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July 1999 Cover
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Doctors may begin recommending Pap smears for men who engage in anal sex. Research published in the
Journal of the American Medical Association indicates
that Pap smears appear to be a cost-effective way to detect early signs of anal cancer in HIV-positive gay and bisexual men. Anal cancer-- which is hard
to detect because it has few symptoms-- is associated with the sexually transmitted human papillomavirus, as is cervical
cancer. Statistics show that while the rate of anal cancer in
the general population is 0.8 per 100,000, the rate is 35 per 100,000 for HIV-negative homosexual men and about two times as high for homosexual men with
HIV.
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