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Cancer Screening in Lesbian and Bisexual Women and Trans Men

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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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References

  1. Lane-Steele L. Studs and protest-hypermasculinity: the tomboyism within black lesbian female masculinity. J Lesbian Stud. 2011;15:480–92.

    Article  PubMed  Google Scholar 

  2. 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.

    Article  PubMed  Google Scholar 

  3. US Preventive Services Task Force. Recommendations for Adults. 2010 (15 January 2014). http://www.uspreventiveservicestaskforce.org/adultrec.htm#cancer. Accessed 15 January 2014.

  4. 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.

    Article  Google Scholar 

  5. 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.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  6. 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.

    Article  CAS  PubMed  Google Scholar 

  7. 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.

    Article  Google Scholar 

  8. 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.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. 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.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  10. Hughes TL, Jacobson KM. Sexual orientation and women’s smoking. Curr Womens Health Rep. 2003;3(3):254–61.

    PubMed  Google Scholar 

  11. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  12. 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.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  13. Committee on Health Care for Underserved Women. Committee opinion: health care for transgender individuals. American College of Obstetrics and Gynecologists; 2011.

    Google Scholar 

  14. 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.

    Google Scholar 

  15. 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.

  16. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  17. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  18. 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.

    Google Scholar 

  19. 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.

    Google Scholar 

  20. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  21. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  22. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  23. 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.

    Article  PubMed  Google Scholar 

  24. Koh AS. Use of preventive health behaviors by lesbian, bisexual, and heterosexual women: questionnaire survey. Western J Med. 2000;172(6):379–84.

    Article  CAS  Google Scholar 

  25. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  26. 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.

    Article  Google Scholar 

  27. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  28. 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.

    Google Scholar 

  29. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  30. 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.

    Article  Google Scholar 

  31. 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.

    Article  PubMed  Google Scholar 

  32. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  33. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  34. 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.

    Article  Google Scholar 

  35. 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.

    Article  PubMed  Google Scholar 

  36. 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.

    Article  PubMed  Google Scholar 

  37. 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.

    Article  PubMed  Google Scholar 

  38. 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.

    Article  CAS  PubMed  Google Scholar 

  39. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  40. Dibble SL, Roberts SA. Improving cancer screening among lesbians over 50: results of a pilot study. Oncol Nurs Forum. 2003;30(4):E71–9.

    Article  Google Scholar 

  41. 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.

    Article  PubMed  Google Scholar 

  42. 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.

  43. Queer Women’s Health Initiative. Check it Out Guys. 2014 (20 February 2014). http://www.checkitoutguys.ca/. Accessed 20 February 2014.

  44. 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.

  45. 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.

  46. 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.

  47. The Fenway Institute. The National LGBT Health Education Center. 20 February 2014. http://www.lgbthealtheducation.org/. Accessed 20 February 2014.

  48. Human Rights Campaign. Healthcare Equality Index. 2014 (1 March 2014). http://www.hrc.org/hei/#.UxJjpIX_L3U. Accessed 1 March 2014.

  49. 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.

    Article  Google Scholar 

  50. Tracy JK, Lydecker AD, Ireland L. Barriers to cervical cancer screening among lesbians. J Womens Health (Larchmt). 2010;19(2):229–37.

    Article  Google Scholar 

  51. 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.

    Article  PubMed  Google Scholar 

  52. Hart SL, Bowen DJ. Sexual orientation and intentions to obtain breast cancer screening. J Womens Health (Larchmt). 2009;18(2):177–85.

    Article  Google Scholar 

  53. 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.

    Article  CAS  PubMed  Google Scholar 

  54. 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.

    CAS  Google Scholar 

  55. 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.

    Article  CAS  PubMed  Google Scholar 

  56. Fish J, Anthony D. UK national lesbians and health care survey. Women Health. 2005;41(3):27–45.

    Article  PubMed  Google Scholar 

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Correspondence to Melissa A. Clark Ph.D. .

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© 2015 Springer International Publishing Switzerland

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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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