title: Exploring the Perceptions of Anal Cancer Screening and Behaviors Among Gay and Bisexual Men Infected With HIV.
abstract: BACKGROUND
  The incidence of anal cancer is on the rise among HIV-infected men who have sex with men (MSM). Given the increasing availability of screening, this study explored anal cancer screening awareness and behaviors among MSM infected with HIV.
  
  
  METHODS
  In-depth interviews were conducted with 58 MSM infected with HIV.
  
  
  RESULTS
  Other than 2 participants treated for anal cancer and 3 treated for precancerous anal lesions, the majority of participants had never heard of anal cancer. Men reported lack of awareness and recommendations from their health care professionals as the greatest barriers to screening. Upon learning about their risk for anal cancer and the availability of screening, the men were eager to discuss screening with their physicians. Participants provided numerous recommendations for future interventions, including training health care professionals to promote screening, disseminating information pertaining to anal cancer through social networks, and creating media campaigns to raise awareness about the need to screen for this type of cancer.
  
  
  CONCLUSIONS
  Future intervention work should focus on ensuring that health care professionals, particularly among HIV/primary care specialists, promote screening for anal dysplasia. It is critical that intervention methods use a community-based approach to raise awareness about the need to screen for anal cancer, especially among MSM infected with HIV.
authors.affiliation: University of Miami School of Nursing and Health Studies, Coral Gables, FL 33146, USA. A.Koskan@miami.edu.
authors.forename: Alexis M
authors.initials: AM
authors.lastname: Koskan
authors.forename: Natalie
authors.initials: N
authors.lastname: LeBlanc
authors.forename: Isabella
authors.initials: I
authors.lastname: Rosa-Cunha
mesh_terms: D000328:Adult; D000368:Aged; D001005:Anus Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D001727:Bisexuality / Q000523:psychology*; D055088:Early Detection of Cancer; D015658:HIV Infections / Q000453:epidemiology*; D007722:Health Knowledge, Attitudes, Practice; D054625:Healthcare Disparities; D006716:Homosexuality / Q000523:psychology*; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000523:psychology*; D008875:Middle Aged; D010465:Perception; D012307:Risk Factors; D055815:Young Adult