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Table 2 Themes of barriers to anal self-examination (ASE)

From: Exploring anal self-examination as a means of screening for anal cancer in HIV positive men who have sex with men: a qualitative study

Attitudinal barriers

Concern about discomfort with any anal examinations

 

Anxiety about finding an abnormality

 

Preference for a health professional to do an anal examination

 

Too many sensations or sexual connotations with ASE

Knowledge barriers

Lack of awareness of anal cancer risk

 

Ignorance of how anal cancer presents

Practical barriers

Inadequate physical flexibility to conduct an ASE

 

Importance of cleanliness before ASE