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. 2024 Oct;11(7):563-569.
doi: 10.1089/lgbt.2023.0067. Epub 2024 Apr 22.

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  1   2 , Meghan L Rieu-Werden  3 , Steven J Atlas  2   3 , Colin D Fields  4 , Robert H Goldstein  5 , Gabrielle D Gundersen  6 , Jennifer S Haas  2   3 , Robin T Higashi  7   8 , Sandi L Pruitt  7   8 , Michelle I Silver  9 , Jasmin A Tiro  10 , Aruna Kamineni  6
Affiliations

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 et al. LGBT Health. 2024 Oct.

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.

Keywords: cancer prevention; cancer screening; cervical cancer; gender diverse; nonbinary; transgender.

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