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

  • 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

摘要

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.