Anal Cancer Screening: Barriers and Facilitators Among Ethnically Diverse Gay, Bisexual, Transgender, and Other Men Who Have Sex With Men.
Anal Cancer Screening: Barriers and Facilitators Among Ethnically Diverse Gay, Bisexual, Transgender, and Other Men Who Have Sex With Men.
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DOI：
10.1080/10538720802310733
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发表时间：
2008-10-01
影响因子：
1.5
通讯作者：
Wiley DJ
中科院分区：
文献类型：
--
作者：
Newman PA;Roberts KJ;Masongsong E;Wiley DJ
尽管有数据表明肛门内hpv相关癌症的风险很大，但同性恋和其他男男性行为者对肛门癌筛查的知识和信念仍不清楚。然而，当考虑到利益相关者的观点时，以社区为基础的筛查活动可能是最有效的。我们在16名男性和3名女性卫生保健倡导者中进行了4个焦点小组，他们在洛杉矶与不同的同性恋者和其他与男性发生性关系的男性进行了工作。肛门癌筛查的障碍包括缺乏意识、耻辱、心理和身体不适、肛门隐藏/私密、主要关注艾滋病毒以及男性缺乏寻求医疗保健。促进因素包括社区筛查站点、家庭检测等新策略、医疗保健系统变革和有针对性的教育活动，这些可能会提高不同种族的男男性行为者对肛门癌的认识和筛查。
Knowledge and beliefs about anal cancer screening among gay and other men who have sex with men remains unclear, despite data that suggests significant risk for intra-anal HPV-related cancers. Nevertheless, community-based screening activities may be most effective when stake-holder perspectives are addressed. We conducted four focus groups among 16 male and 3 female health care advocates experienced in working with diverse gay and other men who have sex with men in Los Angeles. Barriers to anal cancer screening included lack of awareness, stigma, psychological and physical discomfort, the anus as hidden/private, primary concern with HIV, and men's lack of healthcare seeking. Facilitators were community screening sites, novel strategies such as home testing, health care system changes and targeted educational campaigns, which may increase anal cancer awareness and screening among ethnically diverse men who have sex with men.