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Piloting of a Screen‑Triage‑Treat Surgical Approach Model for Management of Anal Cancer in Liberia Cover

Piloting of a Screen‑Triage‑Treat Surgical Approach Model for Management of Anal Cancer in Liberia

Open Access
|Dec 2024

Figures & Tables

Table 1

Demographic Factors and Sexual Histories.

NUMBERPERCENT
Total Participants107100%
Marital Status
 Single9487.9%
 Married65.6%
 Cohabitating43.7%
 Divorced32.8%
Religion
 Christian10295.3%
 Muslim32.8%
 None21.9%
Place of Birth
 Liberia9185.0%
 Ivory Coast32.8%
 Ghana21.9%
County of Residence*
 Urban8175.7%
 Rural2624.3%
Education (highest level reached)
 None87.5%
 Primary10.9%
 Secondary87.5%
 High school5147.7%
 Post‑high school1413.1%
 College2422.4%
HIV tested
 Yes8377.6%
 No2422.4%
Self‑reported HIV status?
 Positive2119.6%
 Negative/unsure8681.4%
Alcohol use frequency (per week)
 More than 10 drinks76.5%
 5–10 drinks1413.1%
 3–5 drinks1715.9%
 1–2 drinks2826.2%
Shares needles when using IV drugs
 Yes21.9%
 No10598.1%
Type of anal sex
 Penetrative4138.3%
 Receptive2624.3%
 Both penetrative and receptive3229.9%
Age of first sexual intercourse
 Younger than 15 years old2220.6%
 15–20 years old7368.2%
 21–25 years old1110.3%
 Older than 26 years old10.9%
Unprotected sex in the last year
 More than 10 times65.6%
 5–10 times76.5%
 1–4 times4542.1%
 Never4945.8%
Number of sexual partners in lifetime
 More than 20 people4037.4%
 11–20 people1312.1%
 5–10 people2321.5%
 1–4 people3129.0%
Sexual partners in the last 6 months
 More than 20 people43.7%
 11–20 people55.6%
 5–10 people1110.3%
 1–4 people7469.2%
 0 people98.4%
Current partner circumcised
 Yes10295.3%
 No43.7%
Figure 1

Screen‑triage‑treat management pathway for aHSIL among MSM participants in Liberia.

MSM, men who have sex with men; hrHPV, high‑risk human papillomavirus; HRA, high‑resolution anoscopy; HIV, human immunodeficiency virus; aHSIL, atypical high‑grade squamous intraepithelial lesion; IRC, infrared coagulation.

Figure 2

Performance of high‑resolution anoscopy with infrared coagulation.

Demonstration of using high‑resolution anoscopy with a magnified anoscope (white instrument) and infrared coagulation (black instrument) to treat anal high‑grade squamous intraepithelial lesions at Redemption Hospital as a method for reducing anal cancer development.

DOI: https://doi.org/10.5334/aogh.4576 | Journal eISSN: 2214-9996
Language: English
Submitted on: Oct 8, 2024
Accepted on: Nov 2, 2024
Published on: Dec 4, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Christopher W. Reynolds, Whitney Lieb, Andrea Schecter, Michael M Gaisa, Stephen K. McGill, Evans L. Adofo, Ann Marie Beddoe, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.