Gay and Bisexual Men's Willingness to Receive Anal Papanicolaou Testing.

• Autores: Alison C. Reed, Paul L. Reiter, Jennifer S. Smith, Joel M. Palefsky, Noel T. Brewer
• Localización: American journal of public health, ISSN 0090-0036, Vol. 100, Nº. 6, 2010, págs. 1123-1129
• Idioma: inglés
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• Resumen

  • Objectives. 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. Methods. We surveyed a national sample of men aged 18 to 59 years who self-identified as gay (n=236) or bisexual (n=70). Results. Most respondents were willing to accept free screening (83%), but fewer would pay for the test (31%; McNemar's c2=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. Conclusions. 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. (Am J Public Health. 2010;100:1123-1129. doi:10.2105/AJPH.2009.176446) [ABSTRACT FROM AUTHOR]