Influence of previous experience with and beliefs regarding anal cancer screening on willingness to be screened among men living with HIV
Abstract Background Implementation of anal cancer screening requires the procedure to be acceptable to the target population. Our objective was to assess the beliefs of men living with HIV regarding anal cancer screening and identify factors associated with their willingness to participate in screen...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-022-14471-4 |
| _version_ | 1828083090593939456 |
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| author | Jennifer L. Gillis Troy Grennan Ramandip Grewal Gina Ogilvie Mark Gaspar Daniel Grace Aisha Lofters Janet M. Raboud Olli Saarela Paul MacPherson Ron Rosenes Irving E. Salit Ann N. Burchell for the OHTN Cohort Study Team |
| author_facet | Jennifer L. Gillis Troy Grennan Ramandip Grewal Gina Ogilvie Mark Gaspar Daniel Grace Aisha Lofters Janet M. Raboud Olli Saarela Paul MacPherson Ron Rosenes Irving E. Salit Ann N. Burchell for the OHTN Cohort Study Team |
| author_sort | Jennifer L. Gillis |
| collection | DOAJ |
| description | Abstract Background Implementation of anal cancer screening requires the procedure to be acceptable to the target population. Our objective was to assess the beliefs of men living with HIV regarding anal cancer screening and identify factors associated with their willingness to participate in screening. Methods We developed a cross-sectional questionnaire using the Theory of Planned Behavior to examine beliefs regarding prevention of human papillomavirus (HPV)-related diseases, administered to men living with HIV in 2016–2017 in a multi-site HIV clinical cohort. Correspondence analysis was used to examine the interrelationships between men’s beliefs and willingness to undergo anal cancer screening. We used multivariable proportional odds models to identify factors associated with increasing willingness. Results were reported as adjusted odds ratios (aOR) with 95% confidence intervals (CI). Results Among 1677 male participants, the vast majority (90%) would be willing to undergo screening by “anal Pap test”; willingness clustered with positive beliefs (e.g. confident they can get screened; disagree that they will feel pain) in the correspondence analysis. Higher self-perceived risk for anal cancer and positive beliefs regarding screening were associated with higher willingness to be screened. Gay, bisexual and other men who have sex with men had higher willingness (aOR = 1.62; 95% CI: 1.15, 2.29) than heterosexual men. Racialized men reported lower willingness (aOR = 0.68; 95% CI: 0.54, 0.89) than white men. Conclusions Men generally had positive beliefs and were willing to undergo screening, though there were differences by sexual orientation and racial identity. Tailored community-led initiatives could focus on men’s understanding of their risk and expectations of anal cancer screening to facilitate participation. |
| first_indexed | 2024-04-11T04:04:14Z |
| format | Article |
| id | doaj.art-8fadb87b6878448e85093672921c80cf |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-11T04:04:14Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-8fadb87b6878448e85093672921c80cf2023-01-01T12:29:41ZengBMCBMC Public Health1471-24582022-12-0122111110.1186/s12889-022-14471-4Influence of previous experience with and beliefs regarding anal cancer screening on willingness to be screened among men living with HIVJennifer L. Gillis0Troy Grennan1Ramandip Grewal2Gina Ogilvie3Mark Gaspar4Daniel Grace5Aisha Lofters6Janet M. Raboud7Olli Saarela8Paul MacPherson9Ron Rosenes10Irving E. Salit11Ann N. Burchell12for the OHTN Cohort Study TeamDalla Lana School of Public Health, University of TorontoBritish Columbia Centre for Disease ControlDalla Lana School of Public Health, University of TorontoBritish Columbia Centre for Disease ControlDalla Lana School of Public Health, University of TorontoDalla Lana School of Public Health, University of TorontoDalla Lana School of Public Health, University of TorontoDalla Lana School of Public Health, University of TorontoDalla Lana School of Public Health, University of TorontoThe Ottawa Hospital Research Institute, The Ottawa HospitalToronto General Hospital Research Institute, University Health NetworkToronto General Hospital Research Institute, University Health NetworkDalla Lana School of Public Health, University of TorontoAbstract Background Implementation of anal cancer screening requires the procedure to be acceptable to the target population. Our objective was to assess the beliefs of men living with HIV regarding anal cancer screening and identify factors associated with their willingness to participate in screening. Methods We developed a cross-sectional questionnaire using the Theory of Planned Behavior to examine beliefs regarding prevention of human papillomavirus (HPV)-related diseases, administered to men living with HIV in 2016–2017 in a multi-site HIV clinical cohort. Correspondence analysis was used to examine the interrelationships between men’s beliefs and willingness to undergo anal cancer screening. We used multivariable proportional odds models to identify factors associated with increasing willingness. Results were reported as adjusted odds ratios (aOR) with 95% confidence intervals (CI). Results Among 1677 male participants, the vast majority (90%) would be willing to undergo screening by “anal Pap test”; willingness clustered with positive beliefs (e.g. confident they can get screened; disagree that they will feel pain) in the correspondence analysis. Higher self-perceived risk for anal cancer and positive beliefs regarding screening were associated with higher willingness to be screened. Gay, bisexual and other men who have sex with men had higher willingness (aOR = 1.62; 95% CI: 1.15, 2.29) than heterosexual men. Racialized men reported lower willingness (aOR = 0.68; 95% CI: 0.54, 0.89) than white men. Conclusions Men generally had positive beliefs and were willing to undergo screening, though there were differences by sexual orientation and racial identity. Tailored community-led initiatives could focus on men’s understanding of their risk and expectations of anal cancer screening to facilitate participation.https://doi.org/10.1186/s12889-022-14471-4HIVMen living with HIVAnal cancerCancer screeningAnoscopyHuman papillomavirus (HPV) |
| spellingShingle | Jennifer L. Gillis Troy Grennan Ramandip Grewal Gina Ogilvie Mark Gaspar Daniel Grace Aisha Lofters Janet M. Raboud Olli Saarela Paul MacPherson Ron Rosenes Irving E. Salit Ann N. Burchell for the OHTN Cohort Study Team Influence of previous experience with and beliefs regarding anal cancer screening on willingness to be screened among men living with HIV BMC Public Health HIV Men living with HIV Anal cancer Cancer screening Anoscopy Human papillomavirus (HPV) |
| title | Influence of previous experience with and beliefs regarding anal cancer screening on willingness to be screened among men living with HIV |
| title_full | Influence of previous experience with and beliefs regarding anal cancer screening on willingness to be screened among men living with HIV |
| title_fullStr | Influence of previous experience with and beliefs regarding anal cancer screening on willingness to be screened among men living with HIV |
| title_full_unstemmed | Influence of previous experience with and beliefs regarding anal cancer screening on willingness to be screened among men living with HIV |
| title_short | Influence of previous experience with and beliefs regarding anal cancer screening on willingness to be screened among men living with HIV |
| title_sort | influence of previous experience with and beliefs regarding anal cancer screening on willingness to be screened among men living with hiv |
| topic | HIV Men living with HIV Anal cancer Cancer screening Anoscopy Human papillomavirus (HPV) |
| url | https://doi.org/10.1186/s12889-022-14471-4 |
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