男男性行为者肛门癌筛查的接受度及其预测因素。
Uptake and predictors of anal cancer screening in men who have sex with men.
机构信息
Johns Hopkins Bloomberg School of Public Health Department of Epidemiology, Baltimore, MD 21205, USA.
出版信息
Am J Public Health. 2013 Sep;103(9):e88-95. doi: 10.2105/AJPH.2013.301237. Epub 2013 Jul 18.
OBJECTIVES
We investigated attitudes about and acceptance of anal Papanicolaou (Pap) screening among men who have sex with men (MSM).
METHODS
Free anal Pap screening (cytology) was offered to 1742 MSM in the Multicenter AIDS Cohort Study, who reported history of, attitudes about, and experience with screening. We explored predictors of declining screening with multivariate logistic regression.
RESULTS
A history of anal Pap screening was uncommon among non-HIV-infected MSM, but more common among HIV-infected MSM (10% vs 39%; P < .001). Most participants expressed moderate or strong interest in screening (86%), no anxiety about screening (66%), and a strong belief in the utility of screening (65%). Acceptance of screening during this study was high (85%) across all 4 US sites. Among those screened, most reported it was "not a big deal" or "not as bad as expected," and 3% reported that it was "scary." Declining to have screening was associated with Black race, anxiety about screening, and low interest, but not age or HIV status.
CONCLUSIONS
This study demonstrated high acceptance of anal Pap screening among both HIV-infected and non-HIV-infected MSM across 4 US sites.
目的
我们调查了男男性行为者（MSM）对肛门巴氏涂片（Pap）筛查的态度和接受程度。
方法
在多中心艾滋病队列研究中，向 1742 名 MSM 提供免费的肛门巴氏涂片筛查（细胞学检查），这些人报告了筛查的历史、对筛查的态度和经验。我们通过多变量逻辑回归探讨了筛查率下降的预测因素。
结果
未感染 HIV 的 MSM 中，肛门 Pap 筛查的历史并不常见，但在感染 HIV 的 MSM 中较为常见（10%比 39%；P < 0.001）。大多数参与者对筛查表示中等或强烈的兴趣（86%）、对筛查没有焦虑（66%）、并强烈相信筛查的实用性（65%）。在所有 4 个美国地点，筛查的接受度都很高（85%）。在接受筛查的人中，大多数人表示“没什么大不了的”或“不像预期的那么糟糕”，3%的人表示“很可怕”。拒绝筛查与黑种人、对筛查的焦虑和低兴趣有关，但与年龄或 HIV 状况无关。
结论
本研究表明，在 4 个美国地点，感染和未感染 HIV 的 MSM 对肛门 Pap 筛查的接受度都很高。
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