Gay and Bisexual Men's Willingness to Use a Self-Collected Anal Cancer Screening Test

Joshua A. Thompson, Paul L. Reiter, Annie Laurie McRee, Jennifer L. Moss, Noel T. Brewer

Research output: Contribution to journalArticle

4 Scopus citations


Objective: We investigated gay and bisexual men's willingness to self-administer an anal cancer screening test at home. Methods: We conducted 2 national, online cross-sectional surveys of self-identified gay and bisexual men: Study I in 2009 with men ages 20 to 59 (n = 306) and Study II in 2013 with men ages 18 to 26 (n = 428). We used multivariate logistic regression analyses to determine variables associated with willingness to self-administer the screening test. Results: Most men were willing to self-administer an anal cancer screening test (78% Study I; 67% Study II). In Study I, willingness was higher among men who trusted anal Paps to find treatable cancer (adjusted odds ratio [aOR] = 1.47; 95% CI, 1.04-2.09) and who believed that men who have sex with men should be screened for anal cancer between 1 and 3 years vs. other intervals (aOR = 2.19; 95% CI, 1.17-4.10). In Study II, willingness was higher among men who perceived greater likelihood of anal cancer (aOR = 1.57; 95% CI, 1.12-2.20). Their most common concerns were not performing the test correctly and inaccuracy of results. Conclusions: Many gay and bisexual men were willing to self-administer anal cancer screening tests at home. If routine screening is warranted, self-collected home testing could improve participation.

Original languageEnglish (US)
Pages (from-to)354-361
Number of pages8
JournalJournal of Lower Genital Tract Disease
Issue number4
Publication statusPublished - Oct 29 2015


All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

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