Prevalence and predictors of cancer screening in transgender and gender nonbinary individuals.
| Autor: | Lui, Michelle, Bockting, Walter, Cato, Kenrick, Houghton, Lauren C. |
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| Předmět: |
TUMOR risk factors
BREAST tumor prevention MEDICAL protocols TRANS men RISK assessment HEALTH services accessibility HYSTERECTOMY RESEARCH funding CERVIX uteri tumors GENDER identity MEDICAL errors INCOME EARLY detection of cancer TRANSGENDER people GENDER affirming care SEX distribution INTERVIEWING FISHER exact test NONBINARY people COLORECTAL cancer PROSTATE tumors HIV infections JUDGMENT sampling EVALUATION of medical care AGE distribution FAMILIES CHI-squared test DESCRIPTIVE statistics LONGITUDINAL method GENDER affirmation surgery SURVEYS RACE CISGENDER people RESEARCH MAMMOGRAMS PAP test TRANS women HOMELESSNESS DATA analysis software PSYCHOSOCIAL factors SOCIAL classes COVID-19 pandemic ASSIGNED gender EMPLOYMENT COLONOSCOPY |
| Zdroj: | International Journal of Transgender Health; Oct-Dec2024, Vol. 25 Issue 4, p957-970, 14p |
| Abstrakt: | Background: Current cancer screening guidelines for transgender individuals are guided primarily by expert opinion, and are extrapolated from guidelines for cisgender populations, despite the additional unique risks that transgender populations face in cancer risk and cancer care. Aims: We examined adherence to current recommended screening guidelines as well as drivers of cancer screening in 192 transgender and gender-nonbinary (TGNB) individuals participating in Project AFFIRM, a multi-site longitudinal cohort study of TGNB individuals. Methods: We used a chi-squared analysis to look for significant associations between predictors and adherence to breast, cervical, prostate and colon cancer screening. We analyzed predictors by 3 different categories: sex/gender identity, healthcare access, and socioeconomic status. Results: Screening rates were low for breast, cervical, prostate and colon cancer in TGNB populations compared to national rates for cisgender populations. Among several significant predictors, gender-affirming surgery (hysterectomy) (p-value = <0.0001) and telling others they are transgender at a younger age (< 18) (p-value = 0.0344) were associated with increased screening adherence, while having HIV was associated with decreased screening adherence (p-value = 0.0045). Discussion: Our results suggest that interacting with the healthcare system to obtain comprehensive cancer screening can be difficult to navigate among the other healthcare needs of TGNB individuals both on an individual and systems level. Future efforts to mitigate the barriers to screening adherence should be targeted at the healthcare system level. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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