Transgenderism, Cervical Cancer, Human Papilloma Virus
Conditions
Brief summary
Transgender men are individuals born genetically female that have a gender identity that is incongruent with their biological sex. For those who have begun or completed transition, they may present as males but still have a uterus and cervix. Thus far, no distinction has been made between routine cervical cancer screening guidelines in non-transgender women and those for transgender men, despite wide variations in sexual practices, including lifelong vaginal abstinence. The purpose of this study is to offer transgender men seen at clinic visits self-collected HPV testing to evaluate for improved cervical cancer screening rates, as well as a survey to further investigate sexual practices, rates of appropriate screening prior to being offered self-collection, and barriers to obtaining appropriate care.
Interventions
DIAGNOSTIC_TESTHPV testing
will perform HPV testing with self-collected specimen
Sponsors
The Equality Clinic of Augusta
Augusta University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
21 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age \>21 for survey and age\> 25 for HPV testing * Transgender male or gender non-conforming identity * Female sex at birth * Consent to participate in the study
Exclusion criteria
* impaired decision making capacity * Absence of cervix * Non-English speaking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of cervical cancer screening | 1 year | Evaluate whether implementation of HPV DNA self swabs will increase rates of cervical cancer screening among transgender men by percentage of trans men who obtain screening through the study |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| rate of HPV vaccination | 1 year | Evaluate percentage of transgender men that have been vaccinated for HPV. Measured via survey. |
| incidence of barriers to care | 1 year | Determine which barriers contribute most to lack of cervical cancer screening among transgender men. Measured via survey. |
| incidence of high risk sexual practices | 1 year | Evaluate for the presence of high risk behaviors to determine whether transgender men in our population are at higher or lower risk for HPV-related cervical dysplasia. Measured via survey. |
Outcome results
None listed