Cervical screening among LGBTQ people: how affirming services may aid in achieving cervical cancer elimination targets

To reach cervical cancer elimination targets it is necessary to increase screening rates among underserved populations such as LGBTQ communities. This paper examines rates of attendance and associated factors of cervical screening in LGBTQ communities. Data from 2,424 people aged 25 to 74 years and...

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Bibliographic Details
Published in:Women & health 2023-10, Vol.63 (9), p.736-746
Main Authors: Kerr, Lucille, Bourne, Adam, Hill, Adam O., McNair, Ruth, Wyatt, Kerryann, Lyons, Anthony, Carman, Marina, Amos, Natalie
Format: Article
Language:English
Subjects:
Access
Bisexual
Bisexuality
Cancer
Cervical cancer
Community
Disease prevention
Health education
Health services
lesbian
LGBTQ
LGBTQ people
Medical screening
Public health
queer
Regression analysis
screening
Sociodemographics
Suburban areas
Tests
Transgender persons
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Summary:To reach cervical cancer elimination targets it is necessary to increase screening rates among underserved populations such as LGBTQ communities. This paper examines rates of attendance and associated factors of cervical screening in LGBTQ communities. Data from 2,424 people aged 25 to 74 years and assigned female at birth were drawn from an online national Australian survey of LGBTQ adults. Over half of the sample had accessed cervical screening in the past 2 years. Using a multivariable logistic regression analysis, significant associations were found between screening, sociodemographic traits and health-care access. Trans men were least likely to access cervical screening, while bisexual, pansexual and queer identified participants were most likely to access screening. People who lived outside inner-suburban areas and those who had a disability were less likely to have had screening. Evidence of trusting relationships with a general practitioner (having a regular GP and GP's knowledge of the individual's LGBTQ identity) increased the likelihood that participants had screened, as did recent access to a medical service that was LGBTQ-inclusive or catered specifically to LGBTQ communities. The findings suggest the importance of training health providers, as well as targeted public health messaging for increasing uptake of cervical screening among LGBTQ people.
ISSN:0363-0242
1541-0331
DOI:10.1080/03630242.2023.2263594