跨性别和非双性性别个体癌症查的患病率和预测因素
Michelle Lui1, Walter Bockting2,3, Kenrick Cato2
1Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, USA.
International journal of transgender health
|October 28, 2024
概括
跨性别和性别非二元 (TGNB) 个体的癌症查率较低. 性别确认手术和早期转变披露改善了坚持,而艾滋病毒减少了它,突出了癌症护理中的系统性障碍.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 对于跨性别和性别非二元 (TGNB) 个体的癌症查指南通常基于专家意见,并从 cisgender 群体中推断出来.
- 在癌症的发展和治疗中,TGNB个体面临着独特的风险,目前的指导方针没有充分解决这些风险.
研究的目的:
- 检查TGNB个体遵守推的癌症查指南.
- 在TGNB人群中确定与癌症查遵守相关的关键驱动因素.
主要方法:
- 采用千平方分析来评估预测因子与乳腺癌,宫癌,前列腺癌和结肠癌查的遵守之间的关联.
- 预测因素被分类为性别/性别认同,医疗保健准入和社会经济地位.
主要成果:
- 发现TGNB群体的乳腺癌,宫癌,前列腺癌和结肠癌查率低于cisgender群体的全国率.
- 性别确认手术 (子宫切除术) 和早期的过渡年龄披露 (18岁以下) 与查遵守率的增加显著相关.
- 艾滋病毒诊断与癌症查遵守率降低有关.
结论:
- 在医疗保健系统中进行全面的癌症查对TGNB个人来说,除了其他医疗保健需求之外,还存在挑战.
- 系统层面的干预对于解决和减轻TGNB群体癌症查遵守障碍至关重要.
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