HPV-related oropharyngeal cancer early detection in gay and bisexual men is an "orphan" practice: A qualitative analysis among healthcare providers.
HPV-related oropharyngeal cancer early detection in gay and bisexual men is an "orphan" practice: A qualitative analysis among healthcare providers.
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DOI：
10.3389/fpubh.2023.1165107
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发表时间：
2023
影响因子：
5.2
通讯作者：
Ross, Michael W.
中科院分区：
文献类型：
--
作者：
Zoschke, I. Niles;Bennis, Sarah L.;Wilkerson, J. Michael;Stull, Cynthia L.;Nyitray, Alan G.;Khariwala, Samir S.;Nichols, C. Mark;Rosser, B. R. Simon;Flash, Charlene;Ross, Michael W.
在美国男性中，口咽癌(口后癌和喉癌)是第八大最常见的癌症。如果及早发现，与人类乳头瘤病毒(HPV)-16相关的口咽癌有很高的5年生存率。风险因素，如口交伴侣的数量多，吸烟和饮酒的差异，以及HPV疫苗接种率低，可能会使同性恋和双性恋男性患口咽癌的风险更高。我们在明尼阿波利斯-圣彼得堡招募了21名医疗保健提供者。明尼苏达州的保罗和得克萨斯州的休斯顿参加半结构化面试。护士、医生助理、牙科保健员和牙医被问及他们为男同性恋者和双性恋者服务的临床经验，以及对早期发现口咽癌的潜在干预措施的意见。服务提供者通常不会为同性恋和双性恋男性量身定做健康筛查和检查。参与者对自己有效实施口咽癌常规筛查的能力缺乏信心。口咽癌筛查被纳入临床实践的程度因专业而异，检测它所需的实践分散在临床环境中。专注于艾滋病毒和LGBTQ的医疗保健提供者更了解同性恋和双性恋男性中HPV相关的口咽癌，并似乎更愿意在这个问题上采取行动和领导。进一步的研究应(1)评估口咽癌检测的方案；(2)确定和评估社区筛查的可接受性；(3)研究如何最好地弥合同性恋和双性恋男性在卫生服务方面的差距，这可能是导致口咽癌早期发现率低的原因之一。
Among US men, oropharyngeal cancer (cancer of the back of the mouth and throat) is the 8th most common cancer. If detected early, human papillomavirus (HPV)-16-associated oropharyngeal cancer has a high 5-year survival rate. Risk factors such as high numbers of oral sex partners, disparities in smoking and drinking, and low rates of HPV vaccination may put gay and bisexual men at even higher risk for oropharyngeal cancer. We recruited 21 healthcare providers in Minneapolis-St. Paul, Minnesota and Houston, Texas to participate in semi-structured interviews. Nurses, physician assistants, dental hygienists, and dentists were asked about their clinical experiences serving gay and bisexual men and opinions on potential interventions for the early detection of oropharyngeal cancer. Providers typically did not tailor health screenings and examinations for gay and bisexual men. Participants lacked confidence in their ability to effectively implement routine screening for oropharyngeal cancer. The extent to which oropharyngeal cancer screening was incorporated into clinical practice varied by specialty, and practices necessary to detect it were scattered across clinical environments. HIV- and LGBTQ-focused healthcare providers were more aware of HPV-associated oropharyngeal cancer in gay and bisexual men, and appeared readier to act and lead on this issue. Further studies should (1) evaluate protocols for oropharyngeal cancer detection; (2) identify and assess the acceptability of screening in the community; and (3) study how to best close gaps in health services for gay and bisexual men which might contribute to low early detection rates of oropharyngeal cancer.
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影响因子：
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作者：
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通讯作者：
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影响因子：
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Sigfrid L;Murphy G;Haldane V;Chuah FLH;Ong SE;Cervero-Liceras F;Watt N;Alvaro A;Otero-Garcia L;Balabanova D;Hogarth S;Maimaris W;Buse K;Mckee M;Piot P;Perel P;Legido-Quigley H
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通讯作者：
Gillison, Maura
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3.7
作者：
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