Factors Associated With Recent Decline in Anal Health Among Older Gay and Bisexual Men: A Cross-sectional Analysis.

IF 2.4 4区医学 Q2 OBSTETRICS & GYNECOLOGY Journal of Lower Genital Tract Disease Pub Date : 2024-07-01 Epub Date: 2024-05-06 DOI:10.1097/LGT.0000000000000818

Sian L Goddard, I Mary Poynten, Kathy Petoumenos, Fengyi Jin, Richard J Hillman, Christopher K Fairley, Suzanne M Garland, Andrew E Grulich, David J Templeton

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Abstract

Abstract: We investigated factors associated with "worse than usual" anal health among gay and bisexual men aged ≥35 years recruited to a longitudinal study of anal human papillomavirus infection/lesions from September 2010 to August 2015.Among 616 participants (median age 49 years; 36% HIV-positive), 42 (6.8%) reported worse than usual anal health in the last 4 weeks. Associated factors included spending less time with gay friends (odds ratio [OR] = 2.25, 95% CI = 1.06-4.77), most time "feeling down"(OR = 9.17, 95% CI = 2.94-28.59), reduced libido (OR = 2.90, 95% CI = 1.52-5.52), current anal symptoms (OR = 6.55, 95% CI = 2.54-16.90), recent anal wart diagnosis (OR = 4.33, 95% CI = 1.98-9.49), and fear of developing anal cancer (OR = 9.34, 95% CI = 4.52-19.28).Concerns regarding anal health should be routinely discussed by clinicians, and potentially associated psychosocial, physical, and sexual issues further explored.

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老年同性恋和双性恋男性肛门健康近期下降的相关因素：横断面分析

摘要：我们调查了2010年9月至2015年8月参加肛门人类乳头瘤病毒感染/肛裂纵向研究的年龄≥35岁的男同性恋者和双性恋者中肛门健康状况 "不如往常 "的相关因素。在616名参与者（中位年龄49岁；36%为HIV阳性）中，有42人（6.8%）报告在过去4周内肛门健康状况不如往常。相关因素包括：与同性恋朋友在一起的时间较少（几率比 [OR] = 2.25，95% CI = 1.06-4.77）、大多数时间 "情绪低落"（OR = 9.17，95% CI = 2.94-28.59）、性欲减退（OR = 2.90，95% CI = 1.52-5.52）、目前的肛门症状（OR = 6.55，95% CI = 2.54-16.90）、最近的肛门疣诊断（OR = 2.50，95% CI = 1.50-2.50）、最近的肛门瘙痒诊断（OR = 2.50，95% CI = 1.50-2.50）。临床医生应定期讨论对肛门健康的担忧，并进一步探讨可能相关的社会心理、生理和性问题。

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来源期刊

Journal of Lower Genital Tract Disease OBSTETRICS & GYNECOLOGY-

CiteScore

6.80

自引率

8.10%

发文量

158

审稿时长

6-12 weeks

期刊介绍： The Journal of Lower Genital Tract Disease is the source for the latest science about benign and malignant conditions of the cervix, vagina, vulva, and anus. The Journal publishes peer-reviewed original research original research that addresses prevalence, causes, mechanisms, diagnosis, course, treatment, and prevention of lower genital tract disease. We publish clinical guidelines, position papers, cost-effectiveness analyses, narrative reviews, and systematic reviews, including meta-analyses. We also publish papers about research and reporting methods, opinions about controversial medical issues. Of particular note, we encourage material in any of the above mentioned categories that is related to improving patient care, avoiding medical errors, and comparative effectiveness research. We encourage publication of evidence-based guidelines, diagnostic and therapeutic algorithms, and decision aids. Original research and reviews may be sub-classified according to topic: cervix and HPV, vulva and vagina, perianal and anal, basic science, and education and learning. The scope and readership of the journal extend to several disciplines: gynecology, internal medicine, family practice, dermatology, physical therapy, pathology, sociology, psychology, anthropology, sex therapy, and pharmacology. The Journal of Lower Genital Tract Disease highlights needs for future research, and enhances health care. The Journal of Lower Genital Tract Disease is the official journal of the American Society for Colposcopy and Cervical Pathology, the International Society for the Study of Vulvovaginal Disease, and the International Federation of Cervical Pathology and Colposcopy, and sponsored by the Australian Society for Colposcopy and Cervical Pathology and the Society of Canadian Colposcopists.