title: Anal Cancer Screening in an Urban HIV Clinic: Provider Perceptions and Practice.
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.
authors: Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA lsowah@som.umaryland.edu.
authors: Leonard Anang
authors: LA
authors: Sowah
authors: Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
authors: Ulrike K
authors: UK
authors: Buchwald
authors: Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
authors: David J
authors: DJ
authors: Riedel
authors: Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
authors: Bruce L
authors: BL
authors: Gilliam
authors: Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
authors: Mariam
authors: M
authors: Khambaty
authors: Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
authors: Lori
authors: L
authors: Fantry
authors: Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
authors: Derek E
authors: DE
authors: Spencer
authors: Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
authors: Jeffery
authors: J
authors: Weaver
authors: Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA Department of Family Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
authors: Gregory
authors: G
authors: Taylor
authors: Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
authors: Mary
authors: M
authors: Skoglund
authors: Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
authors: Anthony
authors: A
authors: Amoroso
authors: Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
authors: Robert R
authors: RR
authors: Redfield
mesh_terms: D000328:Adult; D001005:Anus Neoplasms / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology; D055088:Early Detection of Cancer; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D010465:Perception; D010820:Physicians / Q000523:psychology*; D010818:Practice Patterns, Physicians'; D014504:Urban Health
keywords: MSM; anal cancer; anal cytology; cancer prevention; screening