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Article ; Online: Risk Factors for Anal Dysplasia in Transgender Women: A Retrospective Chart Review.

Fein, Lydia A / Rosa Cunha, Isabella / Slomovitz, Brian / Potter, JoNell

2018 Volume 22, Issue 4, Page(s) 336–339

Abstract: Objective: The aim of the study was to assess risk factors for anal human papillomavirus (HPV) infection and anal dysplasia among a cohort of transgender women (TGW).: Methods: A retrospective chart review was conducted based on electronic medical ... ...

Abstract	Objective: The aim of the study was to assess risk factors for anal human papillomavirus (HPV) infection and anal dysplasia among a cohort of transgender women (TGW). Methods: A retrospective chart review was conducted based on electronic medical records of TGW patients seen in the University of Miami Health System between 2010 and 2016. Outcome measures included risk factors of anal dysplasia, including HIV infection, receptive anal intercourse, and smoking history. Descriptive statistical analysis and χ testing were used. Results: Sixty-nine TGW patients' charts were reviewed. Patients' ages ranged from 18 to 72 (mean = 38 [15]). Twenty-two (30%) were older than 50 years; 10 (15%) were black/African descent; 20 (29%) reported a smoking history; 6 (9%) were HIV positive, and 28 (72%) among those with known partner preference (n = 39) reported male partners. Male partner preference was significantly associated with being black/African descent (p = .009) and being single (p = .048). Older age was significantly associated with HIV-positive status (p = .023). The average number of risk factors per person was 2.10 (0.97). Sixty-one years or older had the highest average number of risk factors (2.90 [0.88]). Conclusions: Because rates of HIV, dangerous sexual behaviors, and other risk factors for anal dysplasia continue to persist among TGW, this study reinforces the need to increase the focus on anal health in the care of TGW and the need for further research to guide patient care and anal dysplasia screening strategies among those individuals.
MeSH term(s)	Academic Medical Centers ; Adolescent ; Adult ; Aged ; Anal Canal/pathology ; Anus Neoplasms/epidemiology ; Female ; Florida/epidemiology ; Humans ; Male ; Middle Aged ; Papillomavirus Infections/complications ; Papillomavirus Infections/epidemiology ; Retrospective Studies ; Risk Factors ; Transgender Persons ; Young Adult
Language	English
Publishing date	2018-03-30
Publishing country	United States
Document type	Journal Article
ZDB-ID	2041332-4
ISSN	1526-0976 ; 1089-2591
ISSN (online)	1526-0976
ISSN	1089-2591
DOI	10.1097/LGT.0000000000000396
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Zs.A 5466: Show issues

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Article ; Online: Exploring the Perceptions of Anal Cancer Screening and Behaviors Among Gay and Bisexual Men Infected With HIV.

Koskan, Alexis M / LeBlanc, Natalie / Rosa-Cunha, Isabella

Cancer control : journal of the Moffitt Cancer Center

2016 Volume 23, Issue 1, Page(s) 52–58

Abstract: Background: The incidence of anal cancer is on the rise among HIV-infected men who have sex with men (MSM). Given the increasing availability of screening, this study explored anal cancer screening awareness and behaviors among MSM infected with HIV.: ...

Abstract	Background: The incidence of anal cancer is on the rise among HIV-infected men who have sex with men (MSM). Given the increasing availability of screening, this study explored anal cancer screening awareness and behaviors among MSM infected with HIV. Methods: In-depth interviews were conducted with 58 MSM infected with HIV. Results: Other than 2 participants treated for anal cancer and 3 treated for precancerous anal lesions, the majority of participants had never heard of anal cancer. Men reported lack of awareness and recommendations from their health care professionals as the greatest barriers to screening. Upon learning about their risk for anal cancer and the availability of screening, the men were eager to discuss screening with their physicians. Participants provided numerous recommendations for future interventions, including training health care professionals to promote screening, disseminating information pertaining to anal cancer through social networks, and creating media campaigns to raise awareness about the need to screen for this type of cancer. Conclusions: Future intervention work should focus on ensuring that health care professionals, particularly among HIV/primary care specialists, promote screening for anal dysplasia. It is critical that intervention methods use a community-based approach to raise awareness about the need to screen for anal cancer, especially among MSM infected with HIV.
MeSH term(s)	Adult ; Aged ; Anus Neoplasms/diagnosis ; Anus Neoplasms/epidemiology ; Bisexuality/psychology ; Early Detection of Cancer ; HIV Infections/epidemiology ; Health Knowledge, Attitudes, Practice ; Healthcare Disparities ; Homosexuality/psychology ; Homosexuality, Male/psychology ; Humans ; Male ; Mass Screening/psychology ; Middle Aged ; Perception ; Risk Factors ; Young Adult
Language	English
Publishing date	2016-01
Publishing country	United States
Document type	Comparative Study ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	1328503-8
ISSN	1526-2359 ; 1073-2748
ISSN (online)	1526-2359
ISSN	1073-2748
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Zs.A 4467: Show issues

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Article ; Online: Clinical and epidemiological characteristics of individuals with very high rapid plasma reagin.

Castro, Jose G / Alcaide, Maria L / Rosa-Cunha, Isabella

International journal of STD & AIDS

2014 Volume 25, Issue 8, Page(s) 593–595

Abstract: The objective of the study was to identify clinical and epidemiological characteristics of patients with infectious syphilis who presented with a high rapid plasma reagin (RPR) titre (≥1: 512) during the year of 2009 at the Miami Dade County Health ... ...

Abstract	The objective of the study was to identify clinical and epidemiological characteristics of patients with infectious syphilis who presented with a high rapid plasma reagin (RPR) titre (≥1: 512) during the year of 2009 at the Miami Dade County Health Department (MDCHD) STD clinic. Potential cases were identified by a search in the electronic database. Among 519 individuals identified with reactive RPR, 190 individuals met criteria for infectious syphilis and 32 of them had at least one RPR titre of ≥1: 512. We found that the majority of individuals with high RPR were men who have sex with men (82%), from ethnic minorities (91%), and HIV infected (75%) but only 3 of them were on antiretroviral therapy. Overall, 50% of these patients with very high RPR titres were symptomatic, and the most common symptom was skin rash (93%).
MeSH term(s)	Adolescent ; Adult ; Female ; Florida/epidemiology ; Fluorescent Antibody Technique ; HIV Infections/epidemiology ; Hemagglutination Tests ; Heterosexuality/statistics & numerical data ; Homosexuality, Male/statistics & numerical data ; Humans ; Male ; Middle Aged ; Reagent Kits, Diagnostic ; Reagins/blood ; Retrospective Studies ; Sensitivity and Specificity ; Syphilis/diagnosis ; Syphilis/epidemiology ; Syphilis/immunology ; Syphilis Serodiagnosis/methods ; Treponema pallidum/immunology ; Treponema pallidum/isolation & purification
Chemical Substances	Reagent Kits, Diagnostic ; Reagins
Language	English
Publishing date	2014-07
Publishing country	England
Document type	Journal Article
ZDB-ID	1018089-8
ISSN	1758-1052 ; 0956-4624
ISSN (online)	1758-1052
ISSN	0956-4624
DOI	10.1177/0956462413515636
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Zs.A 2829: Show issues

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Article ; Online: Linguistic validation of the Spanish version of the Anal Cancer High-Grade squamous intraepithelial lesions outcomes Research Health-Related Symptom Index (A-HRSI): AMC-A04.

Atkinson, Thomas M / Lynch, Kathleen A / Vera, Jacqueline / Olivares, Nuria Mendoza / Webb, Andrew / Diamond, Lisa C / González, Javier / Lubetkin, Erica I / Bucher, Gary / Rosa-Cunha, Isabella / Berry-Lawhorn, J Michael / Levine, Rebecca / Aboulafia, David / Schouten, Jeffrey / Holland, Susan M / Cella, David / Palefsky, Joel M

Journal of patient-reported outcomes

2022 Volume 6, Issue 1, Page(s) 108

Abstract: Objectives: The Anal Cancer High-grade squamous intraepithelial lesions (HSIL) Outcomes Research (ANCHOR) Health-Related Symptom Index (A-HRSI) is a 25-item measure that assesses physical symptoms and impacts, and psychological symptoms. To promote ... ...

Abstract	Objectives: The Anal Cancer High-grade squamous intraepithelial lesions (HSIL) Outcomes Research (ANCHOR) Health-Related Symptom Index (A-HRSI) is a 25-item measure that assesses physical symptoms and impacts, and psychological symptoms. To promote generalizability and equity in the capture of these concepts in Spanish-speaking participants, we linguistically validated a Spanish version of A-HRSI. Methods: Following independent forward translation and reconciliation of A-HRSI from English to Spanish, two rounds of cognitive interviews were completed with ANCHOR participants who had been diagnosed with anal HSIL in the prior nine months and preferred delivery of their healthcare in Spanish. Interviews were coded to highlight any items and concepts that were reported as being difficult for any reason by ≥ 3 participants, with such items revised during a research team panel discussion and tested in a second round of interviews if applicable. Results: Seventeen participants representing 8 nationalities were enrolled (Round 1 n=10, Round 2 n=7); 7 participants reported not completing high school (41.2%). No difficulties were reported with respect to the theoretical concepts measured by A-HRSI. We made modifications to the Spanish translation of eight items and two response option terms in cases where participants had difficulty understanding a term, experienced problems in discriminating between terms, or preferred the use of an alternative term to represent the concept(s). Conclusion: The Spanish version of A-HRSI is a linguistically valid tool that can be used to assess physical symptoms, impacts, and psychological symptoms related to anal HSIL. Language is a tremendous barrier to enrolling patients to clinical trials. The anal cancer high-grade squamous intraepithelial lesions (HSIL) outcomes research [ANCHOR] trial is a randomized clinical trial that recently established that the treatment of anal HSIL, versus active monitoring, is effective in reducing incidence of anal cancer in persons living with HIV (PLWH). The ANCHOR Health-Related Symptom Index (A-HRSI) is a 25-item patient-reported outcomes measure that was developed to assess physical symptoms, physical impacts, and psychological symptoms related to anal HSIL. As approximately 10% of ANCHOR participants preferred the delivery of their healthcare in Spanish, the purpose of the present study was to linguistically validate a Spanish version of A-HRSI. Based on feedback from interviews with 17 participants from the ANCHOR trial who had been diagnosed with anal HSIL in the prior nine months and preferred delivery of their healthcare in Spanish, we made modifications to the Spanish translation of eight items and two response option terms in cases where participants had difficulty understanding a term, experienced problems in discriminating between terms, or preferred the use of an alternative term to represent the concept(s). The Spanish version of A-HRSI is a linguistically valid tool that can be used to assess physical symptoms, impacts, and psychological symptoms related to anal HSIL as part of clinical trials or routine care.
Language	English
Publishing date	2022-10-11
Publishing country	Germany
Document type	Journal Article
ISSN	2509-8020
ISSN (online)	2509-8020
DOI	10.1186/s41687-022-00515-1
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Article ; Online: Construct validity and responsiveness of a health-related symptom index for persons either treated or monitored for anal high-grade squamous intraepithelial lesions (HSIL): AMC-A01/-A03.

Atkinson, Thomas M / Lensing, Shelly / Lee, Jeannette Y / Chang, Di / Kim, Soo Young / Li, Yuelin / Lynch, Kathleen A / Webb, Andrew / Holland, Susan M / Lubetkin, Erica I / Goldstone, Stephen / Einstein, Mark H / Stier, Elizabeth A / Wiley, Dorothy J / Mitsuyasu, Ronald / Rosa-Cunha, Isabella / Aboulafia, David M / Dhanireddy, Shireesha / Schouten, Jeffrey T /

Levine, Rebecca / Gardner, Edward / Logan, Jeffrey / Dunleavy, Hillary / Barroso, Luis F / Bucher, Gary / Korman, Jessica / Stearn, Benjamin / Wilkin, Timothy J / Ellsworth, Grant / Pugliese, Julia C / Arons, Abigail / Burkhalter, Jack E / Cella, David / Berry-Lawhorn, J Michael / Palefsky, Joel M

Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation

2023 Volume 32, Issue 8, Page(s) 2293–2304

Abstract: Purpose: To determine whether treatment of anal high-grade squamous intraepithelial lesions (HSIL), vs active monitoring, is effective in reducing incidence of anal cancer in persons living with HIV, the US National Cancer Institute funded the Phase III ...

Abstract	Purpose: To determine whether treatment of anal high-grade squamous intraepithelial lesions (HSIL), vs active monitoring, is effective in reducing incidence of anal cancer in persons living with HIV, the US National Cancer Institute funded the Phase III ANal Cancer/HSIL Outcomes Research (ANCHOR) clinical trial. As no established patient-reported outcomes (PRO) tool exists for persons with anal HSIL, we sought to estimate the construct validity and responsiveness of the ANCHOR Health-Related Symptom Index (A-HRSI). Methods: The construct validity phase enrolled ANCHOR participants who were within two weeks of randomization to complete A-HRSI and legacy PRO questionnaires at a single time point. The responsiveness phase enrolled a separate cohort of ANCHOR participants who were not yet randomized to complete A-HRSI at three time points: prior to randomization (T1), 14-70 (T2), and 71-112 (T3) days following randomization. Results: Confirmatory factor analysis techniques established a three-factor model (i.e., physical symptoms, impact on physical functioning, impact on psychological functioning), with moderate evidence of convergent validity and strong evidence of discriminant validity in the construct validity phase (n = 303). We observed a significant moderate effect for changes in A-HRSI impact on physical functioning (standardized response mean = 0.52) and psychological symptoms (standardized response mean = 0.60) from T2 (n = 86) to T3 (n = 92), providing evidence of responsiveness. Conclusion: A-HRSI is a brief PRO index that captures health-related symptoms and impacts related to anal HSIL. This instrument may have broad applicability in other contexts assessing individuals with anal HSIL, which may ultimately help improve clinical care and assist providers and patients with medical decision-making.
MeSH term(s)	Humans ; Quality of Life/psychology ; Squamous Intraepithelial Lesions/diagnosis ; Squamous Intraepithelial Lesions/pathology ; Anal Canal ; Surveys and Questionnaires ; Anus Neoplasms/pathology ; HIV Infections/pathology
Language	English
Publishing date	2023-04-05
Publishing country	Netherlands
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	1161148-0
ISSN	1573-2649 ; 0962-9343
ISSN (online)	1573-2649
ISSN	0962-9343
DOI	10.1007/s11136-023-03391-4
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Zs.A 3796: Show issues

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Article ; Online: Addressing anal health in the HIV primary care setting: a disappointing reality.

Rosa-Cunha, Isabella / Cardenas, Gabriel A / Dickinson, Gordon / Metsch, Lisa R

AIDS patient care and STDs

2010 Volume 24, Issue 9, Page(s) 533–538

Abstract: The increased risk of anal cancer among individuals living with HIV suggests that anal health (e.g., anal symptoms, anal practices, examination of the anus) should be an issue of priority for HIV care providers to discuss with their HIV-infected patients. ...

Abstract	The increased risk of anal cancer among individuals living with HIV suggests that anal health (e.g., anal symptoms, anal practices, examination of the anus) should be an issue of priority for HIV care providers to discuss with their HIV-infected patients. We investigated the prevalence of HIV-infected individuals discussing anal health with their HIV primary care provider and factors associated with this discussion. We surveyed 518 adult patients from 5 HIV primary care clinics in Miami, Florida, from May 2004 to May 2005. Overall, only 22% of women, 32% of heterosexual men, and 54% of men who have sex with men (MSM) reported discussing anal health with their HIV providers in the prior 12 months. In a multivariable logistic regression, when adjusting for other factors, heterosexual men and MSM were 2.31 and 5.56 times, respectively, more likely to discuss anal health with their HIV providers compared to their women counterparts. Other factors associated with anal health discussion were the patients' better perception of engagement with HIV providers and having had a sexually transmitted disease exam in the past 12 months. Reporting of unprotected sex with HIV-negative or unknown HIV status was inversely related to discussion of anal health with primary care providers (odds ratio [OR] = 0.53). Efforts are greatly needed to increase the focus on anal health in the HIV primary care setting for both men and women.
MeSH term(s)	Adult ; Anus Neoplasms/etiology ; Anus Neoplasms/prevention & control ; Female ; Florida ; HIV Infections/complications ; Homosexuality, Male ; Humans ; Logistic Models ; Male ; Primary Health Care ; Professional-Patient Relations ; Risk Factors ; Sex Characteristics
Language	English
Publishing date	2010-08-23
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	1326868-5
ISSN	1557-7449 ; 0893-5068 ; 1087-2914
ISSN (online)	1557-7449
ISSN	0893-5068 ; 1087-2914
DOI	10.1089/apc.2010.0032
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Zs.A 2328: Show issues

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Article ; Online: Treatment of Anal High-Grade Squamous Intraepithelial Lesions to Prevent Anal Cancer.

Palefsky, Joel M / Lee, Jeannette Y / Jay, Naomi / Goldstone, Stephen E / Darragh, Teresa M / Dunlevy, Hillary A / Rosa-Cunha, Isabella / Arons, Abigail / Pugliese, Julia C / Vena, Don / Sparano, Joseph A / Wilkin, Timothy J / Bucher, Gary / Stier, Elizabeth A / Tirado Gomez, Maribel / Flowers, Lisa / Barroso, Luis F / Mitsuyasu, Ronald T / Lensing, Shelly Y /

Logan, Jeffrey / Aboulafia, David M / Schouten, Jeffrey T / de la Ossa, Juan / Levine, Rebecca / Korman, Jessica D / Hagensee, Michael / Atkinson, Thomas M / Einstein, Mark H / Cracchiolo, Bernadette M / Wiley, Dorothy / Ellsworth, Grant B / Brickman, Cristina / Berry-Lawhorn, J Michael

The New England journal of medicine

2022 Volume 386, Issue 24, Page(s) 2273–2282

Abstract: Background: The incidence of anal cancer is substantially higher among persons living with the human immunodeficiency virus (HIV) than in the general population. Similar to cervical cancer, anal cancer is preceded by high-grade squamous intraepithelial ... ...

Abstract	Background: The incidence of anal cancer is substantially higher among persons living with the human immunodeficiency virus (HIV) than in the general population. Similar to cervical cancer, anal cancer is preceded by high-grade squamous intraepithelial lesions (HSILs). Treatment for cervical HSIL reduces progression to cervical cancer; however, data from prospective studies of treatment for anal HSIL to prevent anal cancer are lacking. Methods: We conducted a phase 3 trial at 25 U.S. sites. Persons living with HIV who were 35 years of age or older and who had biopsy-proven anal HSIL were randomly assigned, in a 1:1 ratio, to receive either HSIL treatment or active monitoring without treatment. Treatment included office-based ablative procedures, ablation or excision under anesthesia, or the administration of topical fluorouracil or imiquimod. The primary outcome was progression to anal cancer in a time-to-event analysis. Participants in the treatment group were treated until HSIL was completely resolved. All the participants underwent high-resolution anoscopy at least every 6 months; biopsy was also performed for suspected ongoing HSIL in the treatment group, annually in the active-monitoring group, or any time there was concern for cancer. Results: Of 4459 participants who underwent randomization, 4446 (99.7%) were included in the analysis of the time to progression to cancer. With a median follow-up of 25.8 months, 9 cases were diagnosed in the treatment group (173 per 100,000 person-years; 95% confidence interval [CI], 90 to 332) and 21 cases in the active-monitoring group (402 per 100,000 person-years; 95% CI, 262 to 616). The rate of progression to anal cancer was lower in the treatment group than in the active-monitoring group by 57% (95% CI, 6 to 80; P = 0.03 by log-rank test). Conclusions: Among participants with biopsy-proven anal HSIL, the risk of anal cancer was significantly lower with treatment for anal HSIL than with active monitoring. (Funded by the National Cancer Institute; ClinicalTrials.gov number, NCT02135419.).
MeSH term(s)	Adult ; Anus Neoplasms/etiology ; Anus Neoplasms/pathology ; Anus Neoplasms/prevention & control ; Anus Neoplasms/therapy ; Biopsy ; Female ; HIV Infections/complications ; Homosexuality, Male ; Humans ; Male ; Papillomavirus Infections/complications ; Precancerous Conditions/etiology ; Precancerous Conditions/pathology ; Precancerous Conditions/therapy ; Prospective Studies ; Squamous Intraepithelial Lesions/etiology ; Squamous Intraepithelial Lesions/pathology ; Squamous Intraepithelial Lesions/therapy ; Watchful Waiting
Language	English
Publishing date	2022-06-15
Publishing country	United States
Document type	Clinical Trial, Phase III ; Comparative Study ; Journal Article ; Randomized Controlled Trial
ZDB-ID	207154-x
ISSN	1533-4406 ; 0028-4793
ISSN (online)	1533-4406
ISSN	0028-4793
DOI	10.1056/NEJMoa2201048
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Article: Increase in lymphogranuloma venereum cases in South Florida.

Castro, José Guillermo / Ponomareva, Olga / Alcaide, María / Rosa-Cunha, Isabella / Dilanchian, Paula / Willis, Dean

Journal of the International Association of Physicians in AIDS Care (Chicago, Ill. : 2002)

2012 Volume 11, Issue 4, Page(s) 220–222

Abstract: The purpose of the study was to evaluate the clinic prevalence and clinical characteristics of patients with LGV since 2007 when active clinic surveillance started. We review all the reports of rectal Chlamydia trachomatis and LGV testing of those ... ...

Abstract	The purpose of the study was to evaluate the clinic prevalence and clinical characteristics of patients with LGV since 2007 when active clinic surveillance started. We review all the reports of rectal Chlamydia trachomatis and LGV testing of those samples. Chlamydia trachomatis LGV DNA was detected by Nucleic Acid Amplification/ompA gene sequencing. Medical records of all patients with LGV were reviewed. Prevalence of rectal CT among tested individuals was relatively stable during the study period: 2007 (15%), 2008 (15%), 2009 (12%) and 2010 (14%). Eight cases of LGV were identified during the study period, one in 2009 and seven in 2010. All individuals were male and all except one had sex with only men. Most of them were also infected with HIV (62.5%). We concluded that this is the first report of LGV cases in South Florida and shows a rapid increase in the number of cases in the last year.
MeSH term(s)	Adult ; Chlamydia trachomatis/isolation & purification ; DNA, Bacterial/isolation & purification ; Female ; Florida/epidemiology ; Humans ; Lymphogranuloma Venereum/diagnosis ; Lymphogranuloma Venereum/epidemiology ; Lymphogranuloma Venereum/microbiology ; Male ; Middle Aged ; Population Surveillance ; Prevalence ; Rectum/microbiology ; Sexual Behavior ; Young Adult
Chemical Substances	DNA, Bacterial
Language	English
Publishing date	2012-07
Publishing country	United States
Document type	Journal Article
ISSN	1545-1097
ISSN	1545-1097
DOI	10.1177/1545109712447198
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Article ; Online: Human papillomavirus awareness among HIV-infected drug users in two urban areas.

Rosa-Cunha, Isabella / Hooton, Thomas M / Cardenas, Gabriel A / Del Rio, Carlos / Bonney, Loida E / Pereyra, Margaret / Metsch, Lisa R

International journal of STD & AIDS

2014 Volume 25, Issue 14, Page(s) 992–996

Abstract: Human papillomavirus (HPV) is the cause of cervical and anal cancer. Human immunodeficiency virus (HIV) infection and cocaine use are associated with increased risk for HPV infection and associated diseases, but little is known about HIV-infected drug ... ...

Abstract	Human papillomavirus (HPV) is the cause of cervical and anal cancer. Human immunodeficiency virus (HIV) infection and cocaine use are associated with increased risk for HPV infection and associated diseases, but little is known about HIV-infected drug users' awareness of HPV. We investigate HPV awareness among HIV-infected, sexually-active crack cocaine users from two inner-city hospitals in Florida and Georgia during their inpatient stays. Multivariate logistic regression analysis was used to examine potential correlates of HPV awareness. We interviewed 215 participants (110 women; 105 men) about their awareness of HPV infection. Overall, only 25% of respondents reported having heard of HPV. The odds of having heard of HPV were greater for respondents having a high-school degree or higher, having ever gone to an HIV provider for HIV care, and having two or more sexual partners. Despite increased susceptibility to HPV infection and HPV-related cancers, our study findings suggest that sexually-active HIV-infected crack cocaine users have little awareness of HPV and highlight the need for programmes targeting HPV education for HIV-infected crack cocaine drug users.
MeSH term(s)	Adolescent ; Adult ; Crack Cocaine ; Drug Users ; Female ; Florida ; Georgia ; HIV Infections/complications ; Health Knowledge, Attitudes, Practice ; Health Surveys ; Humans ; Interviews as Topic ; Logistic Models ; Male ; Middle Aged ; Papillomaviridae ; Papillomavirus Infections/complications ; Risk Factors ; Sexual Behavior ; Sexual Partners ; Substance Abuse, Intravenous/complications ; Urban Population ; Young Adult
Chemical Substances	Crack Cocaine
Language	English
Publishing date	2014-03-10
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	1018089-8
ISSN	1758-1052 ; 0956-4624
ISSN (online)	1758-1052
ISSN	0956-4624
DOI	10.1177/0956462414527070
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Article ; Online: A case illustration about the importance of integrating women's anal health in an HIV primary care clinic.

Ferron, Pansy / Young, Sandra / Doyle, Faith / Symes, Stephen / Powell, Alexis / Diaz-Mendez, Nelly / Rosa-Cunha, Isabella

The Journal of the Association of Nurses in AIDS Care : JANAC

2011 Volume 22, Issue 6, Page(s) 489–493

MeSH term(s)	Anus Neoplasms/complications ; Anus Neoplasms/diagnosis ; Anus Neoplasms/therapy ; Delivery of Health Care, Integrated ; Female ; HIV Infections/complications ; HIV Infections/drug therapy ; HIV Infections/therapy ; Humans ; Middle Aged ; Precancerous Conditions/complications ; Precancerous Conditions/diagnosis ; Precancerous Conditions/therapy ; Primary Health Care/organization & administration ; Women's Health Services/organization & administration
Language	English
Publishing date	2011-11
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1159376-3
ISSN	1552-6917 ; 1055-3290
ISSN (online)	1552-6917
ISSN	1055-3290
DOI	10.1016/j.jana.2011.08.005
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Inter-library loan at ZB MED

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In stock of ZB MED Cologne/Königswinter

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Full text online

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In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

Order via subito

Inter-library loan at ZB MED

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito