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. 2024 Oct 25.
doi: 10.1007/s12529-024-10325-y. Online ahead of print.

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

Corinne B Ferrari  1 , Emily J Ross  2 , Maria Vermejo  1 , Allan E Rodriguez  3 , Amy Otto  1 , Samantha E Dilworth  1 , Isabella Rosa Cunha  3 , Frank J Penedo  4 , Michael H Antoni  4 , Adam W Carrico  5
Affiliations

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

Corinne B Ferrari et al. Int J Behav Med. .

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.

Keywords: Anal Pap smear; Anal cancer; HIV.

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