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Gay and Bisexual Men in the US Lack Basic Information About Anal Cancer

Christopher W Wheldon1, Sarah B Maness2, Jessica Y Islam3

  • 1Department of Social and Behavioral Sciences, Temple University College of Public Health, Philadelphia, PA.

Journal of Lower Genital Tract Disease
|September 18, 2020
PubMed
Abstract

Insights

Most gay, bisexual, and other men who have sex with men (GBM) lack awareness that human papillomavirus (HPV) causes anal cancer. Targeted education is crucial for this high-risk group to improve prevention and vaccination uptake.

Area of Science:

  • Public Health
  • Epidemiology
  • Cancer Prevention

Background:

  • Human papillomavirus (HPV) is a known risk factor for various cancers, including anal cancer.
  • Gay, bisexual, and other men who have sex with men (GBM) represent a population at increased risk for HPV-associated anal cancer.
  • Understanding knowledge gaps regarding HPV and anal cancer is critical for targeted public health interventions.

Purpose of the Study:

  • To assess the level of awareness among GBM regarding the causal link between HPV and anal cancer.
  • To identify demographic and health-related factors associated with this knowledge.

Main Methods:

  • Secondary analysis of cross-sectional data from the Health Information National Trends Survey (2017-2019).
  • Focus on a subset of adults identifying as GBM (N=212).
  • Statistical evaluation using chi-squared tests and logistic regression to determine knowledge predictors.

Main Results:

  • Only 17.9% of GBM participants knew that HPV causes anal cancer, a rate similar to heterosexual men.
  • Awareness of HPV itself was higher (68%), but the specific link to anal cancer was poorly understood.
  • College education was associated with a higher likelihood of knowing HPV causes anal cancer (aOR=3.50).

Conclusions:

  • A significant knowledge deficit exists among GBM regarding HPV as a cause of anal cancer.
  • Current health information and vaccination promotion efforts appear to reach only a limited segment of this population.
  • There is a pressing need for targeted educational programs to address anal cancer and HPV vaccination within the GBM community.

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