Addressing anal health in the HIV primary care setting: A disappointing reality

Isabella Rosa-Cunha, Gabriel A. Cardenas, Gordon Dickinson, Lisa R. Metsch

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

The increased risk of anal cancer among individuals living with HIV suggests that anal health (e.g., anal symptoms, anal practices, examination of the anus) should be an issue of priority for HIV care providers to discuss with their HIV-infected patients. We investigated the prevalence of HIV-infected individuals discussing anal health with their HIV primary care provider and factors associated with this discussion. We surveyed 518 adult patients from 5 HIV primary care clinics in Miami, Florida, from May 2004 to May 2005. Overall, only 22% of women, 32% of heterosexual men, and 54% of men who have sex with men (MSM) reported discussing anal health with their HIV providers in the prior 12 months. In a multivariable logistic regression, when adjusting for other factors, heterosexual men and MSM were 2.31 and 5.56 times, respectively, more likely to discuss anal health with their HIV providers compared to their women counterparts. Other factors associated with anal health discussion were the patients' better perception of engagement with HIV providers and having had a sexually transmitted disease exam in the past 12 months. Reporting of unprotected sex with HIV-negative or unknown HIV status was inversely related to discussion of anal health with primary care providers (odds ratio [OR]?=? 0.53). Efforts are greatly needed to increase the focus on anal health in the HIV primary care setting for both men and women.

Original languageEnglish
Pages (from-to)533-538
Number of pages6
JournalAIDS Patient Care and STDs
Volume24
Issue number9
DOIs
StatePublished - Sep 1 2010

Fingerprint

Primary Health Care
HIV
Health
Heterosexuality
Anus Neoplasms
Unsafe Sex
Anal Canal
Sexually Transmitted Diseases
Logistic Models
Odds Ratio

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Addressing anal health in the HIV primary care setting : A disappointing reality. / Rosa-Cunha, Isabella; Cardenas, Gabriel A.; Dickinson, Gordon; Metsch, Lisa R.

In: AIDS Patient Care and STDs, Vol. 24, No. 9, 01.09.2010, p. 533-538.

Research output: Contribution to journalArticle

@article{c7cc029248f14e4293eedc7bdb0e4990,
title = "Addressing anal health in the HIV primary care setting: A disappointing reality",
abstract = "The increased risk of anal cancer among individuals living with HIV suggests that anal health (e.g., anal symptoms, anal practices, examination of the anus) should be an issue of priority for HIV care providers to discuss with their HIV-infected patients. We investigated the prevalence of HIV-infected individuals discussing anal health with their HIV primary care provider and factors associated with this discussion. We surveyed 518 adult patients from 5 HIV primary care clinics in Miami, Florida, from May 2004 to May 2005. Overall, only 22{\%} of women, 32{\%} of heterosexual men, and 54{\%} of men who have sex with men (MSM) reported discussing anal health with their HIV providers in the prior 12 months. In a multivariable logistic regression, when adjusting for other factors, heterosexual men and MSM were 2.31 and 5.56 times, respectively, more likely to discuss anal health with their HIV providers compared to their women counterparts. Other factors associated with anal health discussion were the patients' better perception of engagement with HIV providers and having had a sexually transmitted disease exam in the past 12 months. Reporting of unprotected sex with HIV-negative or unknown HIV status was inversely related to discussion of anal health with primary care providers (odds ratio [OR]?=? 0.53). Efforts are greatly needed to increase the focus on anal health in the HIV primary care setting for both men and women.",
author = "Isabella Rosa-Cunha and Cardenas, {Gabriel A.} and Gordon Dickinson and Metsch, {Lisa R.}",
year = "2010",
month = "9",
day = "1",
doi = "10.1089/apc.2010.0032",
language = "English",
volume = "24",
pages = "533--538",
journal = "AIDS Patient Care and STDs",
issn = "1087-2914",
publisher = "Mary Ann Liebert Inc.",
number = "9",

}

TY - JOUR

T1 - Addressing anal health in the HIV primary care setting

T2 - A disappointing reality

AU - Rosa-Cunha, Isabella

AU - Cardenas, Gabriel A.

AU - Dickinson, Gordon

AU - Metsch, Lisa R.

PY - 2010/9/1

Y1 - 2010/9/1

N2 - The increased risk of anal cancer among individuals living with HIV suggests that anal health (e.g., anal symptoms, anal practices, examination of the anus) should be an issue of priority for HIV care providers to discuss with their HIV-infected patients. We investigated the prevalence of HIV-infected individuals discussing anal health with their HIV primary care provider and factors associated with this discussion. We surveyed 518 adult patients from 5 HIV primary care clinics in Miami, Florida, from May 2004 to May 2005. Overall, only 22% of women, 32% of heterosexual men, and 54% of men who have sex with men (MSM) reported discussing anal health with their HIV providers in the prior 12 months. In a multivariable logistic regression, when adjusting for other factors, heterosexual men and MSM were 2.31 and 5.56 times, respectively, more likely to discuss anal health with their HIV providers compared to their women counterparts. Other factors associated with anal health discussion were the patients' better perception of engagement with HIV providers and having had a sexually transmitted disease exam in the past 12 months. Reporting of unprotected sex with HIV-negative or unknown HIV status was inversely related to discussion of anal health with primary care providers (odds ratio [OR]?=? 0.53). Efforts are greatly needed to increase the focus on anal health in the HIV primary care setting for both men and women.

AB - The increased risk of anal cancer among individuals living with HIV suggests that anal health (e.g., anal symptoms, anal practices, examination of the anus) should be an issue of priority for HIV care providers to discuss with their HIV-infected patients. We investigated the prevalence of HIV-infected individuals discussing anal health with their HIV primary care provider and factors associated with this discussion. We surveyed 518 adult patients from 5 HIV primary care clinics in Miami, Florida, from May 2004 to May 2005. Overall, only 22% of women, 32% of heterosexual men, and 54% of men who have sex with men (MSM) reported discussing anal health with their HIV providers in the prior 12 months. In a multivariable logistic regression, when adjusting for other factors, heterosexual men and MSM were 2.31 and 5.56 times, respectively, more likely to discuss anal health with their HIV providers compared to their women counterparts. Other factors associated with anal health discussion were the patients' better perception of engagement with HIV providers and having had a sexually transmitted disease exam in the past 12 months. Reporting of unprotected sex with HIV-negative or unknown HIV status was inversely related to discussion of anal health with primary care providers (odds ratio [OR]?=? 0.53). Efforts are greatly needed to increase the focus on anal health in the HIV primary care setting for both men and women.

UR - http://www.scopus.com/inward/record.url?scp=77956327661&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77956327661&partnerID=8YFLogxK

U2 - 10.1089/apc.2010.0032

DO - 10.1089/apc.2010.0032

M3 - Article

C2 - 20731611

AN - SCOPUS:77956327661

VL - 24

SP - 533

EP - 538

JO - AIDS Patient Care and STDs

JF - AIDS Patient Care and STDs

SN - 1087-2914

IS - 9

ER -