{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T14:39:04Z","timestamp":1787582344889,"version":"build-2736575974"},"reference-count":70,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["LGBT Health"],"published-print":{"date-parts":[[2022,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>We sought to determine whether stigma toward anal sexuality was associated with having ever received an anal examination or anal swab among gay and bisexual men (GBM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In 2017, we conducted a cross-sectional online survey with 1513 adult cisgender GBM living in the United States. We used structural equation modeling to test whether the Anal Sex Stigma Scales (a validated measure comprising provider stigma, self-stigma, and silence) was negatively associated with lifetime receipt of anorectal examination or anal swabbing by a medical provider. The model assessed mediation by respondents' comfort discussing anal sex practices with health workers and adjusted for possible confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      As hypothesized, anal sex stigma was associated with less comfort discussing anal sex (\u03b2\u2009=\u2009\u22120.44, 95% confidence interval [CI]: \u22120.50 to \u22120.38,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and greater comfort was associated with greater likelihood of screening (\u03b2\u2009=\u20090.28, 95% CI: 0.19 to 0.37,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The model demonstrated good fit (root mean square error of approximation\u2009=\u20090.045, comparative fit index, and Tucker\u2013Lewis index each\u2009=\u20090.99) and adjusted for everyday discrimination, social support specific to anal sex, age, income, education, medical coverage, outness, and ethnic\/racial identification. Collectively, model variables accounted for 48% of the variance in screening (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>GBM who endorsed less anal sex stigma reported greater comfort discussing anal sex with health workers and were more likely to have ever received anal health screening by a medical provider. To improve anal health and cancer prevention among GBM, anal sex stigma and related discomfort discussing anal sex with health workers are targets for intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lgbt.2021.0104","type":"journal-article","created":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T13:43:22Z","timestamp":1644327802000},"page":"103-113","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Gay and Bisexual Men Who Report Anal Sex Stigma Alongside Discomfort Discussing Anal Sex with Health Workers Are Less Likely to Have Ever Received an Anal Examination or Anal Swab"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4544-708X","authenticated-orcid":false,"given":"Bryan A.","family":"Kutner","sequence":"first","affiliation":[{"name":"The HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality, and Health, New York State Psychiatric Institute and Columbia University, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane M.","family":"Simoni","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Washington, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Will","family":"DeWitt","sequence":"additional","affiliation":[{"name":"Callen-Lorde Community Health Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael M.","family":"Gaisa","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodorus G.M.","family":"Sandfort","sequence":"additional","affiliation":[{"name":"The HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality, and Health, New York State Psychiatric Institute and Columbia University, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,3,2]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir1012"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(12)70080-3"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.28431"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/5758387"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000001032"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2018.10.009"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1071\/SH07068"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.28"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu184"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000458"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr6805a1"},{"key":"e_1_3_6_13_2","unstructured":"Medical Care Criteria Committee: Screening for anal dysplasia and cancer in patients with HIV. 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