Characteristics of Clinicians Caring for Transgender Men and Nonbinary Individuals and Guideline Concordance of Clinicians' Cervical Cancer Screening Counseling for Cisgender Individuals Versus Transgender Men and Nonbinary Individuals with a Cervix

被引：0

作者：

Mcdowell, Alex ^{[1
,2
]}

Rieu-Werden, Meghan L. ^{[3
]}

Atlas, Steven J. ^{[2
,3
]}

Fields, Colin D. ^{[4
]}

Goldstein, Robert H. ^{[5
,11
]}

Gundersen, Gabrielle D. ^{[6
]}

Haas, Jennifer S. ^{[2
,3
]}

Higashi, Robin T. ^{[7
,8
]}

Pruitt, Sandi L. ^{[7
,8
]}

Silver, Michelle I. ^{[9
]}

Tiro, Jasmin A. ^{[10
]}

Kamineni, Aruna ^{[6
]}

机构：

[1] Massachusetts Gen Hosp, Mongan Inst, Hlth Policy Res Ctr, 100 Cambridge St, Suite 1600, Boston, MA 02114 USA

[2] Harvard Med Sch, Dept Med, Boston, MA USA

[3] Massachusetts Gen Hosp, Div Gen Internal Med, Boston, MA USA

[4] Kaiser Permanente Washington, Seattle, WA USA

[5] Massachusetts Gen Hosp, Div Infect Dis, Boston, MA USA

[6] Kaiser Permanente Washington Hlth Res Inst, Seattle, WA USA

[7] Univ Texas Southwestern Med Ctr, Peter ODonnell Jr Sch Publ Hlth, Dallas, TX USA

[8] Harold C Simmons Comprehens Canc Ctr, Dallas, TX USA

[9] Washington Univ, Sch Med, Dept Surg, Div Publ Hlth Sci, St Louis, MO USA

[10] Univ Chicago, Dept Publ Hlth Sci, Biol Sci Div, Chicago, IL USA

[11] Massachusetts Dept Publ Hlth, Boston, MA USA

来源：

LGBT HEALTH | 2024年 / 11卷 / 07期

基金：

美国国家卫生研究院;

关键词：

cancer prevention; cancer screening; cervical cancer; gender diverse; nonbinary; transgender; PATIENT; CARE; EDUCATION; BARRIERS;

D O I：

10.1089/lgbt.2023.0067

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Purpose: We examined characteristics of clinicians caring for transgender men and nonbinary (TMNB) individuals and guideline concordance of clinicians' cervical cancer screening recommendations.Methods: Using a survey of clinicians who performed >= 10 cervical cancer screenings in 2019, we studied characteristics of clinicians who do versus do not report caring for TMNB individuals and guideline concordance of screening recommendations for TMNB individuals with a cervix versus cisgender women.Results: In our sample (N = 492), 49.2% reported caring for TMNB individuals, and 25.4% reported performing cervical cancer screening for TMNB individuals with a cervix. Differences in guideline concordance of screening recommendations for TMNB individuals with a cervix versus cisgender women (45.8% vs. 50% concordant) were not statistically significant.Conclusion: Sizable proportions of clinicians cared for and performed cervical cancer screening for TMNB individuals. Research is needed to better understand clinicians' identified knowledge deficits to develop interventions (e.g., clinician trainings) to improve gender-affirming cervical cancer prevention.

引用

页码：563 / 569

页数：7

共 29 条

[1] Gender-Related Health Care Discrimination and Human Papillomavirus Vaccination Among Transgender and Nonbinary Young Adults in the United States [J].

Agenor, Madina ;

Lett, Elle ;

Murchison, Gabriel R. ;

Tabaac, Ariella R. ;

Dowshen, Nadia ;

Gordon, Allegra R. .

TRANSGENDER HEALTH, 2023, 8 (04) :389-395

[2] Perceptions of cervical cancer risk and screening among transmasculine individuals: patient and provider perspectives [J].

Agenor, Madina ;

Peitzmeier, Sarah M. ;

Bernstein, Ida M. ;

McDowell, Michal ;

Alizaga, Natalie M. ;

Reisner, Sari L. ;

Pardee, Dana J. ;

Potter, Jennifer .

CULTURE HEALTH & SEXUALITY, 2016, 18 (10) :1192-1206

[3]

[Anonymous], 2022, Measuring Sex, Gender Identity, and Sexual Orientation

[4] Evaluating and Improving Cancer Screening Process Quality in a Multilevel Context: The PROSPR II Consortium Design and Research Agenda [J].

Beaber, Elisabeth F. ;

Kamineni, Aruna ;

Burnett-Hartman, Andrea N. ;

Hixon, Brian ;

Kobrin, Sarah C. ;

Li, Christopher I. ;

Oliver, Malia ;

Rendle, Katharine A. ;

Skinner, Celette Sugg ;

Todd, Kaitlin ;

Zheng, Yingye ;

Ziebell, Rebecca A. ;

Breslau, Erica S. ;

Chubak, Jessica ;

Corley, Douglas A. ;

Greenlee, Robert T. ;

Haas, Jennifer S. ;

Halm, Ethan A. ;

Honda, Stacey ;

Neslund-Dudas, Christine ;

Ritzwoller, Debra P. ;

Schottinger, Joanne E. ;

Tiro, Jasmin A. ;

Vachani, Anil ;

Doria-Rose, V. Paul .

CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION, 2022, 31 (08) :1521-1531

[5] USPSTF Approach to Addressing Sex and Gender When Making Recommendations for Clinical Preventive Services [J].

Caughey, Aaron B. ;

Krist, Alex H. ;

Wolff, Tracy A. ;

Barry, Michael J. ;

Henderson, Jillian T. ;

Owens, Douglas K. ;

Davidson, Karina W. ;

Simon, Melissa A. ;

Mangione, Carol M. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2021, 326 (19) :1953-1961

[6]

Curry SJ, 2018, JAMA-J AM MED ASSOC, V320, P674, DOI [10.1001/jama.2018.10897, 10.1097/01.ogx.0000549540.69362.81]

[7] Comparison of Cervical Cancer Screen Results on Female-to-Male Transgender Patients With Female Patients [J].

Davis, Katelynn ;

Kwon, Regina ;

Graham, Ashleigh ;

White, Marissa ;

Maleki, Zahra ;

Rodriguez, Erika .

AMERICAN JOURNAL OF CLINICAL PATHOLOGY, 2022, 157 (04) :540-545

[8] Bridging Barriers to Cervical Cancer Screening in Transgender Men: A Scoping Review [J].

Dhillon, Navdeep ;

Oliffe, John L. ;

Kelly, Mary T. ;

Krist, Jennifer .

AMERICAN JOURNAL OF MENS HEALTH, 2020, 14 (03)

[9] Transgender health care: improving medical students' and residents' training and awareness [J].

Dubin, Samuel N. ;

Nolan, Ian T. ;

Streed, Carl G., Jr. ;

Greene, Richard E. ;

Radix, Asa E. ;

Morrison, Shane D. .

ADVANCES IN MEDICAL EDUCATION AND PRACTICE, 2018, 9 :377-391

[10] Identifying Gaps in LGBTQ Health Education in Baccalaureate Undergraduate Nursing Programs [J].

Eickhoff, Clara .

JOURNAL OF NURSING EDUCATION, 2021, 60 (10) :552-558

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