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Transgender male patients and hereditary breast cancer risk: broaching difficult topics to reduce healthcare disparities

Abstract Details

2019, Master of Science, Ohio State University, Genetic Counseling.
Transgender individuals face significant healthcare disparities due to discrimination, which include reluctance to disclose, lack of provider experience and resources, structural barriers, and financial barriers. No consensus guidelines have been developed for breast cancer risk assessment and screening in transgender male patients. Breast health can be a difficult topic for transgender men, as it brings them into female centered spaces and can lead to experiences of gender dysphoria. This research aims to elucidate barriers to breast cancer screening and genetic risk evaluation for transmasculine individuals. Research questions aimed to determine what the level of awareness transgender men have about breast cancer risk and screening, and the factors that lead to positive or distressing conversations about breast health with these patients. We aim to determine how healthcare providers can foster a safe and affirming environment that increases comfort and reduces perceptions of discrimination and gender related dysphoria with a focus on genetic counseling for hereditary breast cancer risk assessment. Recommendations are made for improving the clinical experiences of these individuals including using mirroring an individual’s terminology for their anatomy, providing gender affirming patient resources, addressing the gendered cultural discussion around breast cancer, using correct name and pronouns, and acknowledging the topic as potentially difficult.
Robert Pilarski, MS, MSW, LGC (Advisor)
Leigha Senter, MS, LGC (Committee Member)
Kandamurugu Manickam, MD (Committee Member)
Melissa Davis, MD (Other)
127 p.

Recommended Citations

Citations

  • Coltri, J. A. (2019). Transgender male patients and hereditary breast cancer risk: broaching difficult topics to reduce healthcare disparities [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1555683611281611

    APA Style (7th edition)

  • Coltri, Julia. Transgender male patients and hereditary breast cancer risk: broaching difficult topics to reduce healthcare disparities. 2019. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1555683611281611.

    MLA Style (8th edition)

  • Coltri, Julia. "Transgender male patients and hereditary breast cancer risk: broaching difficult topics to reduce healthcare disparities." Master's thesis, Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1555683611281611

    Chicago Manual of Style (17th edition)