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

Alex McDowell, Meghan L. Rieu-Werden, Steven J. Atlas, Colin D. Fields, Robert H. Goldstein, Gabrielle D. Gundersen, Jennifer S. Haas, Robin T. Higashi, Sandi L. Pruitt, Michelle I. Silver, Jasmin A. Tiro, Aruna Kamineni

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)563-569
Number of pages7
JournalLGBT Health
Volume11
Issue number7
DOIs
StatePublished - Oct 1 2024

Keywords

  • cancer prevention
  • cancer screening
  • cervical cancer
  • gender diverse
  • nonbinary
  • transgender

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