Abstract
This chapter provides an overview of cancer screening among lesbian and bisexual women and trans men. Following a brief introduction to define terminology, the chapter is divided into four sections. The first section highlights recommendations for cancer screening for the most common cancer types and considerations for cancer screening specific to lesbian and bisexual women and trans men (LBT). The second section summarizes the available data about prevalence of cancer screenings among LBT populations. The third section describes barriers and facilitators to cancer screenings for LBT individuals as well as interventions that have been developed to improve screening rates among LBT communities. The fourth section provides recommendations for future research, policy, and practice for improving cancer screening within LBT communities.
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Lane-Steele L. Studs and protest-hypermasculinity: the tomboyism within black lesbian female masculinity. J Lesbian Stud. 2011;15:480–92.
Smith RA, Manassaram-Baptiste D, Brooks D, Cokkinides V, Doroshenk M, Saslow D, et al. Cancer screening in the United States, 2014: a review of current American cancer society guidelines and current issues in cancer screening. CA Cancer J Clin. 2014;64(1):30–51.
US Preventive Services Task Force. Recommendations for Adults. 2010 (15 January 2014). http://www.uspreventiveservicestaskforce.org/adultrec.htm#cancer. Accessed 15 January 2014.
Case P, Austin SB, Hunter DJ, Manson JE, Malspeis S, Willett WC, et al. Sexual orientation, health risk factors, and physical functioning in the Nurses’ Health Study II. J Womens Health (Larchmt). 2004;13(9):1033–47.
Aaron DJ, Markovic N, Danielson ME, Honnold JA, Janosky JE, Schmidt NJ. Behavioral risk factors for disease and preventive health practices among lesbians. Am J Public Health. 2001;91(6):972–5.
Valanis BG, Bowen DJ, Bassford T, Whitlock E, Charney P, Carter RA. Sexual orientation and health: comparisons in the women’s health initiative sample. Arch Fam Med. 2000;9(9):843–53.
Diamant AL, Wold C. Sexual orientation and variation in physical and mental health status among women. J Womens Health (Larchmt). 2003;12(1):41–9.
Cochran SD, Mays VM, Bowen D, Gage S, Bybee D, Roberts SJ, et al. Cancer-related risk indicators and preventive screening behaviors among lesbians and bisexual women. Am J Public Health. 2001;91(4):591–7.
Cochran SD, Keenan C, Schober C, Mays VM. Estimates of alcohol use and clinical treatment needs among homosexually active men and women in the U.S. population. J Consult Clin Psychol. 2000;68(6):1062–71.
Hughes TL, Jacobson KM. Sexual orientation and women’s smoking. Curr Womens Health Rep. 2003;3(3):254–61.
Gruskin EP, Greenwood GL, Matevia M, Pollack LM, Bye LL. Disparities in smoking between the lesbian, gay, and bisexual population and the general population in California. Am J Public Health. 2007;97(8):1496–502.
Gruskin EP, Hart S, Gordon N, Ackerson L. Patterns of cigarette smoking and alcohol use among lesbians and bisexual women enrolled in a large health maintenance organization. Am J Public Health. 2001;91(6):976–9.
Committee on Health Care for Underserved Women. Committee opinion: health care for transgender individuals. American College of Obstetrics and Gynecologists; 2011.
Feldman J. Medical and surgical managment of the transgender patient: what the primary care clinician needs to know. United States of America: American College of Physicians; 2008.
University of California-San Francisco Center of Excellence for Transgender Health. General prevention and screening 2014 (15 January 2014). http://transhealth.ucsf.edu/trans?page=protocol-screening#S2X. Accessed 15 January 2014.
Conron KJ, Scott G, Stowell GS, Landers SJ. Transgender health in Massachusetts: results from a household probability sample of adults. Am J Public Health. 2012;102(1):118–22.
Nemoto T, Operario D, Keatley J, Nguyen H, Sugano E. Promoting health for transgender women: Transgender Resources and Neighborhood Space (TRANS) program in San Francisco. Am J Public Health. 2005;95(3):382–4.
Sperber J, Landers S, Lawrence S. Access to health care for transgendered persons: results of a needs assessment in Boston. Int J Transgenderism. 2005;10/11(8(2–3)):75–91.
Grant JM, Mottet LA, Tanis J, Harrison J, Herman JL, Keisling M. Injustice at every turn: a report of the national transgender discrimination survey; 2011.
Conron KJ, Mimiaga MJ, Landers SJ. A population-based study of sexual orientation identity and gender differences in adult health. Am J Public Health. 2010;100(10):1953–60.
Kerker BD, Mostashari F, Thorpe L. Health care access and utilization among women who have sex with women: sexual behavior and identity. J Urban Health. 2006;83(5):970–9.
Buchmueller T, Carpenter CS. Disparities in health insurance coverage, access, and outcomes for individuals in same-sex versus different-sex relationships, 2000–2007. Am J Public Health. 2010;100(3):489–95.
Brandenburg DL, Matthews AK, Johnson TP, Hughes TL. Breast cancer risk and screening: a comparison of lesbian and heterosexual women. Women Health. 2007;45(4):109–30.
Koh AS. Use of preventive health behaviors by lesbian, bisexual, and heterosexual women: questionnaire survey. Western J Med. 2000;172(6):379–84.
Mays VM, Yancey AK, Cochran SD, Weber M, Fielding JE. Heterogeneity of health disparities among African American, Hispanic, and Asian American women: unrecognized influences of sexual orientation. Am J Public Health. 2002;92(4):632–9.
Clark MA, Rogers ML, Armstrong GF, Rakowski W, Bowen DJ, Hughes T, et al. Comprehensive cancer screening among unmarried women aged 40–75 years: results from the cancer screening project for women. J Womens Health (Larchmt). 2009;18(4):451–9.
Austin SB, Pazaris MJ, Nichols LP, Bowen D, Wei EK, Spiegelman D. An examination of sexual orientation group patterns in mammographic and colorectal screening in a cohort of U.S. women. Cancer Causes Control. 2013;24(3):539–47.
Blosnich JR, Farmer GW, Lee JGL, Silenzio VMB, Bowen DJ. Health inequalities among sexual minority adults: evidence from ten U.S. states, 2010. Am J Prev Med. 2014;e-pub.
Boehmer U, Miao X, Linkletter C, Clark MA. Adult health behaviors over the life course by sexual orientation. Am J Public Health. 2012;102(2):292–300.
Agenor M, Krieger N, Austin SB, Haneuse S, Gottlieb BR. Sexual orientation disparities in Papanicolaou test use among US women: the role of sexual and reproductive health services. Am J Public Health. 2014;104(2):e68–73.
Matthews AK, Brandenburg DL, Johnson TP, Hughes TL. Correlates of underutilization of gynecological cancer screening among lesbian and heterosexual women. Prev Med. 2004;38(1):105–13.
Charlton BM, Corliss HL, Missmer SA, Frazier AL, Rosario M, Kahn JA, et al. Reproductive health screening disparities and sexual orientation in a cohort study of U.S. adolescent and young adult females. J Adolesc Health. 2011;49(5):505–10.
Elkin EB, Atoria CL, Leoce N, Bach PB, Schrag D. Changes in the availability of screening mammography, 2000–2010. Cancer. 2013;119(21):3847–53.
Levy AR, Bruen BK, Ku L. Health care reform and women’s insurance coverage for breast and cervical cancer screening. Prev Chronic Dis. 2012;9:E159.
Bowen DJ, Bradford JB, Powers D, McMorrow P, Linde R, Murphy BC, et al. Comparing women of differing sexual orientations using population-based sampling. Women Health. 2004;40(3):19–34.
Brotman S, Ryan B, Cormier R. The health and social service needs of gay and lesbian elders and their families in Canada. Gerontologist. 2003;43(2):192–202.
Clark MA, Bonacore L, Wright SJ, Armstrong G, Rakowski W. The cancer screening project for women: experiences of women who partner with women and women who partner with men. Women Health. 2003;38(2):19–33.
Lauver DR, Karon SL, Egan J, Jacobson M, Nugent J, Settersten L, et al. Understanding lesbians’ mammography utilization. Womens Health Issues. 1999;9(5):264–74.
Peitzmeier SM, Reisner SL, Harigopal P, Potter J. Female-to-male patients have high prevalence of unsatisfactory Paps compared to non-transgender females: implications for cervical cancer screening. J Gen Intern Med. 2014;29(5):778–84.
Dibble SL, Roberts SA. Improving cancer screening among lesbians over 50: results of a pilot study. Oncol Nurs Forum. 2003;30(4):E71–9.
Bowen DJ, Powers D, Greenlee H. Effects of breast cancer risk counseling for sexual minority women. Health Care Women Int. 2006;27(1):59–74.
Canadian Cancer Society. The Get Screened Campaign 2014 (20 February 2014). http://convio.cancer.ca/site/PageServer?pagename=SSL_ON_GEN_About#.Uwod4IX_L3U. Accessed 20 February 2014.
Queer Women’s Health Initiative. Check it Out Guys. 2014 (20 February 2014). http://www.checkitoutguys.ca/. Accessed 20 February 2014.
Mautner Project. Removing the barriers: providing culturally competent care to lesbians and women who partner with women (20 February 2014). http://www.corexcel.com/rtb/. Accessed 20 February 2014.
GLMA. Cultural competence webinar series: quality healthcare for lesbian, gay, bisexual & transgender people 2014. (20 February 2014). http://www.glma.org/index.cfm?fuseaction=Page.viewPagepageId=1025grandparentID=534parentID=940nodeID=1. Accessed 20 February 2014.
LGBT Aging Project. Open Door Task Force. 2014 (20 February 2014). http://www.lgbtagingproject.org/our-programs-and-services/cultural-competency-training/open-door-task-force/. Accessed 20 February 2014.
The Fenway Institute. The National LGBT Health Education Center. 20 February 2014. http://www.lgbthealtheducation.org/. Accessed 20 February 2014.
Human Rights Campaign. Healthcare Equality Index. 2014 (1 March 2014). http://www.hrc.org/hei/#.UxJjpIX_L3U. Accessed 1 March 2014.
van Dam MA, Koh AS, Dibble SL. Lesbian disclosure to health care providers and delay of care. J Gay Lesbian Med Assoc. 2001;5(1):11–9.
Tracy JK, Lydecker AD, Ireland L. Barriers to cervical cancer screening among lesbians. J Womens Health (Larchmt). 2010;19(2):229–37.
Smith RA, Brooks D, Cokkinides V, Saslow D, Brawley OW. Cancer screening in the United States, 2013: a review of current American Cancer Society guidelines, current issues in cancer screening, and new guidance on cervical cancer screening and lung cancer screening. CA Cancer J Clin. 2013;63(2):88–105.
Hart SL, Bowen DJ. Sexual orientation and intentions to obtain breast cancer screening. J Womens Health (Larchmt). 2009;18(2):177–85.
Price JH, Easton AN, Telljohann SK, Wallace PB. Perceptions of cervical cancer and Pap smear screening behavior by women’s sexual orientation. J Community Health. 1996;21(2):89–105.
Rankow EJ, Tessaro I. Cervical cancer risk and Papanicolaou screening in a sample of lesbian and bisexual women. J Family Pract. 1998;47(2):139–43.
Diamant AL, Wold C, Spritzer K, Gelberg L. Health behaviors, health status, and access to and use of health care: a population-based study of lesbian, bisexual, and heterosexual women. Arch Fam Med. 2000;9(10):1043–51.
Fish J, Anthony D. UK national lesbians and health care survey. Women Health. 2005;41(3):27–45.
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Clark, M., Boehmer, U., Rosenthal, S. (2015). Cancer Screening in Lesbian and Bisexual Women and Trans Men. In: Boehmer, U., Elk, R. (eds) Cancer and the LGBT Community. Springer, Cham. https://doi.org/10.1007/978-3-319-15057-4_6
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DOI: https://doi.org/10.1007/978-3-319-15057-4_6
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