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Development of a Culturally Sensitive Intervention for Cervical Cancer Screening Promotion for Latinx Transgender
Alíxida Ramos-Pibernus1, Mario Bermonti-Pérez1, David Mejías-Serrano2
1School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce, Puerto Rico.
Cancer Medicine
|January 12, 2026
Summary
This study developed an intervention to improve medical students' skills in discussing cervical cancer screening with transgender and non-binary patients. The training significantly enhanced provider behaviors and confidence, addressing critical health disparities.
Area of Science:
- Medical Education
- Public Health
- Health Disparities
Background:
- Transgender and non-binary individuals experience significant cancer health disparities.
- Primary care physicians are crucial for addressing these disparities, but often lack training in discussing cervical screening with trans patients.
- Medical school curricula rarely include essential skills for transgender healthcare, particularly regarding cervical cancer screening.
Purpose of the Study:
- To develop an educational intervention aimed at enhancing medical students' skills in cervical cancer screening for transgender and non-binary individuals.
- To assess the initial impact and feasibility of this intervention on student behaviors and confidence.
Main Methods:
- A 2-hour intervention was developed by a multidisciplinary team including researchers, clinicians, and community members.
- Standardized Patient Simulations (SPS) were utilized to observe provider behaviors (general, gender-affirming, and preventive care).
- 37 third-year medical students participated; Welch's t-test compared outcomes between intervention and control groups.
Main Results:
- The intervention demonstrated medium to large effects on all measured behaviors, with statistically significant improvements in the experimental group compared to the control.
- Participants found the intervention feasible, appropriate, and highly beneficial, increasing their confidence in discussing transgender healthcare.
- Key behaviors related to general care, gender affirmation, and cervical cancer prevention were positively impacted.
Conclusions:
- The developed intervention shows promise for improving medical students' competency in providing cervical cancer screening for transgender and non-binary patients.
- Despite a small sample size, the results indicate a potentially effective strategy to address training gaps and improve healthcare for this underserved population.
- Further research is warranted to explore the long-term impact and broader implementation of this educational approach.
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