Males Have Lower Anal Pap Smear Screening in a Miami Safety-Net HIV Clinic.

IF 2 3区心理学 Q3 PSYCHOLOGY, CLINICAL International Journal of Behavioral Medicine Pub Date : 2024-10-25 DOI:10.1007/s12529-024-10325-y

Corinne B Ferrari, Emily J Ross, Maria Vermejo, Allan E Rodriguez, Amy Otto, Samantha E Dilworth, Isabella Rosa Cunha, Frank J Penedo, Michael H Antoni, Adam W Carrico

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Abstract

Background: Although people with HIV have a markedly higher risk of anal squamous cell carcinoma (ASCC), there are few evaluations of anal Pap screening determinants within safety-net HIV clinics.

Method: We conducted an evaluation of anal Pap screening correlates within a safety-net HIV clinic in Miami. Medical records were reviewed for 298 people ages 45 and older receiving HIV primary care. Demographic information and the prevalence of anal Pap screening over 1 year (i.e., 2018-2019) were extracted.

Results: Between 2018 and 2019, approximately half (46%) of patients completed anal Pap screening although this varied by sex assigned at birth. More than three-fourths of females (77%) compared to one-fourth (23%) of males were screened between 2018 and 2019 (p < 0.0001).

Conclusion: Findings underscore the need for multi-level intervention approaches to optimize anal Pap screening among males with HIV within the Miami-based safety-net clinic.

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迈阿密一家安全网艾滋病诊所的男性肛门巴氏涂片检查率较低。

背景：尽管艾滋病病毒感染者罹患肛门鳞状细胞癌（ASCC）的风险明显较高，但对安全网艾滋病诊所内肛门巴氏筛查决定因素的评估却很少：我们对迈阿密一家安全网艾滋病诊所内的肛门巴氏筛查相关因素进行了评估。我们查阅了 298 名 45 岁及以上接受艾滋病初级治疗者的医疗记录。提取了人口统计学信息和 1 年内（即 2018-2019 年）肛门巴氏筛查的流行率：2018 年至 2019 年期间，约有一半（46%）的患者完成了肛门巴氏筛查，但这一比例因出生时的性别而异。在 2018 年至 2019 年期间，超过四分之三的女性（77%）完成了筛查，而男性仅为四分之一（23%）（P 结论：研究结果突出表明，需要采取多层次的干预方法，以优化迈阿密安全网诊所中感染艾滋病毒的男性的肛门巴氏筛查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.20

自引率

3.70%

发文量

期刊介绍： The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.