全国范围内的乳房扫描查在一个庞大的人口的服务不足的子组
Elizabeth J Cathcart-Rake1, Viengneesee Thao2,3, Jennifer Le-Rademacher4
1Department of Medical Oncology, Mayo Clinic, Rochester, MN.
概括
跨性别男性的查乳房扫描率高于异性女性,特别是在年轻的年龄组. 然而,跨性别女性的查率明显较低,这表明乳腺癌查遵守率存在差异.
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:
- 查性乳房造影对于早期发现乳腺癌至关重要.
- 变性人和性别多样性 (TGD) 个体可能面临着获得医疗保健和遵守查指南的独特障碍.
- 了解TGD人群中的乳房镜使用情况对于解决潜在的健康不平等至关重要.
研究的目的:
- 为了确定跨性别和性别多样性 (TGD) 个体的查乳房扫描率.
- 为了比较TGD个体和 cisgender女性之间的乳房照明坚持.
- 在TGD人群中确定与高查乳房镜率相关的因素.
主要方法:
- 一项利用OptumLabs数据仓库进行的全国性研究确定了TGD个体和适合进行查乳房扫描的 cisgender女性.
- 高查率被定义为超过75%的推查.
- 进行了多变量分析,包括匹配的跨性别男性和半性别女性队列,以确定与坚持相关的因素.
主要成果:
- 该研究包括10,478名TGD个人和6,218,369名 cisgender女性.
- 在41.1%的跨性别男性,7.4%的跨性别女性,11.9%的性别不确定症 (NMOT) 个体和38.3%的 cisgender 女性中观察到高乳房镜率.
- 变性男性的查率高于异性女性,特别是在40-59岁之间.
结论:
- 临床医生似乎向平均或高乳腺癌风险的跨性别男性和半性别女性提供乳房扫描.
- 变性女性的风险往往较低,她们的查乳房扫描率明显较低.
- 这些发现突出了跨性别女性乳腺癌查的潜在差异,并强调了针对性干预的必要性.
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