Abstract:
PURPOSE:To determine the prevalence and risk factors for dysplasia in an urban population of HIV-infected young men who have sex with men (YMSM) and to determine the adherence to guidelines for anal cytology screening. METHODS:The electronic medical record was utilized to collect pre-existing demographic information, medical history, laboratory data, and anal cytology results. RESULTS:Among 60 subjects (mean age 21.2 years) at their first diagnostic anal cytology, 32 (53.3%) had an anal cytological abnormality and 28 (46.7%) had normal anal cytology. The abnormal results were as follows: 21 (65.6%) had atypical squamous cells of undetermined significance (ASCUS), one (3.1%) had atypical squamous cells and high-grade squamous intraepithelial lesion could not be excluded, nine (28.1%) had low-grade squamous intraepithelial lesion, and one (3.1%) had high-grade squamous intraepithelial lesion. In univariate analysis, abnormal anal cytology was not associated with any of the identified risk factors. The proportion of YMSM at the HIV Specialized Care Center who had an anal cytology screen rose from 32.3% (10/31) in 2008, the first full year of anal cytology screening at this clinic, to 81.4% (35/43) in 2012. CONCLUSIONS:The prevalence of abnormal anal cytology in this YMSM population is similar to the prevalence in other, primarily adult men who have sex with men, HIV-infected populations. Further studies are necessary to determine risk factors and outcomes of abnormal test results in HIV-infected YMSM populations.
journal_name
LGBT Healthjournal_title
LGBT healthauthors
Coromilas A,Brozovich A,Nelson J,Neu Ndoi
10.1089/lgbt.2013.0013subject
Has Abstractpub_date
2014-03-01 00:00:00pages
58-61issue
1eissn
2325-8292issn
2325-8306journal_volume
1pub_type
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