Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Miami Miller School of Medicine, 1611 NW 12th Avenue, Holtz East Tower #4070, Miami, FL, 33136, USA.
Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
AIDS Behav. 2021 Jul;25(7):2210-2218. doi: 10.1007/s10461-020-03149-w. Epub 2021 Jan 4.
Although risk behaviors could place transgender people at increased risk of anal cancer, few studies have examined anal cancer knowledge and screening use among this population. This study assessed knowledge of anal cancer and associated screening tools, self-perceived risk for anal cancer, and willingness to undergo anal cytology testing among transgender persons in an HIV/sexually transmitted infection (STI)-dense region. Adult transgender persons were recruited locally and surveyed electronically. Descriptive statistics, student's t tests, ANOVA, and Pearson's chi-squared test were performed. Among 79 transgender persons, identified anal cancer risk factors included smoking, STI history, anoreceptive intercourse, and inconsistent condom use. Nearly half (43%) reported little to no knowledge of anal cancer. The vast majority (82%) had little to no perceived risk of developing anal cancer. Twenty-eight percent had heard of anal cytology, and few (17%) had undergone it. Despite susceptibility, transgender persons lack knowledge and have a low perception of personal risk of anal cancer, highlighting the need to increase awareness of anal cancer, risk factors, and screening methods among this population.
虽然风险行为可能会使跨性别者面临更高的肛门癌风险，但很少有研究调查过这一人群的肛门癌知识和筛查使用情况。本研究评估了艾滋病毒/性传播感染（STI）高发地区跨性别者对肛门癌和相关筛查工具的认识、对肛门癌的自我感知风险，以及对接受肛门细胞学检查的意愿。在当地招募成年跨性别者并进行电子调查。采用描述性统计、学生 t 检验、方差分析和 Pearson 卡方检验。在 79 名跨性别者中，确定的肛门癌危险因素包括吸烟、性传播感染史、肛交和避孕套使用不一致。近一半（43%）的人表示对肛门癌几乎一无所知。绝大多数（82%）的人认为自己患肛门癌的风险很小或没有。28%的人听说过肛门细胞学检查，但很少有人（17%）接受过检查。尽管存在易感性，但跨性别者对肛门癌的知识匮乏，对个人患肛门癌的风险感知度低，这突出表明需要提高这一人群对肛门癌、风险因素和筛查方法的认识。
