{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:45:48Z","timestamp":1777927548803,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"14","license":[{"start":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T00:00:00Z","timestamp":1755648000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100017679","name":"American Sexually Transmitted Diseases Association","doi-asserted-by":"publisher","award":["Small Grants Award"],"award-info":[{"award-number":["Small Grants Award"]}],"id":[{"id":"10.13039\/100017679","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007301","name":"Harvard University Center for AIDS Research","doi-asserted-by":"publisher","award":["P30 AI060354"],"award-info":[{"award-number":["P30 AI060354"]}],"id":[{"id":"10.13039\/100007301","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>New guidelines recommend anal cancer screening for priority populations with increased likelihoods of anal cancer including people with a history of HIV, gynecologic cancers, condyloma acuminata, and solid organ transplantation. However, little is known about U.S.-based screening practices prior to these guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We examined outpatient clinical encounters between 01\/01\/2015 and 08\/01\/2022 and analyzed provider characteristics and screening behaviors in an urban medical system in Boston, U.S. We used chi-squared tests and logistic regression to identify provider factors associated with anal cancer screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 1098 providers, 48.5% completed at least one screening, including 93.8% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 75\/80) of infectious disease (ID) providers, 54.6% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 372\/681) of primary care providers (PCPs), and 28.3% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 41\/145) of obstetrician\/gynecologists (OBGYNs) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Annual screening of priority populations was most common among providers trained in high-resolution anoscopy (19.8%\u201327.9% screened), and less common among ID providers (4.4%\u20138.7%), PCPs (0.4%\u20131.4%), and OBGYNs (0.1%\u20130.8%). In multivariate analysis, providers treating proportionately more cisgender women (adjusted odds ratio [aOR] = 0.988; 95% confidence interval [CI] 0.982\u20130.995), more non-white patients (aOR = 0.984; 95% CI 0.976\u20130.992), or fewer people with HIV were less likely to be screeners.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Most providers caring for priority populations did not complete anal cancer screenings, and annual screening levels were low across disciplines. Strategies are needed to optimize anal cancer screening practices, particularly for patients who are HIV-negative, non-white, and cisgender women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09564624251369563","type":"journal-article","created":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T09:52:23Z","timestamp":1755683543000},"page":"1038-1047","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Health care provider characteristics associated with anal cancer screening in an urban academic medical system in the United States"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6788-2904","authenticated-orcid":false,"given":"Daniel J","family":"Gore","sequence":"first","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley L","family":"O\u2019Donoghue","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA"},{"name":"Harvard Medical School, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica A","family":"Zerillo","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ami","family":"Multani","sequence":"additional","affiliation":[{"name":"Fenway Health, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas","family":"Krakower","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA"},{"name":"Harvard Medical School, Boston, Massachusetts, USA"},{"name":"Fenway Health, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,20]]},"reference":[{"key":"e_1_3_6_2_2","article-title":"Cancer of the anus, anal canal, and anorectum - cancer stat facts","author":"National Cancer Institute","unstructured":"National Cancer Institute. 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