title: Gay and Bisexual Men's Willingness to Use a Self-Collected Anal Cancer Screening Test.
abstract: OBJECTIVE
  We investigated gay and bisexual men's willingness to self-administer an anal cancer screening test at home.
  
  
  METHODS
  We conducted 2 national, online cross-sectional surveys of self-identified gay and bisexual men: Study I in 2009 with men ages 20 to 59 (n = 306) and Study II in 2013 with men ages 18 to 26 (n = 428). We used multivariate logistic regression analyses to determine variables associated with willingness to self-administer the screening test.
  
  
  RESULTS
  Most men were willing to self-administer an anal cancer screening test (78% Study I; 67% Study II). In Study I, willingness was higher among men who trusted anal Paps to find treatable cancer (adjusted odds ratio [aOR] = 1.47; 95% CI, 1.04-2.09) and who believed that men who have sex with men should be screened for anal cancer between 1 and 3 years vs. other intervals (aOR = 2.19; 95% CI, 1.17-4.10). In Study II, willingness was higher among men who perceived greater likelihood of anal cancer (aOR = 1.57; 95% CI, 1.12-2.20). Their most common concerns were not performing the test correctly and inaccuracy of results.
  
  
  CONCLUSIONS
  Many gay and bisexual men were willing to self-administer anal cancer screening tests at home. If routine screening is warranted, self-collected home testing could improve participation.
authors.affiliation: 1UNC Gillings School of Global Public Health, Chapel Hill, NC; 2Divison of Cancer Prevention and Control, College of Medicine, The Ohio State University, Columbus, OH; 3Comprehensive Cancer Center, The Ohio State University, Columbus, OH; 4Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, OH; and 5Lineberger Comprehensive Cancer Center, Chapel Hill, NC.
authors.forename: Joshua A
authors.initials: JA
authors.lastname: Thompson
authors.forename: Paul L
authors.initials: PL
authors.lastname: Reiter
authors.forename: Annie-Laurie
authors.initials: AL
authors.lastname: McRee
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Moss
authors.forename: Noel T
authors.initials: NT
authors.lastname: Brewer
mesh_terms: D000293:Adolescent; D000328:Adult; D001005:Anus Neoplasms / Q000175:diagnosis*; D001727:Bisexuality; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000379:methods*; D018451:Homosexuality, Male; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D013048:Specimen Handling / Q000379:methods*; D055815:Young Adult