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Cervical Cancer Screening Preferences in Transgender, Nonbinary, and Gender-diverse Patients
Brittani Steinberg1, Rachel Paul1, Madison Copeland1
1Department of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Division of Clinical Research, Department of Medicine, Division of Endocrinology, Metabolism and Lipid Research, Department of Surgery, Division of Public Health Sciences, and Department of Obstetrics and Gynecology, Division of Complex Family Planning, Contraception, and Gynecology, WashU Medicine, St. Louis, Missouri; and North Memorial Health Endocrinology, Minneapolis, Minnesota.
Transgender and gender-diverse individuals overwhelmingly prefer self-collected HPV tests for cervical cancer screening. They value preventive care and need gender-diverse competent healthcare teams.
Area of Science:
- Medical research
- Public health
- Gender studies
Background:
- Cervical cancer screening is crucial for women's health.
- Transgender and gender-diverse (TGD) individuals face unique healthcare challenges.
- Understanding TGD screening preferences is vital for equitable care.
Purpose of the Study:
- To determine cervical cancer screening preferences among TGD individuals.
- To identify factors influencing TGD screening choices.
- To inform healthcare providers on TGD patient needs.
Main Methods:
- Cross-sectional survey administered to 50 TGD patients (ages 18-65).
- Survey used gender-neutral language and multimedia, adapted from prior research.
- Descriptive statistics and content analysis of free-text responses were used.
Main Results:
- 56% preferred human papillomavirus (HPV) self-swabs.
- 18% preferred provider-collected HPV swabs; 14% preferred to decline screening.
- Key themes included fear of gender dysphoria, value of privacy, and need for competent care.
Conclusions:
- The majority of TGD patients prefer self-collected HPV tests for cervical cancer screening.
- Preventive healthcare and clinician competency in transgender health are paramount.
- Some TGD individuals may opt out of screening, highlighting the need for tailored approaches.
