{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T22:31:19Z","timestamp":1781562679163,"version":"3.54.5"},"reference-count":18,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":2447,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,2,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Men who have sex with men (MSM) are at greater risk of developing anal cancer caused by human papillomavirus (HPV) than the rest of the general population. Currently, there are no formal national guidelines in the US advising men how and when to get anal cancer screening. We sought to assess differences in demographics, familiarity and anxiety about anal cancer among men who report having had anal cancer screening (i.e. anal cytology and\/or a digital anorectal examination (DARE)). Methods: MSM were recruited to participate in a study to assess the feasibility of teaching self and partner anal examinations as a means of screening for anal cancer. Data for this secondary analysis were obtained using a written pre-test and a computer-assisted self-interview. Factors associated with screening were assessed with multivariable logistic regression to allow calculation of adjusted odds ratios (aORs). Results: Of the 197 participants with data, 145 (73.6%) reported having had anal cancer screening (either anal cytology, DARE or both) during their lifetime. Men who were younger, Black and HIV-negative were associated with decreased odds of reporting any type of anal cancer screening. For example, compared with White men, Black men were 80% less likely to report screening (aOR 0.2; 95% confidence interval (CI) 0.1\u20130.5). Self-perception of anal cancer knowledge was not associated with screening in multivariable analysis (aOR 1.6; 95% CI 0.6\u20133.9). Conclusions: Age, race and HIV status were independently associated with a history of anal cancer screening.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh18039","type":"journal-article","created":{"date-parts":[[2018,12,5]],"date-time":"2018-12-05T17:17:47Z","timestamp":1544030267000},"page":"96-98","source":"Crossref","is-referenced-by-count":9,"title":["Factors associated with self-reported anal cancer screening history in men who have sex with men"],"prefix":"10.1071","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4815-8099","authenticated-orcid":true,"given":"Joseph T.","family":"Hicks","sequence":"first","affiliation":[{"name":"ADepartment of Infectious Diseases, College of Veterinary Medicine, University of Georgia, 501 D.W. Brooks Drive, Athens, GA 30602, USA."},{"name":"ICorresponding author. Email: joseph.hicks@uga.edu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu-Yu","family":"Hwang","sequence":"additional","affiliation":[{"name":"BCenter for Infectious Diseases, Division of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas School of Public Health at Houston, 1200 Pressler Street, Houston, TX 77030, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Baraniuk","sequence":"additional","affiliation":[{"name":"CCoordinating Center for Clinical Trials, Department of Biostatistics, The University of Texas School of Public Health at Houston, 1200 Pressler Street, Houston, TX 77030, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"White","sequence":"additional","affiliation":[{"name":"DGordon E. Crofoot MD, PA, 3701 Kirby Drive, Suite 1230, Houston, TX 77098, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth Y.","family":"Chiao","sequence":"additional","affiliation":[{"name":"EDepartment of Internal Medicine, Baylor College of Medicine, 6620 Main Street, Houston, TX 77030, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nkechi","family":"Onwuka","sequence":"additional","affiliation":[{"name":"FDivision of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas School of Public Health at Houston, 1200 Pressler Street, Houston, TX 77030, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael W.","family":"Ross","sequence":"additional","affiliation":[{"name":"GUniversity of Minnesota, Program in Human Sexuality, 1300 South 2nd Street, Suite 180, Minneapolis, MN 55454, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan G.","family":"Nyitray","sequence":"additional","affiliation":[{"name":"HDepartment of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2018,12,6]]},"reference":[{"issue":"6","key":"2025102615513455200_R1","doi-asserted-by":"publisher","first-page":"1123","DOI":"10.2105\/AJPH.2009.176446","article-title":"Gay and bisexual men\u2019s willingness to receive anal papanicolaou testing.","volume":"100","author":"Reed","year":"2010","journal-title":"Am J Public Health"},{"issue":"8","key":"2025102615513455200_R2","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1111\/hiv.12035","article-title":"Acceptability of digital anal cancer screening examinations in HIV-positive homosexual men.","volume":"14","author":"Read","year":"2013","journal-title":"HIV Med"},{"issue":"9","key":"2025102615513455200_R3","doi-asserted-by":"publisher","first-page":"1452","DOI":"10.1007\/s11606-008-0698-6","article-title":"Anal cancer screening behaviors and intentions in men who have sex with men.","volume":"23","author":"D\u2019Souza","year":"2008","journal-title":"J Gen Intern Med"},{"issue":"6","key":"2025102615513455200_R4","doi-asserted-by":"publisher","first-page":"620","DOI":"10.1071\/SH11169","article-title":"Psychosocial aspects of anal cancer screening: a review and recommendations.","volume":"9","author":"Landstra","year":"2012","journal-title":"Sex Health"},{"issue":"4","key":"2025102615513455200_R5","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1016\/j.jana.2015.01.003","article-title":"Evaluation of an HPV\/anal cancer screening awareness program for HIV-infected men who have sex with men.","volume":"26","author":"Fenkl","year":"2015","journal-title":"J Assoc Nurses AIDS Care"},{"issue":"1","key":"2025102615513455200_R6","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1089\/lgbt.2015.0086","article-title":"HPV and anal cancer knowledge among HIV-infected and non-infected men who have sex with men.","volume":"3","author":"Fenkl","year":"2016","journal-title":"LGBT Health"},{"issue":"3","key":"2025102615513455200_R7","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1097\/01.olq.0000230436.83029.ce","article-title":"What do gay men know about human papillomavirus? Australian gay men\u2019s knowledge and experience of anal cancer screening and human papillomavirus.","volume":"34","author":"Pitts","year":"2007","journal-title":"Sex Transm Dis"},{"issue":"3","key":"2025102615513455200_R8","doi-asserted-by":"publisher","first-page":"228","DOI":"10.3138\/cjhs.243-A6","article-title":"Anal cancer screening knowledge, attitudes, and experiences among men who have sex with men in Ottawa, Ontario.","volume":"24","author":"Moores","year":"2015","journal-title":"Can J Hum Sex"},{"key":"2025102615513455200_R9","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1136\/sextrans-2017-053283","article-title":"A Phase II clinical study to assess the feasibility of self and partner anal examinations to detect anal canal abnormalities including anal cancer.","volume":"94","author":"Nyitray","year":"2018","journal-title":"Sex Transm Infect"},{"key":"2025102615513455200_R10","unstructured":"Data USA. Houston-The Woodlands-Sugar Land, TX metro area. 2016. Available online at: https:\/\/datausa.io\/profile\/geo\/houston-sugar-land-baytown-tx-metro-area\/ [verified 27 January 2018]."},{"key":"2025102615513455200_R11"},{"issue":"3","key":"2025102615513455200_R12","doi-asserted-by":"publisher","first-page":"924","DOI":"10.1093\/ije\/dyw276","article-title":"International trends in anal cancer incidence rates.","volume":"46","author":"Islami","year":"2017","journal-title":"Int J Epidemiol"},{"issue":"26","key":"2025102615513455200_R13","doi-asserted-by":"publisher","first-page":"661","DOI":"10.15585\/mmwr.mm6526a1","article-title":"Human papillomavirus-associated cancers \u2013 United States, 2008\u20132012.","volume":"65","author":"Viens","year":"2016","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"9","key":"2025102615513455200_R14","doi-asserted-by":"publisher","first-page":"e88","DOI":"10.2105\/AJPH.2013.301237","article-title":"Uptake and predictors of anal cancer screening in men who have sex with men.","volume":"103","author":"D\u2019Souza","year":"2013","journal-title":"Am J Public Health"},{"issue":"4","key":"2025102615513455200_R15","doi-asserted-by":"publisher","first-page":"e34","DOI":"10.2105\/AJPH.2014.302469","article-title":"Systematic review of racial disparities in human papillomavirus\u2013associated anal dysplasia and anal cancer among men who have sex with men.","volume":"105","author":"Walsh","year":"2015","journal-title":"Am J Public Health"},{"issue":"5","key":"2025102615513455200_R16","doi-asserted-by":"publisher","first-page":"972","DOI":"10.1007\/s10461-014-0719-x","article-title":"Understanding structural barriers to accessing HIV testing and prevention services among Black men who have sex with men (BMSM) in the united states.","volume":"18","author":"Levy","year":"2014","journal-title":"AIDS Behav"},{"key":"2025102615513455200_R17","unstructured":"New York State Department of Health AIDS Institute. HIVQUAL-US annual data report. 2013. Available online at: https:\/\/www.ehivqual.org\/scripts\/eHIVQUAL%202011%20Report%20-%20National. pdf [verified 10 September 2016]."},{"issue":"1","key":"2025102615513455200_R18","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1186\/1471-2407-14-557","article-title":"Regional and national guideline recommendations for digital ano-rectal examination as a means for anal cancer screening in HIV positive men who have sex with men: a systematic review.","volume":"14","author":"Ong","year":"2014","journal-title":"BMC Cancer"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/16\/1\/96\/798980\/sh18039.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/16\/1\/96\/798980\/sh18039.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T19:51:38Z","timestamp":1761508298000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/16\/1\/96\/101938\/Factors-associated-with-self-reported-anal-cancer"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,6]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,2,4]]}},"URL":"https:\/\/doi.org\/10.1071\/sh18039","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"value":"1448-5028","type":"print"},{"value":"1449-8987","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,6]]}}}