Sexual risk characteristics, social vulnerability, and anal cancer screening uptake among men living with HIV in the deep south
Bibliographic Data
| ID | 19439150 |
|---|---|
| Authors | Anna Junkins (0000-0001-6094-1089, University of Alabama at Birmingham, corresponding author), M C Kempf (0000-0003-3796-4906, University of Alabama at Birmingham), Mirjam-Colette Kempf (University of Alabama at Birmingham), Greer Burkholder (0000-0001-7185-3025, University of Alabama at Birmingham), Yuanfan Ye (0000-0002-8545-9819, University of Alabama at Birmingham), Daniel I Chu (0000-0002-8835-6508, University of Alabama at Birmingham), Howard W Wiener (0009-0009-7071-5531, University of Alabama at Birmingham), Jeff M Szychowski (0000-0002-1727-1662, University of Alabama at Birmingham), Sadeep Shrestha (0000-0002-7002-357X, University of Alabama at Birmingham) |
| Year | 2024 |
| Volume | 36 |
| Issue | 6 |
| Pages | 762-770 |
| Publication date | 2024-06-02 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2023.2299747 |
| PMID | 38268443 |
| OpenAlex | W4391228979 |
| Language | EN |
| Citations received | 1 |
| References cited | 31 |
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
Anal cancer · Cancer · Family medicine · Gynecology · Logistic regression · Men who have sex with men · Odds · Odds ratio · Syphilis · Cervical Cancer and HPV Research · Colorectal and Anal Carcinomas · Demography · Medicine · Viral-associated cancers and disorders · Gerontology · Internal Medicine
Global Cancer Statistics 2020
A Census Tract-Level Examination of HIV Care Outcomes and Social Vulnerability Among Black/African American, Hispanic/Latino, and White Adults in the Southern United States, 2018
Racial Disparities and the Effect of County Level Income on the Incidence and Survival of Young Men with Anal Cancer
Anal Cancer Screening
Uptake and Predictors of Anal Cancer Screening in Men Who Have Sex With Men
Black Men Who Have Sex With Men and the Association of Down-Low Identity With HIV Risk Behavior
Bisexually Active Black Men in the United States and HIV
| Citations per year | 1 |
|---|---|
| Citation span | 2025 - 2025 (1) |
| Highly cited | No |