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Member Research & Reports

Member Research & Reports

BU: Transgender Patients, Bisexual Women Less Likely to Have Mammograms

Transgender patients are less likely than cisgender (or non-transgender) women to adhere to mammography screening guidelines, and bisexual women are less likely than heterosexuals or lesbians to utilize mammography, a study led by a Boston University School of Public Health (BUSPH) researcher shows.

In the study, published online in the American Journal of Public Health, Dr. Angela Robertson Bazzi, assistant professor of community health sciences at BUSPH, and co-authors found that among 1,263 patients at an urban community health center in Boston, male-to-female trans women and preoperative trans men (those who had not undergone gender affirmation surgery) were about half as likely as cisgender women to adhere to mammography guidelines.

Recommendations for trans women are less clear, but some experts recommend that this group follow the same mammography guidelines as cisgender women, particularly if they are older than 50 and have used estrogen for five years or more.

“The specifics of breast cancer screening continue to be clarified, as evidenced by recent changes in the American Cancer Society’s mammography screening recommendations,” Dr. Bazzi said. “Regardless of the exact guidelines followed, it is important to understand mammography utilization among sexual and gender minority populations.”

To read more about the study, go to: