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Rivera-Custodio JJ, Soto-Sanchez AV, Alvarado-Cardona EO, Moreta-Ávila F, Silva-Reteguis J, Velez-Perez E, Jiménez-Ricaurte C, Rivera-Segarra E, Rodríguez-Madera SL, Ramos-Pibernus A. Recommendations from Latinx Trans and Non-Binary Individuals to Promote Cancer Prevention in Puerto Rico and Florida. Int J Environ Res Public Health 2023; 20:1213. [PMID: 36673968 PMCID: PMC9859014 DOI: 10.3390/ijerph20021213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 12/23/2022] [Accepted: 12/27/2022] [Indexed: 06/17/2023]
Abstract
Latinx trans and non-binary individuals (LTNB) face increased cancer-related health disparities. Studies evidence how barriers at the individual, provider and organizational levels drive cancer disparities among LTNB individuals. These barriers increase the emotional discomfort associated with testing and disengagement from cancer prevention efforts. Moreover, there are no guidelines or interventions that address cancer prevention specifically among LTNB individuals. There is a need to develop interventions informed by the LTNB communities to promote cancer prevention and screening. The study aims to describe the recommendations provided by LTNB individuals to foster cancer screening and prevention in the communities residing in Puerto Rico and Florida. We conducted two online focus groups with a total of 15 LTNB participants. Participants were recruited using non-probabilistic purposive sampling. We used rapid-qualitative analysis for data interpretation. Findings are gathered in three main themes: (1) recommendations for promoting cancer prevention screening among providers; (2) specific recommendations to promote cancer screening among LTBN individuals; and (3) recommendations on delivery formats to foster cancer prevention. These results evidence the need and feasibility of developing community informed tailored interventions targeting cancer screening and preventative care to reduce cancer-related health disparities among the LTNB population.
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Affiliation(s)
| | - Ana V. Soto-Sanchez
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce 00732, Puerto Rico
| | | | | | | | - Erik Velez-Perez
- School of Public Health, Ponce Health Sciences University, Ponce 00732, Puerto Rico
| | - Coral Jiménez-Ricaurte
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce 00732, Puerto Rico
| | - Eliut Rivera-Segarra
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce 00732, Puerto Rico
| | | | - Alixida Ramos-Pibernus
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce 00732, Puerto Rico
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Ramos-Pibernus A, Carminelli-Corretjer P, Bermonti-Pérez M, Tollinchi-Natali N, Jiménez-Ricaurte C, Mejías-Serrano D, Silva-Reteguis J, Moreta-Ávila F, Blanco M, Justiz L, Febo M, Rivera-Segarra E. Examining Cervical Cancer Preventive Behaviors for Latinx Transmasculine Individuals among Medical Students. Int J Environ Res Public Health 2021; 18:ijerph18030851. [PMID: 33498187 PMCID: PMC7863948 DOI: 10.3390/ijerph18030851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 12/23/2020] [Accepted: 12/30/2020] [Indexed: 12/02/2022]
Abstract
Latinx transmasculine men (LTM) can be at a particularly high risk for cervical cancer as they lie at the intersection of two health disparity populations (gender and ethnic minorities). Previous research using self-report measures has documented how negative interactions with providers are a key barrier for cervical cancer screening among LTM. However, no research to date has examined, via direct observation, cervical cancer preventive behaviors in clinical interactions with LTM. Thus, the objective of this study was to examine cervical cancer preventive behaviors in clinical interactions between medical students and an LTM. The team implemented standardized patient simulations (simulations of clinical interactions with actors portraying the role of a patient), self-report measures, and observational techniques. A total of 37 medical students participated in the study. The results were mixed with some key behaviors neglected (i.e., asking if the patient preferred to collect the HPV test sample by himself), while others were enacted (i.e., checking family history of cervical cancer). Further research is needed to better understand behaviors in clinical interactions with LTM as well as how to improve them.
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Affiliation(s)
- Alíxida Ramos-Pibernus
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce 00732, Puerto Rico; (P.C.-C.); (M.B.-P.); (N.T.-N.); (C.J.-R.); (M.B.); (L.J.); (M.F.); (E.R.-S.)
- Correspondence: ; Tel.: +1-787-840-2575
| | - Paola Carminelli-Corretjer
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce 00732, Puerto Rico; (P.C.-C.); (M.B.-P.); (N.T.-N.); (C.J.-R.); (M.B.); (L.J.); (M.F.); (E.R.-S.)
| | - Mario Bermonti-Pérez
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce 00732, Puerto Rico; (P.C.-C.); (M.B.-P.); (N.T.-N.); (C.J.-R.); (M.B.); (L.J.); (M.F.); (E.R.-S.)
| | - Nelmit Tollinchi-Natali
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce 00732, Puerto Rico; (P.C.-C.); (M.B.-P.); (N.T.-N.); (C.J.-R.); (M.B.); (L.J.); (M.F.); (E.R.-S.)
| | - Coral Jiménez-Ricaurte
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce 00732, Puerto Rico; (P.C.-C.); (M.B.-P.); (N.T.-N.); (C.J.-R.); (M.B.); (L.J.); (M.F.); (E.R.-S.)
| | | | | | | | - Malynie Blanco
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce 00732, Puerto Rico; (P.C.-C.); (M.B.-P.); (N.T.-N.); (C.J.-R.); (M.B.); (L.J.); (M.F.); (E.R.-S.)
| | - Lellanes Justiz
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce 00732, Puerto Rico; (P.C.-C.); (M.B.-P.); (N.T.-N.); (C.J.-R.); (M.B.); (L.J.); (M.F.); (E.R.-S.)
| | - Marta Febo
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce 00732, Puerto Rico; (P.C.-C.); (M.B.-P.); (N.T.-N.); (C.J.-R.); (M.B.); (L.J.); (M.F.); (E.R.-S.)
| | - Eliut Rivera-Segarra
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce 00732, Puerto Rico; (P.C.-C.); (M.B.-P.); (N.T.-N.); (C.J.-R.); (M.B.); (L.J.); (M.F.); (E.R.-S.)
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