护理变性男性和非二元性个体的临床医生的特征，以及临床医生为顺性个体与变性男性和有宫颈的非二元性个体提供的宫颈癌筛查咨询的指南一致性。

IF 3.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH LGBT health Pub Date : 2024-04-22 DOI:10.1089/lgbt.2023.0067

Alex McDowell, Meghan L Rieu-Werden, Steven J. Atlas, Colin D. Fields, Robert H. Goldstein, Gabrielle D. Gundersen, Jennifer S Haas, Robin T. Higashi, Sandi L. Pruitt, Michelle I Silver, Jasmin A Tiro, A. Kamineni

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引用次数: 0

摘要

目的：我们研究了为变性男性和非二元性（TMNB）人士提供护理的临床医生的特征以及临床医生宫颈癌筛查建议与指南的一致性。方法：通过对 2019 年进行了≥10 次宫颈癌筛查的临床医生进行调查，我们研究了对 TMNB 患者进行护理与未进行护理的临床医生的特征，以及对有宫颈的 TMNB 患者与顺性别女性的筛查建议的指南一致性。结果：在我们的样本（N = 492）中，49.2% 的人报告护理过 TMNB 患者，25.4% 的人报告对有宫颈的 TMNB 患者进行过宫颈癌筛查。有宫颈的 TMNB 患者与顺性别女性在筛查建议的指南一致性（45.8% 与 50%）方面的差异无统计学意义。结论有相当比例的临床医生为屯门鼻疽患者提供护理并进行宫颈癌筛查。需要开展研究，以更好地了解临床医生所发现的知识缺陷，从而制定干预措施（如临床医生培训），改善性别确认的宫颈癌预防工作。

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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.

Purpose: We examined characteristics of clinicians caring for transgender men and nonbinary (TMNB) individuals and guideline concordance of clinicians' cervical cancer screening recommendations. Methods: 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. Results: In our sample (N = 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. Conclusion: 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.

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来源期刊

LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -

CiteScore

6.60

自引率

6.20%

发文量

期刊介绍： LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.