Program in Health Disparities Research, University of Minnesota, 717 Delaware St SE, Minneapolis, MN, USA.
School of Medicine, Universidad San Francisco de Quito, Quito, Ecuador.
Cancer Causes Control. 2021 Aug;32(8):911-917. doi: 10.1007/s10552-021-01442-0. Epub 2021 May 13.
Sexual minority women (SMW; lesbian, bisexual, and other women who have sex with women) are at risk for cervical cancer but less likely than non-SMW to receive regular cervical cancer screening (Pap- and/or HPV-testing). We examined factors contributing to receipt of guideline-based cervical cancer screening among SMW.
During October 2019, we conducted an online survey of self-identified SMW aged 21-45 years living in the United States (n = 435). We estimated risk differences (RD) in women's likelihood of being within current cervical cancer screening guidelines by sociodemographic and health-related characteristics.
Overall, 75% of respondents were within current screening guidelines. Adjusting for other factors, SMW were more likely to be within guidelines if they were insured (aRD 0.26, 95% CI 0.13, 0.39), had a partner (aRD 0.18, 95% CI 0.09, 0.28), and were older (aRD 0.12, 95% CI 0.04, 0.20). Overall, the most common reasons for not being screened recently were lack of insurance/cost (42%) and perceiving it was unnecessary (28%).
Many SMW are not being screened for cervical cancer according to guidelines. Findings can inform efforts to improve screening among this population.
性少数群体女性（性少数群体女性；女同性恋者、双性恋者和其他与女性发生性关系的女性）患宫颈癌的风险较高，但接受定期宫颈癌筛查（巴氏涂片检查和/或 HPV 检测）的可能性低于非性少数群体女性。我们研究了导致性少数群体女性接受基于指南的宫颈癌筛查的因素。
在 2019 年 10 月期间，我们对居住在美国的 21-45 岁自我认定为性少数群体女性（n=435）进行了在线调查。我们估计了女性是否符合当前宫颈癌筛查指南的风险差异（RD），并根据社会人口统计学和健康相关特征进行了调整。
总体而言，75%的受访者符合当前的筛查指南。在调整其他因素后，如果性少数群体女性有保险（RD 0.26，95%CI 0.13，0.39）、有伴侣（RD 0.18，95%CI 0.09，0.28）或年龄较大（RD 0.12，95%CI 0.04，0.20），则更有可能符合指南。总体而言，最近未接受筛查的最常见原因是缺乏保险/费用（42%）和认为没有必要（28%）。
许多性少数群体女性没有按照指南接受宫颈癌筛查。研究结果可以为改善该人群的筛查提供信息。
