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 |