Anal cancer risk and HPV infection knowledge and awareness among Hispanic persons living with HIV in Puerto Rico.

Author:

Hernandez-Marrero Jessica1,Ramos-Cartagena Jeslie M.1,Soto-Salgado Marievelisse1,Rivera-Santiago Tanialy2,Ortiz-Ortiz Karen J.2,López Vivian Colón-1,Deshmukh Ashish A.3,Ortiz Ana P.1

Affiliation:

1. University of Puerto Rico Comprehensive Cancer Center, San Juan

2. University of Puerto Rico/MD Anderson Cancer Center Partnership for Excellence in Cancer Research, San Juan

3. Department of Public Health Sciences, Medical University of South Carolina

Abstract

Abstract

Background: Persons living with HIV (PLWH) have a higher risk of persistent infection with human papillomavirus (HPV) and anal cancer. We evaluated knowledge and awareness of HPV infection and risk factors for anal cancer among PLWH in Puerto Rico (PR). Methods: Data from a cross-sectional study (2020-2021) were analyzed (n=212). Inclusion criteria included PLWH, aged ≥ 26 years, and living in PR. Telephone interviews collected information on sociodemographic, lifestyle and clinical characteristics. Two 13-item scales were used to assess knowledge of HPV and anal cancer risk factors; adequate knowledge for both scales were defined as scoring >70%. Logistic regression models using generalized linear models were used to determine the association between 1) HPV infection awareness, 2) HPV infection knowledge, and 3) Anal cancer risk factors knowledge. Results: The median age was 54 years (IQR: 46,58), 67.5% were male, 71.7% reported having an income <$20,000, and 54.3% had an education level of more than high school. HPV awareness was high (82.1%), but only 40.2% and 3.8% had adequate knowledge of HPV and anal cancer risk factors, respectively. In adjusted logistic regression models, men who have sex with men (OR: 1.26, 95%CI: 1.07-1.47) and women (OR: 1.35, 95%CI: 1.15-1.59) aged ≥50 years had higher odds of HPV awareness than heterosexual men in that age group. Moreover, those with history of anal Pap test aged <50 years had more HPV awareness (OR 1.34, 95%CI: 1.08-1.66) than their counterparts. Adequate HPV knowledge was higher among participants with an education level of more than high-school (OR:1.28, 95%CI: 1.10-1.50) and with a history of HPV diagnosis (OR:1.33, 95%CI: 1.08-1.65) than their counterparts. In addition, people with good/very good/excellent health perception had higher odds of HPV knowledge (OR:1.23, 95%CI: 1.03-1.47) than those who reported poor/regular health perception. For anal cancer risk factors, PLWH for ≥15 years had increased odds of having adequate knowledge (OR:1.07, 95%CI: 1.02-1.14) than their counterparts. Conclusions: Despite high awareness of HPV, limited knowledge about HPV and anal cancer risk factors was observed among PLWH. Results from our study highlight the need for educational efforts within this population as an anal cancer prevention strategy.

Publisher

Research Square Platform LLC

Reference27 articles.

1. Latin American and the Caribbean Code Against Cancer 1st edition: Infections and cancer;Herrero R;Cancer Epidemiol,2023

2. Ortiz-Ortiz KJ, Ramos-Cartagena JM, Deshmukh AA, Torres-CintrónCintr CR, Coí on-L V, Ortiz AP. CANCER PREVENTION AND CONTROL original reports Squamous Cell Carcinoma of the Anus Incidence, Mortality, and Survival Among the General Population and Persons Living With HIV in Puerto Rico, 2000–2016. JCO Global Oncol [Internet]. 2021;7:133–43. Available from: https://doi.

3. https://seer.cancer.gov/statfacts/html/anus.html [Internet]. 2024. National Cancer Institute: Surveillance, Epidemiology, and End Results Program. Cancer Stat Facts: Anal Cancer.

4. Gondal TA, Chaudhary N, Bajwa H, Rauf A, Le D, Ahmed S. Anal Cancer: The Past, Present and Future. Current Oncology. Volume 30. MDPI; 2023. pp. 3232–50.

5. Stier EA, Clarke MA, Deshmukh AA, Wentzensen N, Liu Y, Poynten IM et al. International Anal Neoplasia Society’s consensus guidelines for anal cancer screening. Int J Cancer [Internet]. 2024; http://www.ncbi.nlm.nih.gov/pubmed/38297406.

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