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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.
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]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Sexual risk characteristics, social vulnerability, and anal cancer screening uptake among men living with HIV in the deep south.
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  Data: <searchLink fieldCode="AR" term="%22Junkins%2C+Anna%22">Junkins, Anna</searchLink><br /><searchLink fieldCode="AR" term="%22Kempf%2C+Mirjam-Colette%22">Kempf, Mirjam-Colette</searchLink><br /><searchLink fieldCode="AR" term="%22Burkholder%2C+Greer%22">Burkholder, Greer</searchLink><br /><searchLink fieldCode="AR" term="%22Ye%2C+Yuanfan%22">Ye, Yuanfan</searchLink><br /><searchLink fieldCode="AR" term="%22Chu%2C+Daniel+I%2E%22">Chu, Daniel I.</searchLink><br /><searchLink fieldCode="AR" term="%22Wiener%2C+Howard+W%2E%22">Wiener, Howard W.</searchLink><br /><searchLink fieldCode="AR" term="%22Szychowski%2C+Jeff+M%2E%22">Szychowski, Jeff M.</searchLink><br /><searchLink fieldCode="AR" term="%22Shrestha%2C+Sadeep%22">Shrestha, Sadeep</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Jun2024, Vol. 36 Issue 6, p762-770. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Risk-taking+behavior%22">Risk-taking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Human+sexuality%22">Human sexuality</searchLink><br /><searchLink fieldCode="DE" term="%22Early+detection+of+cancer%22">Early detection of cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Fisher+exact+test%22">Fisher exact test</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+HIV-positive+persons%22">Psychology of HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Racism%22">Racism</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Men's+health%22">Men's health</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Anal+tumors%22">Anal tumors</searchLink><br /><searchLink fieldCode="DE" term="%22Sociodemographic+factors%22">Sociodemographic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+vulnerability%22">Psychological vulnerability</searchLink><br /><searchLink fieldCode="DE" term="%22Sensitivity+%26+specificity+%28Statistics%29%22">Sensitivity & specificity (Statistics)</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink><br /><searchLink fieldCode="DE" term="%22Alabama%22">Alabama</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: 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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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2023.2299747
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 762
    Subjects:
      – SubjectFull: Risk-taking behavior
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Human sexuality
        Type: general
      – SubjectFull: Early detection of cancer
        Type: general
      – SubjectFull: Fisher exact test
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Racism
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Men's health
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Anal tumors
        Type: general
      – SubjectFull: Sociodemographic factors
        Type: general
      – SubjectFull: Health equity
        Type: general
      – SubjectFull: Psychological vulnerability
        Type: general
      – SubjectFull: Sensitivity & specificity (Statistics)
        Type: general
      – SubjectFull: United States
        Type: general
      – SubjectFull: Alabama
        Type: general
    Titles:
      – TitleFull: Sexual risk characteristics, social vulnerability, and anal cancer screening uptake among men living with HIV in the deep south.
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              M: 06
              Text: Jun2024
              Type: published
              Y: 2024
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