Surveys
    Homosexuality, Male
    Middle Aged
    Odds Ratio
    Papanicolaou Test
    United States
    Young Adult


    Pub Type(s)
    Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't
    PubMed ID


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