Sexual risk characteristics, social vulnerability, and anal cancer screening uptake among men living with HIV in the deep south.
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| Title: | Sexual risk characteristics, social vulnerability, and anal cancer screening uptake among men living with HIV in the deep south. |
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| Authors: | Junkins, Anna, Kempf, Mirjam-Colette, Burkholder, Greer, Ye, Yuanfan, Chu, Daniel I., Wiener, Howard W., Szychowski, Jeff M., Shrestha, Sadeep |
| Source: | AIDS Care. Jun2024, Vol. 36 Issue 6, p762-770. 9p. |
| Subjects: | Risk-taking behavior, T-test (Statistics), Research funding, Human sexuality, Early detection of cancer, Fisher exact test, Logistic regression analysis, Chi-squared test, Age distribution, Psychology of HIV-positive persons, Odds ratio, Racism, Health behavior, Men's health, Statistics, Anal tumors, Sociodemographic factors, Health equity, Psychological vulnerability, Sensitivity & specificity (Statistics) |
| Geographic Terms: | United States, Alabama |
| Abstract: | Without standard guidelines, there is a critical need to examine anal cancer screening uptake in the South which has the highest HIV incidence in the U.S. We identified factors associated with screening among men living with HIV (MLHIV) at a large academic HIV outpatient clinic in Alabama. Relationships between sociodemographic, clinical, sexual risk characteristics and screening were examined using T-tests, Fisher's exact, Chi-square, and logistic regression analyses. Unadjusted and adjusted odds ratios (AOR) were computed to estimate the odds of screening. Among 1,114 men, 52% had received annual anal cytology (pap) screening. Men who were screened were more likely to have multiple sexual partners compared to men who were not screened (22.8% vs. 14.8%, p = 0.002). Among men with one partner, the youngest were almost five times more likely to be screened compared to middle-aged men (AOR = 4.93, 95% CI: 2.34–10.39). Heterosexual men had lower odds and men who reported unprotected anal sex had higher odds of screening. Our findings suggest a racial disparity, with older black MLHIV being the least likely to be screened. In the South, MLHIV who are older, black, heterosexual, or live in high social vulnerability counties may be less likely to receive annual anal cancer screening. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Without standard guidelines, there is a critical need to examine anal cancer screening uptake in the South which has the highest HIV incidence in the U.S. We identified factors associated with screening among men living with HIV (MLHIV) at a large academic HIV outpatient clinic in Alabama. Relationships between sociodemographic, clinical, sexual risk characteristics and screening were examined using T-tests, Fisher's exact, Chi-square, and logistic regression analyses. Unadjusted and adjusted odds ratios (AOR) were computed to estimate the odds of screening. Among 1,114 men, 52% had received annual anal cytology (pap) screening. Men who were screened were more likely to have multiple sexual partners compared to men who were not screened (22.8% vs. 14.8%, p = 0.002). Among men with one partner, the youngest were almost five times more likely to be screened compared to middle-aged men (AOR = 4.93, 95% CI: 2.34–10.39). Heterosexual men had lower odds and men who reported unprotected anal sex had higher odds of screening. Our findings suggest a racial disparity, with older black MLHIV being the least likely to be screened. In the South, MLHIV who are older, black, heterosexual, or live in high social vulnerability counties may be less likely to receive annual anal cancer screening. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 09540121 |
| DOI: | 10.1080/09540121.2023.2299747 |
