| Titre : | Gay and Bisexual Men's Willingness to Receive Anal Papanicolaou Testing. (2010) |
| Auteurs : | REED (Alison-C) : USA. Gillings School of Global Public Health. University of North Carolina. Chapel Hill. ; Noel-T BREWER ; PALEFSKY (Joel-M) : USA. University of California. San Francisco. ; Paul-L REITER ; Jennifer-S Smith ; Gillings School of Global Public Health. Lineberger Comprehensive Cancer Center. University of North Carolina. Chapel Hill. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 100, n° 6, 2010) |
| Pagination : | 1123-1129 |
| Langues: | Anglais |
| Mots-clés : | Homosexualité ; Bisexualité ; Anus ; Dépistage ; Consentement |
| Résumé : | [BDSP. Notice produite par INIST-CNRS CkR0xAlk. Diffusion soumise à autorisation]. 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 khi2=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 [Cl]=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. |
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