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照顾跨性别男性和非二元个体的临床医生的特征,以及临床医生对顺性别个体与跨性别男性和有宫颈的非二元个体的宫颈癌筛查咨询的指南一致性。

Characteristics of Clinicians Caring for Transgender Men and Nonbinary Individuals and Guideline Concordance of Clinicians' Cervical Cancer Screening Counseling for Cisgender Individuals Versus Transgender Men and Nonbinary Individuals with a Cervix.

机构信息

Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts, USA.

Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.

出版信息

LGBT Health. 2024 Oct;11(7):563-569. doi: 10.1089/lgbt.2023.0067. Epub 2024 Apr 22.

Abstract

We examined characteristics of clinicians caring for transgender men and nonbinary (TMNB) individuals and guideline concordance of clinicians' cervical cancer screening recommendations. Using a survey of clinicians who performed ≥10 cervical cancer screenings in 2019, we studied characteristics of clinicians who do versus do not report caring for TMNB individuals and guideline concordance of screening recommendations for TMNB individuals with a cervix versus cisgender women. In our sample ( = 492), 49.2% reported caring for TMNB individuals, and 25.4% reported performing cervical cancer screening for TMNB individuals with a cervix. Differences in guideline concordance of screening recommendations for TMNB individuals with a cervix versus cisgender women (45.8% vs. 50% concordant) were not statistically significant. Sizable proportions of clinicians cared for and performed cervical cancer screening for TMNB individuals. Research is needed to better understand clinicians' identified knowledge deficits to develop interventions (e.g., clinician trainings) to improve gender-affirming cervical cancer prevention.

摘要

我们研究了照顾 transgender men 和 nonbinary (TMNB) 个体的临床医生的特征,以及临床医生对宫颈癌筛查建议的指南一致性。我们使用了 2019 年进行了≥10 次宫颈癌筛查的临床医生的调查,研究了报告照顾 TMNB 个体与不报告照顾 TMNB 个体的临床医生的特征,以及有子宫的 TMNB 个体与顺性别女性的宫颈癌筛查建议的指南一致性。在我们的样本中(n=492),49.2%的人报告照顾 TMNB 个体,25.4%的人报告为有子宫的 TMNB 个体进行宫颈癌筛查。有子宫的 TMNB 个体与顺性别女性的宫颈癌筛查建议的指南一致性(45.8%与 50%一致)没有统计学意义。相当比例的临床医生照顾和为有子宫的 TMNB 个体进行宫颈癌筛查。需要研究来更好地了解临床医生识别的知识缺陷,以制定干预措施(例如,临床医生培训)来改善性别肯定的宫颈癌预防。

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