A qualitative investigation among men who have sex with men on the acceptability of performing a self- or partner anal exam to screen for anal cancer.
A qualitative investigation among men who have sex with men on the acceptability of performing a self- or partner anal exam to screen for anal cancer.
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DOI：
10.1007/s10552-017-0935-6
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发表时间：
2017-10
期刊：
影响因子：
--
通讯作者：
Nyitray AG
中科院分区：
文献类型：
--
作者：
Butame SA;Lawler S;Hicks JT;Wilkerson JM;Hwang LY;Baraniuk S;Ross MW;Chiao EY;Nyitray AG
致癌性人乳头瘤病毒 (HPV) 的持续感染是肛门癌的主要原因，这种疾病对男男性行为者 (MSM) 的影响尤为严重；然而，没有统一的筛查方案来检测肛门癌。这项定性研究探讨了自我肛门检查 (SAE) 或伴侣肛门检查 (PAE)（包括自我触诊或伴侣肛管触诊）是否是可接受且自我有效的筛查测试，这将提示 MSM 采取适当的后续护理。居住在休斯敦的 24 名 MSM 参加了四次焦点小组会议，征求他们对一项教他们进行 SAE 或 PAE (SAE/PAE) 的研究的反应。参与者被问及定期执行 SAE/PAE 的可接受性和可行性。会议记录的主题分析用于识别参与者响应中的常见模式。结果：总体而言，参与者表达了执行 SAE/PAE 的自我效能，并表示愿意由临床医生教授该程序。参与者同意，如果在执行 SAE/PAE 时发现异常，他们将咨询临床医生。 MSM 缺乏对肛门癌的了解可能会成为采用 SAE/PAE 的障碍。在讨论他们的考试经历时，一些参与者表示这可以成为他们的日常练习。我们的研究结果表明，SAE 和 PAE 作为肛门癌筛查对于 MSM 来说是可以接受和可行的。未来的研究应探讨 MSM 的态度和信仰，旨在改善肛门癌教育和对病理结果的理解。
Persistent infection with oncogenic human papillomavirus (HPV) is the primary cause of anal cancer, a disease that disproportionately affects men who have sex with men (MSM); however, there is no uniform screening protocol to detect anal cancer. This qualitative study explores whether a self-anal exam (SAE) or partner anal exam (PAE), that includes self-palpation or palpation of a partner’s anal canal, is an acceptable and self-efficacious screening test, which will cue appropriate follow-up care in MSM. Twenty-four MSM living in Houston took part in four focus group sessions eliciting their responses to a study teaching them to perform an SAE or PAE (SAE/PAE). Participants were asked about the acceptability and feasibility of executing an SAE/PAE routinely. Thematic analysis of session transcripts was used to identify common patterns in participant responses. Results: Overall, participants expressed self-efficacy for performing an SAE/PAE and voiced a preference for being taught the procedure by a clinician. Participants agreed that they would consult with a clinician if they ever discovered an abnormality while performing an SAE/PAE. A lack of knowledge about anal cancer among MSM may present a barrier to adopting SAE/PAE. In discussing their experience of the exams, some participants suggested that it could become a routine practice for them. Our findings suggest that SAE and PAE, as a screen for anal cancer, are acceptable and feasible to MSM. Future research should explore attitudes and beliefs of MSM, with the aim of improving anal cancer education and understanding of pathologic findings.
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影响因子：
6
作者：
Ong, Jason J.;Fairley, Christopher K.;Clarke, Philip
通讯作者：
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影响因子：
1.5
作者：
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DOI：
10.1016/j.ijrobp.2004.09.060
发表时间：
2005-06-01
影响因子：
7
作者：
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通讯作者：
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影响因子：
6.4
作者：
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通讯作者：
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