Abstract
AbstractBackgroundTransgender and gender diverse (TGD) people assigned female at birth (AFAB) face numerous barriers to preventive care, including for HPV and cervical cancer screening. Self-sampling options may expand access to HPV testing for TGD people AFAB.MethodsWe recruited TGD individuals AFAB to collect cervicovaginal and anal specimens at-home using self-sampling for HPV testing, and individuals reported their perceptions of self-sampling. Associations between demographic and health characteristics and each of comfort of use, ease of use, and willingness to use self-sampling were estimated using robust Poisson regression.ResultsThe majority of the 101 participants who completed the study reported that the cervicovaginal self-swab was not uncomfortable (68.3%) and not difficult to use (86.1%), and nearly all (96.0%) were willing to use the swab in the future. Fewer participants found the anal swab to not be uncomfortable (47.5%), but most participants still found the anal swab to not be difficult to use (70.2%) and were willing to use the swab in the future (89.1%). Participants were more willing to use either swab if they had not seen a medical professional in the past year. About 70% of participants who reported negative experiences with either self-swab were still willing to use that swab in the future.ConclusionsTGD AFAB individuals were willing to use and preferred self-sampling methods for cervicovaginal and anal HPV testing. Developing clinically approved self-sampling options for cancer screening could expand access to HPV screening for TGD AFAB populations.
Publisher
Cold Spring Harbor Laboratory
Reference33 articles.
1. Cancers caused by HPV. Centers for Disease Control and Prevention. https://www.cdc.gov/hpv/parents/cancer.html. Published February 28, 2022. Accessed March 23, 2023.
2. Disparities in HPV vaccination rates and HPV prevalence in the United States: a review of the literature
3. Cervical cancer: Screening. Recommendation: Cervical Cancer: Screening | United States Preventive Services Taskforce. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/cervical-cancer-screening. Published August 21, 2018. Accessed March 23, 2023.
4. Bridging barriers to cervical cancer screening in transgender men: a scoping review;American journal of men’s health,2020
5. “Doing It on My Own Terms”: Transgender and Nonbinary Adults’ Experiences with HPV Self-Swabbing Home Testing Kits
Cited by
6 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