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Low human papillomavirus (HPV) knowledge related to low risk perception among men living with HIV: Implications for HPV-associated disease prevention.
- Source :
-
Preventive Medicine . Dec2020, Vol. 141, pN.PAG-N.PAG. 1p. - Publication Year :
- 2020
-
Abstract
- Human papillomavirus (HPV)-associated anal cancer is orders of magnitude higher among men living with HIV than the general male population. Our objective was to examine factors associated with HPV awareness and self-perceived risk for HPV-associated anal cancer among men living with HIV, which may influence uptake of cancer prevention strategies. A cross-sectional questionnaire on HPV was administered from 2016 to 2017 to 1677 men in a multisite, HIV clinical cohort in Ontario, Canada. We used logistic regression and proportional odds models to identify factors associated with being familiar with HPV and increasing self-perceived risk for anal cancer, respectively. We used correspondence analysis to examine associations of specific HPV-related knowledge with self-perceived risk. Only 52% were familiar with HPV, and 72% felt they had no or low risk for anal cancer. Familiarity with HPV was more common among men who have sex with men than heterosexual men (58% vs. 21%). Older men were less likely to be familiar with HPV (adjusted odds ratio [aOR] per 10 years = 0.77; 95% confidence interval [CI]: 0.69, 0.85). Familiarity with HPV was associated with increasing self-perceived risk (aOR = 2.39; 95% CI: 1.87, 3.04). After accounting for differences in HPV awareness and sexual orientation, racialized men had lower self-perceived risk (aOR = 0.68; 95% CI: 0.52, 0.88). In the correspondence analysis, risk-focused HPV-related knowledge (e.g., knowing smoking increases risk) was associated with highest risk perception. Efforts are needed to improve HPV-related health literacy in this population. Our findings suggest specific HPV-related knowledge may differentially influence self-perceived risk for anal cancer. [ABSTRACT FROM AUTHOR]
- Subjects :
- *RISK perception
*PAPILLOMAVIRUSES
*PREVENTIVE medicine
*HIV
*ANAL cancer
*HIV seroconversion
*HEALTH literacy
*HIV infections
*RESEARCH
*VERTEBRATES
*CROSS-sectional method
*RESEARCH methodology
*SENSORY perception
*MEDICAL cooperation
*EVALUATION research
*HOMOSEXUALITY
*COMPARATIVE studies
*PAPILLOMAVIRUS diseases
*VIRUS diseases
*DISEASE prevalence
*RESEARCH funding
Subjects
Details
- Language :
- English
- ISSN :
- 00917435
- Volume :
- 141
- Database :
- Academic Search Index
- Journal :
- Preventive Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 147202694
- Full Text :
- https://doi.org/10.1016/j.ypmed.2020.106274