{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:24:54Z","timestamp":1791257094432,"version":"4.1.0"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T00:00:00Z","timestamp":1680652800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Men who have sex with men (MSM) without HIV are known to be at elevated relative risk for Human papillomavirus (HPV)-associated anal cancer in comparison to men who have sex with women (MSW), but are poorly characterized in terms of anal cancer incidence due to absence of reporting of sexual behavior\/identity at a population-level.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>By combining age-specific statistics from multiple data sources (anal cancer incidence among all males; anal cancer incidence among MSM and MSW with HIV; population size of men with HIV by sexual orientation), we developed a mathematical model to estimate anal cancer incidence, annual number of cases, and proportion by (a) sexual orientation (MSM versus MSW), (b) HIV status, and (c) age (&amp;lt;30, 30\u201344, 45\u201359, and \u226560 years).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Anal cancer incidence (per 100 000) among MSM without HIV was 1.4 (95% uncertainty interval [UI], 0.6 to 2.3), 17.6 (95% UI = 13.8\u201323.5), and 33.9 (95% UI = 28.3\u201342.3), at ages 30\u201344, 45\u201359 and \u226560 years, respectively. 19.1% of all male anal cancer occurred in MSM without HIV, increasing from 4% of anal cancer diagnosed at 30\u201344 years to 24% at \u226560 years; 54.3% occurred in MSW without HIV (increasing from 13% at age 30\u201344 to 67% at &amp;gt;60 years), and the remaining 26.6% in men (MSM and MSW combined) with HIV (decreasing from 83% at age 30\u201344 to 9% at &amp;gt;60 years).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>These findings should inform anal cancer prevention recommendations in male risk groups, including, for the first time, for the important group of MSM without HIV.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/cid\/ciad205","type":"journal-article","created":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T09:01:14Z","timestamp":1680685274000},"page":"419-424","source":"Crossref","is-referenced-by-count":48,"title":["Human Papillomavirus-Associated Anal Cancer Incidence and Burden Among US Men, According to Sexual Orientation, Human Immunodeficiency Virus Status, and Age"],"prefix":"10.1093","volume":"77","author":[{"given":"Ashish A","family":"Deshmukh","sequence":"first","affiliation":[{"name":"Department of Public Health Sciences, Hollings Cancer Center, Medical University of South Carolina , Charleston, South Carolina , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haluk","family":"Damgacioglu","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Hollings Cancer Center, Medical University of South Carolina , Charleston, South Carolina , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damien","family":"Georges","sequence":"additional","affiliation":[{"name":"Early Detection, Prevention and Infections Branch, International Agency for Research on Cancer (IARC\/WHO) , Lyon , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5501-3034","authenticated-orcid":false,"given":"Kalyani","family":"Sonawane","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Hollings Cancer Center, Medical University of South Carolina , Charleston, 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