Gay and bisexual men's willingness to receive anal Papanicolaou testing.
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| Title: | Gay and bisexual men's willingness to receive anal Papanicolaou testing. |
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| Authors: | Reed AC (AUTHOR), Reiter PL (AUTHOR), Smith JS (AUTHOR), Palefsky JM (AUTHOR), Brewer NT (AUTHOR) |
| Source: | American Journal of Public Health. Jun2010, Vol. 100 Issue 6, p1123-1129. 7p. |
| Subjects: | Pap test, Health of gay men, Cancer diagnosis, Medical screening, Bisexual men, Willingness to pay, Health |
| Abstract: | 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] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | 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] |
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| ISSN: | 00900036 |
| DOI: | 10.2105/ajph.2009.176446 |
