Anal cancer screening in an urban HIV clinic: Provider perceptions and practice

Leonard Anang Sowah, Ulrike K. Buchwald, David J. Riedel, Bruce L. Gilliam, Mariam Khambaty, Lori Fantry, Derek E. Spencer, Jeffery Weaver, Gregory Taylor, Mary Skoglund, Anthony Amoroso, Robert R. Redfield

Research output: Contribution to journalArticlepeer-review

Abstract

In this article, we sought to understand the perceptions and practice of providers on anal cancer screening in HIV-infected patients. Providers in an academic outpatient HIV practice were surveyed. Data were analyzed to determine the acceptability and perceptions of providers on anal Papanicolaou tests. Survey response rate was 55.3% (60.7% among male and 47.4% among female providers). One-third of the providers had received screening requests from patients. Female providers had higher self-rated comfort with anal Papanicolaou tests, with a mean score of 7.1 (95% confidence interval [CI] 4.7-9.5) compared to 3.6 (95% CI 1.5-5.7) for male providers, P =.02. Sixty-seven percent of male providers and 37.5% of female providers would like to refer their patients for screening rather than perform the test themselves. Only 54.2% of our providers have ever performed anal cytology examination. Our survey revealed that not all providers were comfortable performing anal cancer screening for their patients.

Original languageEnglish (US)
Pages (from-to)497-504
Number of pages8
JournalJournal of the International Association of Providers of AIDS Care
Volume14
Issue number6
DOIs
StatePublished - Nov 1 2015

Keywords

  • MSM
  • anal cancer
  • anal cytology
  • cancer prevention
  • screening

ASJC Scopus subject areas

  • Immunology
  • Dermatology
  • Infectious Diseases

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