Program in Health Disparities Research, Department of Family Medicine & Community Health, University of Minnesota Medical School, Minneapolis, MN, USA.
Department of Cancer Prevention & Control, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Gynecol Oncol. 2020 Dec;159(3):899-905. doi: 10.1016/j.ygyno.2020.09.038. Epub 2020 Sep 29.
Transgender men remain at risk for gynecologic malignancies, but are an underserved population. Members of the transgender community experience discrimination and have experiences that contribute to health disparities, including in gynecology and oncology. While efforts have been made within the United States to reduce inequalities experienced by members of this community, many needs in the clinical setting remain. Increased education and training among providers and healthcare professionals, and general improvements towards understanding barriers to health screening and health resource uptake may reduce some disparities. Additional research towards screening and cancer surveillance among this community will be necessary to understand any potential additional risks and survival disparities experienced by transgender men. This review focuses on barriers and clinical needs for transgender men in the gynecologic oncology setting, and suggestions for moving forward to improve care for this patient population.
跨性别男性仍然面临妇科恶性肿瘤的风险,但他们是一个服务不足的群体。跨性别群体的成员经历着歧视,并且存在导致健康差距的经历,包括在妇科和肿瘤学方面。尽管在美国已经做出了努力来减少这个群体成员所经历的不平等,但在临床环境中仍有许多需求。提高提供者和医疗保健专业人员的教育和培训水平,以及改善对健康筛查和健康资源获取障碍的理解,可能会减少一些差距。进一步研究跨性别男性在这一群体中的筛查和癌症监测,将有助于了解他们可能面临的任何额外风险和生存差距。这篇综述重点关注跨性别男性在妇科肿瘤学环境中面临的障碍和临床需求,并为改善对这一患者群体的护理提出了建议。