Knowledge, Attitudes, and Experiences of Anal Cancer and Anal Cancer Screening Among a Clinical Sample of Hispanic Women
| Autor: | Lianeris M Estremera-Rodríguez, Ana P. Ortiz, Kyara M Berríos-Toledo, Jeslie M Ramos-Cartagena, Sandra I García-Camacho, Vivian Colón-López, Josefina Romaguera |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Health Knowledge Attitudes Practice Population Organ transplantation Article Interviews as Topic 03 medical and health sciences Young Adult 0302 clinical medicine Risk Factors Medicine Anal cancer Humans Medical history Pap test education Early Detection of Cancer Aged Colposcopy education.field_of_study 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Obstetrics Puerto Rico Obstetrics and Gynecology Anoscopy General Medicine Middle Aged medicine.disease Anus Neoplasms Cross-Sectional Studies 030220 oncology & carcinogenesis Population study Female business Papanicolaou Test |
| Zdroj: | J Low Genit Tract Dis |
| ISSN: | 1526-0976 |
| Popis: | OBJECTIVE: Anal cancer screening has been recommended for women with lower genital tract neoplasia (LGTN), lupus, Crohn’s disease, human immunodeficiency virus (HIV) and/or organ transplantation recipients. This study described and compared knowledge, attitudes, and experiences related to anal cancer and anal cancer screening between women at high-risk for anal cancer and their counterparts. METHODS: This is a Cross-sectional study within colposcopy and gynecology oncology clinics in Puerto Rico; 283 women aged ≥21 years or older and with prior diagnosis of gynecological neoplasia completed an interviewer-administered questionnaire. Women were categorized according to their medical history as being high-risk or non-high-risk for anal cancer. The high-risk group included women with history of lower genital tract neoplasia, lupus, Crohn’s disease, HIV and/or organ transplantation. RESULTS: Overall, 40.7% of the study population were at high-risk of developing anal cancer. History of anal cancer screening was low among high-risk and non-high-risk women (11.5 vs. 5.6%, p>0.05). Less than 1% of all women reported to have had a high-resolution anoscopy. Most women (87.6%) had little knowledge about anal Pap: test but were willing to have one if their doctors recommended it (96.5%). No major differences in knowledge, attitudes or screening history were observed between high-risk and non-high-risk women. CONCLUSION: Although experts do not recommend routine anal cancer screening for the general population, they do recommend it for women within certain high-risk groups. Study findings highlight the importance of increasing education and awareness of anal cancer among high-risk patients and physicians, to promote better preventive methods, achieve early detection and improve disease outcomes. |
| Databáze: | OpenAIRE |
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