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.

Autor: McDowell A; Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts, USA.; Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA., Rieu-Werden ML; Division of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA., Atlas SJ; Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.; Division of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA., Fields CD; Kaiser Permanente Washington, Seattle, Washington, USA., Goldstein RH; Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts, USA., Gundersen GD; Kaiser Permanente Washington Health Research Institute, Seattle, Washington, USA., Haas JS; Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.; Division of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA., Higashi RT; Peter O'Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, Dallas, Texas, USA.; Harold C. Simmons Comprehensive Cancer Center, Dallas, Texas, USA., Pruitt SL; Peter O'Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, Dallas, Texas, USA.; Harold C. Simmons Comprehensive Cancer Center, Dallas, Texas, USA., Silver MI; Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA., Tiro JA; Department of Public Health Sciences, University of Chicago Biological Sciences Division, Chicago, Illinois, USA., Kamineni A; Kaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.
Jazyk: angličtina
Zdroj: LGBT health [LGBT Health] 2024 Oct; Vol. 11 (7), pp. 563-569. Date of Electronic Publication: 2024 Apr 22.
DOI: 10.1089/lgbt.2023.0067
Abstrakt: 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.
Databáze: MEDLINE