Transgender patients less likely to be screened for cancer: study

Researchers say health workers need to address the disparity

Transgender patients are less likely to be screened for cancers specific to their physical gender at birth, suggest researchers, saying practitioners need to address the health-care disparity affecting this often marginalized population.

In a study by St. Michael’s Hospital in Toronto, researchers assessed screening rates for cervical, breast, and colorectal cancer among 120 transgender patients eligible for the routine testing and compared them with rates among non-transgender patients seen by the family health team.

“We found that people who were trans had lower screening rates in our practice,” said Dr. Tara Kiran, a family doctor and the study’s principal investigator.

Transgender patients were about 70 percent less likely to be screened for breast cancer, 60 per cent less likely to get tested for cervical cancer, and 50 percent less likely to be screened for colorectal cancer — even after accounting for such other factors as age and the number of visits to their doctors.

READ MORE: B.C. to offer gender-affirming surgeries for transgender people

Patients who have transitioned from female to male and still require screening for breast and cervical cancer are often missed when provincial agencies such as Cancer Care Ontario send reminders that regular mammograms or Pap smears are due.

For trans patients requiring regular mammograms, the study found just one-third were screened, compared to two-thirds of non-transgender, or cisgender, patients. For cervical cancer, 56 per cent of trans patients had Pap tests compared to 72 per cent of non-trans patients.

READ MORE: Transgender Canadians say death certificates don’t reflect their lived identity

Among the 120 transgender patients included in the study, published Wednesday in the journal Canadian Family Physician, 76 per cent were physically female at birth but self-identified as male.

“If you are transitioned from female to male — but you still have a cervix, you haven’t had a hysterectomy — having a Pap test is an important part of screening for cervical cancer,” said Kiran. “But it also can really be gender dysphoric.

“If you can imagine, you are now identifying as a male but you are being asked to come in to do a procedure that’s really done for women. And so you’re being reminded of the fact there’s anatomy there that doesn’t relate to you being a man.

Cat MacDonald of Ajax, Ont., near Toronto, was born male but came to the realization at about age five that inside she was really girl. She didn’t do anything about it until the 1990s, when she began transitioning to female, which included taking a testosterone blocker and starting on lifelong doses of estrogen.

Taking the female hormone means MacDonald needs regular mammograms, as estrogen can lead to breast tissue growth that is potentially subject to malignancy. But at the same time, she needs regular testing for prostate cancer.

“There are still certain kinds of cancer that are more common in males that have to be screened for,” she said. “I’m fortunate that my health-care giver is very well-versed in trans medicine. She is aware of these and screens for it.”

It’s critical that health providers be better trained to provide sensitive, quality care to transgender patients, said MacDonald, 74. “So doctors have to become aware that this is specialized care.”


Like us on Facebook and follow us on Twitter.

Just Posted

Oregon couple’s stolen truck located at Deep Creek, boat still missing

Jim and Kathy Jantz are thankful for the help they have received so far in Williams Lake

B.C. sockeye returns drop as official calls 2019 ‘extremely challenging’

Federal government says officials are seeing the same thing off Alaska and Washington state

U.S. couple ‘devastated’ truck and boat stolen in Williams Lake overnight

Family from Oregon appealing for assistance to help find stolen items

Police name second suspect, lay kidnapping and attempted murder charges in connection with Rudy Johnson Bridge incidents

Drynock is considered dangerous, do not approach him and call the local RCMP detachment immediately

Skeena-Bulkley Valley candidates react to finding Trudeau broke ethics law

The election campaign is heating up before the writ has even dropped

New police force in Surrey must avoid VPD, RCMP errors made in Pickton case: Oppal

Boots are scheduled to be on the ground by spring 2021

Conan turns to the Property Brothers for tips on buying Greenland

Jonathan Scott suggests removing glaciers and mountains to bring in ‘more natural light’

Forests minister visits B.C. town hit by multiple mill shutdowns

A third of Mackenzie turns out for rally, not much to cheer about

B.C. music teacher accused of sexual misconduct involving girls

Police believe other victims could be out there after the arrest of Lamar Victor Alviar

B.C. family stranded in Croatia desperate to come home

Funds being raised to bring back mom and two children

B.C. man on trial for daughters’ murders an intruder broke in

Andrew Berry takes stand in his defense for December 2017 deaths of young daughters

‘Plenty of time for a deal’: Teachers’ union expects kids back in school on Sept. 3

BCTF says class size, composition at the heart of the issue

Province funds new shuttle buses for 13 B.C. senior centres

Activity, socializing helps maintain health, Adrian Dix says

Most Read