Author:
Berner Alison M,Connolly Dean J,Pinnell Imogen,Wolton Aedan,MacNaughton Adriana,Challen Chloe,Nambiar Kate,Bayliss Jacob,Barrett James,Richards Christina
Abstract
BackgroundTransgender men and non-binary people assigned female at birth (TMNB) who have not had surgery to remove the cervix are recommended to undertake cervical screening with the same frequency as cisgender women, but evidence suggests that TMNB have lower odds of lifetime and up-to-date cervical screening uptake.AimTo understand the attitudes towards and preferences for cervical screening among UK-based TMNB.Design and settingCross-sectional survey of TMNB at an NHS gender identity clinic (GIC) and an NHS sexual health service specialising in care of transgender people.MethodRecruitment was via email invitations to patients of the GIC and sexual health service. Inclusion criteria were: female sex assigned at birth; transgender man, masculine, or non-binary gender identity; aged ≥18 years; and UK resident. Quantitative results were analysed using descriptive statistics, and free-text comments were analysed thematically.ResultsIn total there were 137 participants; 80% identified as transmasculine,18% as non-binary, and the remaining participants reported other noncisgender identities. Sixty-four participants (47%) were eligible for cervical screening and 37 (58%) of those had been screened. Only 34 (53%) of those eligible felt they had sufficient information about cervical screening. Just over half (n = 71/134, 53%) stated they would like the option to self-swab for high-risk human papillomavirus. Only half (n = 68/134, 51%) of participants were in favour of an automatic invitation for cervical screening. Thematic analysis identified a number of additional barriers to and facilitators of screening.ConclusionTMNB have identified numerous potential areas for change that may improve cervical screening uptake and patient experience.
Publisher
Royal College of General Practitioners
Reference47 articles.
1. World Health Organization, International Agency for Research on Cancer Global Cancer Observatory. https://gco.iarc.fr (accessed 6 May 2021).
2. Human papillomavirus and cervical cancer
3. Cancer Research UK Cervical cancer statistics. https://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-bycancer-type/cervical-cancer (accessed 6 May 2021).
4. Projected time to elimination of cervical cancer in the USA: a comparative modelling study;Burger;Lancet Public Health,2020
5. The projected timeframe until cervical cancer elimination in Australia: a modelling study;Hall;Lancet Public Health,2019
Cited by
21 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献