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April 9, 1982, Vol 247, No. 14 >
ARTICLE | April 9, 1982

Correlates of Homosexual Behavior and the Incidence of Anal Cancer FREE

Janet R. Daling, PhD; Noel S. Weiss, MD; Larry L. Klopfenstein; Leah E. Cochran; Wong Ho Chow, MS; Richard Daifuku, MS
[+] Author Affiliations

Reprint requests to Fred Hutchinson Cancer Research Center, 1124 Columbia St, Seattle, WA 98104 (Dr Daling).


JAMA. 1982;247(14):1988-1990. doi:10.1001/jama.1982.03320390050042
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References

To determine whether characteristics that are correlated with male homosexual behavior are associated with the incidence of cancer, the names of persons with a diagnosis of cancer in western Washington during 1974 to 1979 were linked to those in the state syphilis registry. Eight of 47 men with anal cancer were found to have had a reactive FTA test result; the expected number, based on the proportion of reactive cases among men with other sites of cancer, was only 0.40. Among men with anal cancer identified through ten population-based cancer-reporting systems in the United States, 24.4% had never been married, compared with 7.8% of men with colon and rectal cancer. Neither of these relationships was observed for women with anal cancer. Because in men, but not in women, having had syphilis and being single are associated with the practice of anal intercourse, our data suggest that anal intercourse may be a risk factor for anal cancer.

(JAMA 1982;247:1988-1990)

REFERENCES

1 +
Corey L, Holmes KK:  Sexual transmission of hepatitis A in homosexual men . N Engl J Med 1980;;302:435-438.
2 +
Marino AWM Jr, Marcini HWN:  Anal erotocism . Surg Clin North Am 1978;;58:513-518.
3 +
Rabb R:  Sexually transmitted infections in homosexual men . Postgrad Med 1979;;65:215-218.
4 +
Henderson R:  Improving sexually transmitted disease health services for gays: A national prospective . Sex Transm Dis 1977;;4:58-62.
5 +
 Medical staff conference, University of California, San Francisco: Venereal aspects of gastroenterology . West J Med 1979;;130:236-246.
6 +
Owen WF:  Sexually transmitted diseases and traumatic problems in homosexual men . Ann Intern Med 1980;;92:805-808.
7 +
Blount JH, Holmes KK:  Epidemiology of syphilis and non-venereal treponematoses , in Johnson RC (ed): The Biology of Parasitic Spirochetes . New York, Academic Press Inc, 1976;, pp 157-176.
8 +
Gebhard PH, Johnson AB: The Kinsey Data: Marginal Tabulations of the 1938-1963 Interviews Conducted by the Institute for Sex Research . Philadelphia, WB Saunders Co, 1979;, pp 432-433.
9 +
Young JL, Percy CL, Asire AJ: Surveillance, Epidemiology, and End Results: Incidence and Mortality Data, 1973-77 . National Cancer Institute monograph 57, National Institutes of Health publication 81-2330. Bethesda, Md, NIH, 1981;.
10 +
Ernster VL, Sacks ST, Selvin S, et al:  Cancer incidence by marital status: US Third National Cancer Survey . JNCI 1979;;63:567-585.
11 +
Sohn N, Weinstein JA, Gonchar J:  Social injuries of the rectum . Am J Surg 1977;;134:611-612.
12 +
Kazal HL, Sohn N, Carrasco JI, et al:  The gay bowel syndrome: Clinicopathologic correlation in 260 cases . Ann Clin Lab Sci 1976;; 6:184-197.
13 +
Jacobs E:  Anal infections caused by herpes simplex virus . Dis Colon Rectum 1976;;19:151-157.
14 +
Zur Hausen H:  Human papillomaviruses and their role in squamous cell carcinomas . Curr Top Microbiol Immunol 1977;;78:1-30.
15 +
 Herpesvirus and cervical cancer, symposium . Cancer Res 1973;;33:1345-1367.
16 +
Leach RD, Ellis H:  Carcinoma of the rectum in male homosexuals . J R Soc Med 1981;;74:490-491.
17 +
Cooper HS, Patchefsky AS, Marko G:  Cloacogenic carcinoma of the anorectum in homosexual men: An observation of four cases . Dis Colon Rectum 1979;;22:557-558
18 +
Bolling DR Jr:  Prevalence, goals and complications of heterosexual anal intercourse in a gynecologic population . J Reprod Med 1977;; 19:120-124.
19 +
Blumberg BS, London WT:  Hepatitis B virus and prevention of primary hepatocellular carcinoma . N Engl J Med 1981;;304:782-784.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Corey L, Holmes KK:  Sexual transmission of hepatitis A in homosexual men . N Engl J Med 1980;;302:435-438.
2 +
Marino AWM Jr, Marcini HWN:  Anal erotocism . Surg Clin North Am 1978;;58:513-518.
3 +
Rabb R:  Sexually transmitted infections in homosexual men . Postgrad Med 1979;;65:215-218.
4 +
Henderson R:  Improving sexually transmitted disease health services for gays: A national prospective . Sex Transm Dis 1977;;4:58-62.
5 +
 Medical staff conference, University of California, San Francisco: Venereal aspects of gastroenterology . West J Med 1979;;130:236-246.
6 +
Owen WF:  Sexually transmitted diseases and traumatic problems in homosexual men . Ann Intern Med 1980;;92:805-808.
7 +
Blount JH, Holmes KK:  Epidemiology of syphilis and non-venereal treponematoses , in Johnson RC (ed): The Biology of Parasitic Spirochetes . New York, Academic Press Inc, 1976;, pp 157-176.
8 +
Gebhard PH, Johnson AB: The Kinsey Data: Marginal Tabulations of the 1938-1963 Interviews Conducted by the Institute for Sex Research . Philadelphia, WB Saunders Co, 1979;, pp 432-433.
9 +
Young JL, Percy CL, Asire AJ: Surveillance, Epidemiology, and End Results: Incidence and Mortality Data, 1973-77 . National Cancer Institute monograph 57, National Institutes of Health publication 81-2330. Bethesda, Md, NIH, 1981;.
10 +
Ernster VL, Sacks ST, Selvin S, et al:  Cancer incidence by marital status: US Third National Cancer Survey . JNCI 1979;;63:567-585.
11 +
Sohn N, Weinstein JA, Gonchar J:  Social injuries of the rectum . Am J Surg 1977;;134:611-612.
12 +
Kazal HL, Sohn N, Carrasco JI, et al:  The gay bowel syndrome: Clinicopathologic correlation in 260 cases . Ann Clin Lab Sci 1976;; 6:184-197.
13 +
Jacobs E:  Anal infections caused by herpes simplex virus . Dis Colon Rectum 1976;;19:151-157.
14 +
Zur Hausen H:  Human papillomaviruses and their role in squamous cell carcinomas . Curr Top Microbiol Immunol 1977;;78:1-30.
15 +
 Herpesvirus and cervical cancer, symposium . Cancer Res 1973;;33:1345-1367.
16 +
Leach RD, Ellis H:  Carcinoma of the rectum in male homosexuals . J R Soc Med 1981;;74:490-491.
17 +
Cooper HS, Patchefsky AS, Marko G:  Cloacogenic carcinoma of the anorectum in homosexual men: An observation of four cases . Dis Colon Rectum 1979;;22:557-558
18 +
Bolling DR Jr:  Prevalence, goals and complications of heterosexual anal intercourse in a gynecologic population . J Reprod Med 1977;; 19:120-124.
19 +
Blumberg BS, London WT:  Hepatitis B virus and prevention of primary hepatocellular carcinoma . N Engl J Med 1981;;304:782-784.

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