Uptake and predictors of anal cancer screening in men who have sex with men

Gypsyamber D'Souza, Shirani D. Rajan, Rohini Bhatia, Ross D. Cranston, Michael W. Plankey, Anthony Silvestre, David G. Ostrow, Dorothy Wiley, Nisha Shah, Noel T. Brewer

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


Objectives. We investigated attitudes about and acceptance of anal Papanicolaou (Pap) screening among men who have sex with men (MSM). Methods. Free anal Pap screening (cytology) was offered to 1742 MSM in the Multicenter AIDS Cohort Study, who reported history of, attitudes about, and experience with screening. We explored predictors of declining screening with multivariate logistic regression. Results. A history of anal Pap screening was uncommon among non-HIV-infected MSM, but more common among HIV-infected MSM (10% vs 39%; P < .001). Most participants expressed moderate or strong interest in screening (86%), no anxiety about screening (66%), and a strong belief in the utility of screening (65%). Acceptance of screening during this study was high (85%) across all 4 US sites. Among those screened, most reported it was "not a big deal" or "not as bad as expected," and 3% reported that it was "scary." Declining to have screening was associated with Black race, anxiety about screening, and low interest, but not age or HIV status. Conclusions. This study demonstrated high acceptance of anal Pap screening among both HIV-infected and non-HIV-infected MSM across 4 US sites.

Original languageEnglish (US)
Pages (from-to)e88-e95
JournalAmerican journal of public health
Issue number9
StatePublished - Sep 2013

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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