MEDLINE Journals

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

    Authors
    Reed AC, Reiter PL, Smith JS, et al. 
    Institution

    Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.

    Source
    Am J Public Health 2010 Jun; 100(6) :1123-9.
    Abstract

    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.

    Mesh
    Adolescent
    Adult
    Anus Neoplasms
    Bisexuality
    Confidence Intervals
    Costs and Cost Analysis
    HIV Seropositivity
    Health Knowledge, Attitudes, Practice
    Health Surveys
    Homosexuality, Male
    Humans
    Male
    Middle Aged
    Odds Ratio
    United States
    Vaginal Smears
    Young Adult
    Language

    eng

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

    20395576

    Content Manager
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