Evidence map›Paper›PMID 39316041›Full record

Trial reportSexually transmitted diseases2025

Engagement and Factors Associated With Annual Anal Human Papillomavirus Screening Among Sexual and Gender Minority Individuals.

Jenna Nitkowski, Timothy J Ridolfi, Sarah J Lundeen, Anna R Giuliano, Elizabeth Chiao, Maria E Fernandez, Vanessa Schick, Jennifer S Smith, Paige Bruggink, Bridgett Brzezinski and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Sexually transmitted diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Impact of anal precancer screening on patient-reported outcomes among men-who-have-sex-with-men living with HIV: a scoping review.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2026
    Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Jenna NitkowskiFrom the School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI.ORCID 0000-0001-5651-8501
Timothy J RidolfiDepartment of Surgery, Medical College of Wisconsin, Milwaukee, WI.
Sarah J LundeenDepartment of Surgery, Medical College of Wisconsin, Milwaukee, WI.
Anna R GiulianoCenter for Immunization and Infection Research in Cancer, Moffitt Cancer Center and Research Institute, Tampa, FL.
Elizabeth ChiaoMD Anderson Cancer Center, The University of Texas.
Maria E FernandezDepartments of Health Promotion and Behavioral Sciences.
Vanessa SchickManagement, Policy and Community Health, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX.
Jennifer S SmithGillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Paige BrugginkMedical College of Wisconsin, Milwaukee, WI.
Bridgett BrzezinskiCenter for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, WI.
Alan G Nyitray

Funding

Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
Annual anal sampling using DNA screening to identify men who have sex with men at increased risk for anal cancerR01CA215403 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI NYITRAY, ALAN GASPAR · 2017 to 2021
$2.8M
NCATS NIH HHS UL1 TR001436NCI NIH HHS R01 CA215403
6 · The paper itself

Abstract

backgroundAlthough self-sampling could help address anal cancer screening barriers, no studies have investigated annual engagement with this method or compared it with annual screening with a provider. Building on our baseline article, we compared annual anal screening engagement between home-based self-sampling and clinic-based clinician sampling.

methodsThe Prevent Anal Cancer Self-Swab Study recruited and randomized sexual and gender minority individuals 25 years and older who have sex with men to a home or clinic arm. Home-based participants were mailed an anal human papillomavirus self-sampling kit at baseline and 12 months, whereas clinic-based participants were asked to schedule and attend 1 of 5 participating clinics at baseline and 12 months. Using Poisson regression, we conducted an intention-to-treat analysis of 240 randomized participants who were invited to screen at both timepoints.

resultsMore than half (58.8%) of participants completed annual (median = 370 days) anal screening. In the home arm, 65.0% of participants engaged in annual screening compared with 52.5% of clinic-based participants ( P = 0.049). When stratified by HIV status, persons living with HIV had a higher proportion of home (71.1%) versus clinic (22.2%) annual screening ( P < 0.001). Non-Hispanic Black participants participated more in home-based annual anal screening (73.1%) than annual clinic screening (31.6%; P = 0.01). Overall, annual screening engagement was significantly higher among participants who had heard of anal cancer from an LGBTQ organization, reported "some" prior anal cancer knowledge, preferred an insertive anal sex position, and reported any prior cancer diagnosis.

conclusionsAnnual screening engagement among those at disproportionate anal cancer risk was higher in the home arm.

Indexed as

Anus NeoplasmsEarly Detection of CancerPapillomavirus InfectionsSexual and Gender MinoritiesAdultAnal CanalFemaleHomosexuality, MaleHuman Papillomavirus VirusesHumansMaleMass ScreeningMiddle AgedPapillomaviridaePatient Acceptance of Health Care

Identifiers

PMID39316041
PMCPMC11711006

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.