Data were presented previously in a poster at the 22nd Australasian Sexual Health Conference, Sydney, Australia, 18 October 2010, and by oral presentation at the 26th International Papillomavirus Conference, Montreal, Canada, presentation 238, 5 July 2010.
The psychological impact of anal cancer screening on HIV-infected men†
Article first published online: 31 JAN 2012
Copyright © 2012 John Wiley & Sons, Ltd.
Volume 22, Issue 3, pages 614–620, March 2013
How to Cite
Landstra, J. M. B., Ciarrochi, J., Deane, F. P., Botes, L. P. and Hillman, R. J. (2013), The psychological impact of anal cancer screening on HIV-infected men. Psycho-Oncology, 22: 614–620. doi: 10.1002/pon.3040
- Issue published online: 1 MAR 2013
- Article first published online: 31 JAN 2012
- Manuscript Accepted: 11 JAN 2012
- Manuscript Revised: 9 JAN 2012
- Manuscript Received: 24 JUL 2011
- St Vincent's Clinic Foundation
- anal cancer screening;
Anal cancer rates are increasing in HIV-infected men. Screening programmes similar to prostate and cervical cancer have been recommended to reduce morbidity and mortality. Research shows that screening processes have psychological consequences that need to be considered. Limited investigation of the psychological impact of anal cancer screening has been conducted.
A prospective longitudinal survey of 291 men was conducted at three time points over 14 weeks at a public HIV clinic in Sydney, Australia. Self-report questionnaires measuring worry, distress, depression, anxiety, stress and health-related quality of life (SF-12) were collected.
Those who had a biopsy recommended were significantly more worried about anal cancer, rated their anal health worse and were less optimistic about their future health than the control group who needed no further medical investigation. The group receiving high grade histology results remained worried about anal cancer at time 3. We found no evidence that general anxiety, depression or quality of life was significantly affected by the process.
Anal cancer specific worry increases throughout the screening process. Clear communication prior to procedures about the procedure itself, potential adverse events, the recovery process and non-technical explanations of results should be implemented in anal screening programmes.Copyright © 2012 John Wiley & Sons, Ltd.