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跨性别男性宫颈癌筛查障碍的弥合:系统评价

Bridging Barriers to Cervical Cancer Screening in Transgender Men: A Scoping Review.

机构信息

School of Nursing, University of British Columbia, Vancouver, BC, Canada.

Department of Nursing, University of Melbourne, Melbourne, Victoria, Australia.

出版信息

Am J Mens Health. 2020 May-Jun;14(3):1557988320925691. doi: 10.1177/1557988320925691.

Abstract

Estimates of high-risk human papillomavirus (HPV) infection and susceptibility to HPV-related cancer in transgender men (TM) are comparable to prevalence rates found in cisgender women. Regular and thorough screening for cervical cancer is equally as crucial for TM as for cisgender women; however, despite continued risk for cervical cancer in TM and associated recommendations for screening, studies indicate disparities in rates of cervical cancer screening (CCS) in TM compared to cisgender women. The current scoping review explores TM's knowledge and experiences of CCS and barriers to screening uptake in this population. A range of barriers were identified including the need for health-care services to provide care for TM within the context of a nonbinary approach to gender identity and health. Findings synthesized from relevant research studies ( = 15; published 2008-2019) are presented, and recommendations are drawn from these findings to inform primary health-care providers' clinical practice and care of TM.

摘要

跨性别男性(TM)的高危型人乳头瘤病毒(HPV)感染和 HPV 相关癌症易感性的估计与顺性别女性的流行率相当。TM 与顺性别女性一样,需要定期和彻底筛查宫颈癌;然而,尽管 TM 仍然存在宫颈癌风险,且有相关的筛查建议,但研究表明 TM 与顺性别女性相比,宫颈癌筛查(CCS)的比例存在差异。本范围综述探讨了 TM 对 CCS 的了解和经验,以及该人群中筛查参与的障碍。确定了一系列障碍,包括医疗保健服务需要在非二元性别认同和健康方法的背景下为 TM 提供护理。呈现了从相关研究中综合的研究结果(n = 15;发表于 2008 年至 2019 年),并从这些结果中得出建议,为初级保健提供者的临床实践和 TM 的护理提供信息。

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